WIESBADEN COMMUNITY SPOUSES CLUB HIGH SCHOOL SENIOR SCHOLARSHIP APPLICATION

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1 HIGH SCHOOL SENIOR SCHOLARSHIP APPLICATION Dear Scholarship Applicant, The Wiesbaden Community Spouses Club (WCSC) is excited that you are applying for one of our scholarships. The WCSC prides itself on helping individuals within the community reach their educational goals by providing financial help through the scholarship program. While the scholarship process is competitive, please keep in mind that everyone has different strengths and weaknesses. All applications will be scored fairly, and all of the information you provide will be taken in to account. Please feel free to contact me at if you have any questions about the application. Make sure that you meet the application deadline, and use the checklist provided to be sure that your application is complete. Applications that are not complete will not be considered. Finally, make sure that you give your instructors / teachers, counselors, employers, etc. adequate time to fill out recommendations. They may not be able to accommodate last minute requests due to their busy schedules. Good luck to all of you! The Scholarship Committee is looking forward to awarding many scholarships this year! Sincerely, Crystal Alexander Crystal Alexander Scholarship Committee Chairperson Page 1 of 15

2 CHECKLIST ** IMPORTANT ** Please use the checklist below to make sure that you have all the required materials included with your scholarship application. ALL of the requested components are needed by the scholarship committee. Personal Information Form Photocopy of ID Card (Front and Back) Teacher Recommendation Form Employer / Community Observer Form Counselor s Worksheet Official Transcript Outside Scholarships Form High School / College Information Chart Community / Volunteer Activities Chart Employment / Extracurricular Activities Chart Awards / Achievements / Honors Chart Essay Page 2 of 15

3 INFORMATION PURPOSE The purpose of the WCSC Scholarship is to reward high school seniors, in the Wiesbaden Community, for excellence in academic or vocational education and community involvement. ELIGIBILITY Those eligible are high school seniors whose U.S. citizen sponsor is a federal employee, contractor, retiree or active duty member of the U.S. military. The U.S. citizen sponsor must reside and/or work in the Wiesbaden military community at the time of application submission. Applicant must have graduated from an accredited high school or hold a GED equivalent. Applicant must be a valid U.S. ID cardholder. Please include a photocopy of ID CARD. AWARDS Scholarships will be paid directly to the school of choice upon written notification of enrollment. Scholarships will be awarded for tuition only. Persons awarded full scholarships (e.g. ROTC) or attending service academies are ineligible. The award remains valid until May 31, Any unused amount returns to the WCSC Welfare Fund. All awardees are responsible to ensure that the proper billing address appears on the application. The WCSC Welfare Fund in not responsible for late fees due to incorrect billing information. PRIVACY ACT STATEMENT Under authority of U.S. Title 10, Section 3012, the enclosed personal information will be maintained by the Scholarship Committee for administrative use and released only to the individuals needed to evaluate the application. Disclosure of the information is voluntary; however, failure to disclose all or part of the requested information may hinder evaluation of the application. The application will remain in possession of the Scholarship Committee Chairperson for a period of one year and will then be destroyed. Page 3 of 15

4 PROCEDURES PROCEDURE FOR APPLICATNTS A. General Information 1. Complete and return the Personal Information Form; sign and date bottom. 2. Type / Print all requested information. Computer printouts are acceptable. 3. Failure to answer all questions or follow directions will result in disqualification. 4. Verify that you have included all required material. 5. Photo copy of ID Card (Front and Back) B. Two current letters of recommendation must accompany the application. 1. One letter must be from a current or former teacher who can address your academic potential, work habits, and character. 2. The second letter should be from someone unrelated to you who has either been an employer or someone who has observed your involvement in the community and can discuss your service, dedication and volunteerism. 3. Letters must be dated within the last 12 months. 4. The forms must be returned in a sealed envelope with the reviewer s signature on the seal. C. A completed Counselor s Worksheet must accompany the application. The counselor will complete the worksheet, place it with an official copy of your transcript into an envelope, seal and sign the envelope, and return it to you so that you can include these with your application. Be sure to arrange with your counselor when you will be able to pick this up. Please note that YOU must provide your counselor with an envelope and an official copy of the transcript. D. An interview or further correspondence with the scholarship committee may be required. E. On separate paper(s), with only your last 4-digits of your SSN placed in the top right-hand corner of the page for identification, answer or provide the following: 1. List the name and location of high schools attended. 2. Using the Employment and Extracurricular Activities Chart, name your primary extra-curricular activities, including sports. Include length of involvement (i.e., the grade or grades during which you participated in the activity) and the actual level of commitment (i.e., number of hours involved per week in the activity). Page 4 of 15

