Manteno Parent Teacher Organization (P.T.O.) Scholarship Program

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1 Manteno Parent Teacher Organization (P.T.O.) Scholarship Program Application Academic Year INTRODUCTION The Manteno P.T.O. annually awards academic scholarships to graduating seniors of the Manteno C.U.S.D. No. 5. The scholarship program helps graduating high school seniors continue their education at a university, college, trade or vocational school. The scholarships are based on positive leadership and volunteering in school and community activities. The P.T.O. Board administers the application process and selects the scholarship recipients. The name of each scholarship applicant is concealed from the scholarship selection committee to ensure that the recipients are selected entirely on their merits. SCHOLARSHIP AMOUNT Each recipient of the Manteno P.T.O. scholarship will receive a $500 scholarship. scholarship recipients will be determined by the P.T.O. Board. The number of ELIGIBILITY Anyone who is a Manteno C.U.S.D. No. 5 Senior graduating during the academic year shown on this application is eligible to apply for the scholarship. Applications will be accepted during the last semester of school. If the student is an early graduate, applications will be accepted during the first semester. Applications will not be accepted after April 13 of the current academic year. SELECTION CRITERIA Scholarship recipients will be selected on the basis of the following: 1. Positive leadership exhibited in both academic and extracurricular school activities. 2. Positive leadership exhibited in community and/or religious activities. 3. Volunteering service in school, community, and/or religious activities. 4. Part-time/full-time employment A transcript for seven semesters is also required. APPLICATION AVAILABILITY Scholarship applications will be available in the high school guidance counselor s office between January 1 and April 13 of the current academic year, and also online at The student must print and complete the application and submit a signed copy. The format of the application may not be altered. SELECTION PROCEDURE The evaluation meeting will be held during the month of April or at the call of the P.T.O Board President. Announcement of the winners will be made by the students high school graduation day.

2 Manteno Parent Teacher Organization (P.T.O.) Scholarship Program Application Academic Year COVER PAGE/STUDENT IDENTIFICATION Date: Student s Name: Address: Phone Number: Student s Social Security No.: Parents Names: The Manteno P.T.O. will handle all details of this scholarship subject to the approval of the organization. If a student fails to enroll or attend a school of advanced learning, the money must be returned to the Scholarship Fund. PLEDGE: If I am awarded the Manteno P.T.O. Scholarship of $500.00, I pledge to use the money for educational needs such as room and board, tuition, books, etc. (Signature) FOR INTERNAL PURPOSES ONLY Applicant ID No.

3 Course of study you intend to pursue: Reason for taking this particular course of study: How have your educational and personal experiences shaped your career goals? What school do you plan to attend? Have you been accepted? Why do you think you re the best candidate to receive this scholarship?

4 What academic or community honors/awards have you earned while in high school? EMPLOYMENT HISTORY Please list all full and/or part-time jobs you have held. Job #1 Position held: Number of hours worked: Number of years employed: Responsibilities:

5 Job #2 Position held: Number of hours worked: Number of years employed: Responsibilities: Job #3 Position held: Number of hours worked: Number of years employed: Responsibilities:

6 SCHOOL AND EXTRACURRICULAR ACTIVITIES (PART 1) Please list any school activities you have participated in, and indicate the school year in which you took part in the activity. Include any sports, groups, clubs, etc. You may photocopy this page if additional room is necessary. ACTIVITY ACCOMPLISHMENTS

7 SCHOOL AND EXTRACURRICULAR ACTIVITIES (PART 2) Please answer the following question in 250 words or less: How have you provided leadership or volunteered in these school and extracurricular activities? (This form must be typed.)

8 COMMUNITY SERVICE AND/OR RELIGIOUS INVOLVEMENT (PART 1) Please list any community and/or religious activities you have participated in, and indicate the school year in which you took part in the activity. You may photocopy this page if additional room is necessary. ACTIVITY ACCOMPLISHMENTS

9 COMMUNITY SERVICE AND/OR RELIGIOUS INVOLVEMENT (PART 2) Please answer the following question in 250 words or less: How have you provided leadership or volunteered in these community service and/or religious activities? (This form must be typed.)

10 LETTERS OF RECOMMENDATION Please include two letters of recommendation (one from school and one from community service/volunteer activities and/or religious activities). These letters of recommendation should address your leadership and character traits, and should also include how long they have known you. IMPORTANT!!! Please have your references refer to you as this individual so that your identity is concealed before presentation to the scholarship committee.

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