5 PROCEDURES 3. Also using the Employment and Extracurricular Activities Chart, list and describe any jobs that you have held. Include the duration of employment, the grades during which you were employed and the number of hours per week worked. 4. Using the Community and Volunteer Activities chart, list any community service or volunteer activities in which you have been involved. Please include your length of involvement and level of commitment by giving the grades during which you participate and total hours of participation. Include any offices or leadership positions you have held within the activities named above or not mentioned before. 5. Using the Awards, Achievements and Honors chart, describe any personal, academic or community honors and/or awards you have received. Include recognition such as Employee of the Month, Letters of Appreciation, Dean s List, etc. 6. Choose one of the essay topics below and write an essay of at least 500 words, but no more than 750 words on that topic. Your essay should be double spaced. Be sure to use spell check, grammar check, and have someone you trust proofread your essay before submitting your application packet. Write your last 4 digits of your SSN, not your name, in the upper right hand corner of each page. The responses will be evaluated on style and content. Choose a challenge you experienced in your life being a military family member, and explain how you overcame it and what you learned from it that will help you in the future. Have you experienced a moment of epiphany, as if your eyes were opened to something you were previously blind to? Describe this moment and how it changed you or your worldview. Page 5 of 15

6 PROCEDURES Postmark the completed application by February 28, 2011 F. Mail completed application packet to: Crystal Alexander WCSC Scholarship Chairperson CMR 467, Box 4582 APO, AE Please contact Crystal Alexander with any questions at: or Page 6 of 15

7 Name: First Middle Last Applicant s SSN: _ Local Residence: Mailing Address: Address: Sponsor s Name: Sponsor s SSN: Sponsor s status: Active Duty Military / Retired or Deceased Military / DOD Civ Other _ Sponsor s Duty Address: Home Phone: Duty Phone: _ I certify that all information in this application is my own, accurate and complete. Any late fees acquired due to incorrect billing address / information are the sole responsibility of the recipient. I understand that this award will be applied strictly towards tuition. It is also my responsibility to contact the scholarship committee chairperson if I receive additional scholarship or federal assistance. If the award is not used by May 31, 2012, I must notify the scholarship committee and return it to the WCSC Welfare Fund. I understand the grant may be rescinded if I fail to comply with all the stipulations made by WCSC. I understand all decisions made by WCSC are final. If awarded a scholarship, I will sign a form with WCSC and abide by the terms stipulated. Signature: Date: Sponsor s Signature: Date: Page 7 of 15

8 COUNSELOR S WORKSHEET APPLICANT Fill in the top portion of the worksheet only. Provide the worksheet to the counselor by February 15, This will give the counselor ample time to fill in his / her portion of the worksheet. The counselor s worksheet will be turned in with the application packet to the Scholarship Committee by a postmark / date of February 28, I,, give my High Schools guidance office permission to complete this form. I understand that personal information from my school record will be revealed. Applicant Signature Sponsor s Signature (if applicant is less than 18 years of age) Date Date COUNSELOR (The Sponsor / Guardian will fill this out for home-schooled Seniors. Turn this sheet in with the completed application.) Please provide the following information for the individual listed above. An official copy of the transcript is also required. Place both the official transcript and this completed form into a sealed envelope with your signature or stamp across the back flap. Academic Record: Grade Point Average cumulative based on first seven semesters of high school work ACT Score (composite) SAT Score (composite) Counselor s Signature: _ Date Page 8 of 15

9 RECOMMENDATION FORM Applicant s Last 4 Digits of SSN: The Wiesbaden Community Spouses Club appreciates your time and effort in completing the recommendation form below. We are looking for academically well-rounded students who have made a positive contribution to our military community by virtue of their commitment to the ideals of leadership, community involvement, and public service. We would like your honest and realistic evaluation of this applicant. Please give your completed form to the applicant in a sealed envelope with your signature on the seal no later than February 15, In accordance with the Privacy Act, these forms will remain with the Committee Chair for a period of one year, and then will be destroyed. What is your relationship with the applicant? How long have you know the applicant? How would you rate this individual on the following characteristics? Maturity Independent Thinking Self-Motivation Commitment Responsibility Leadership Judgment Creativity Analytical Thinking Communication Skills Enthusiasm Outstanding Excellent Good Average Below Avg. Please provide any additional comments on the reverse side of this form, or attach a personal recommendation letter. Including a recommendation letter or additional comments can benefit the applicant s overall score. Your Name: Phone Number: Mailing Address: Signature: Date: Page 9 of 15

10 RECOMMENDATION FORM Applicant s Last 4 Digits of SSN: The Wiesbaden Community Spouses Club appreciates your time and effort in completing the recommendation form below. We are looking for academically well-rounded students who have made a positive contribution to our military community by virtue of their commitment to the ideals of leadership, community involvement, and public service. We would like your honest and realistic evaluation of this applicant. Please give your completed form to the applicant in a sealed envelope with your signature on the seal no later than February 15, In accordance with the Privacy Act, these forms will remain with the Committee Chair for a period of one year, and then will be destroyed. What is your relationship with the applicant? How long have you know the applicant? How would you rate this individual on the following characteristics? Maturity Independent Thinking Self-Motivation Commitment Responsibility Leadership Judgment Creativity Analytical Thinking Communication Skills Enthusiasm Outstanding Excellent Good Average Below Avg. Please provide any additional comments on the reverse side of this form, or attach a personal recommendation letter. Including a recommendation letter or additional comments can benefit the applicant s overall score. Your Name: Phone Number: Mailing Address: Signature: Date: Page 10 of 15

11 SCHOLARSHIP FUND FORM Applicant s Last 4 Digits of SSN: Because some Colleges / Universities have guidelines on receiving scholarships from outside sources such as WCSC Scholarship, please contact your College / University to learn more about these guidelines. Some outside scholarships will reduce the self-help component (loans and work study) of your financial aid, but will not affect any part of a parent s contribution toward the tuition. Also keep in mind the WCSC Scholarship can only be applied towards tuition and nothing more. The WCSC Scholarship Committee is committed to ensure no one loses any scholarship funds that could help towards your education. What is the highest scholarship amount you can accept according to your College / University? Page 11 of 15

12 HIGH SCHOOL AND COLLEGE INFORAMTION FORM Applicant s Last 4 Digits of SSN: Please list all Colleges /Universities / Institutions to which you have applied or been accepted. College / University / Institution Address and Telephone Accepted (circle one) YES YES YES YES NOT YET NOT YET NOT YET NOT YET Please list all High Schools you have attended. High School Address and Telephone Dates Attended Page 12 of 15

13 COMMUNITY AND VOLUNTEER ACTIVITIES FORM Applicant s Last 4 Digits of SSN: Please list all community and volunteer activities in which you participated while in grades Clearly state the number of hours involved in the activity. Please attach additional pages as necessary. Grade Activity / Position Agency / Organization Location Hours per wk # of Weeks Total Hours Page 13 of 15

14 EMPLOYMENT AND EXTRA-CURRICULAR ACTIVITIES FORM Applicant s Last 4 Digits of SSN: Please list all extra-curricular activities (including sports) and paid employment in which you participated while in grades Begin with current or most recent employment and activities. Please attach additional pages as necessary. Grade Employer / Activity Position Location Hours per wk # of Weeks Total Hours Page 14 of 15

15 AWARDS, ACHIEVEMENTS AND HONORS FORM Applicant s Last 4 Digits of SSN: Please list all school, academic, and community honors, awards and achievements while in grades (Examples include Model UN delegate, Robo-Warriors, Honor Societies, National Merit Scholarship, Eagle Scout, and College level courses.) Please attach additional pages as necessary. Grade Activity Award / Achievement Supervisor Location Page 15 of 15

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