2017 Scholarship Program

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1 2017 Scholarship Program 4 Scholarships Available! Tyler s TEAM Foundation, Inc. was founded in 2013, in memory of Tyler Pierce, with the mission to assist in promoting the awareness of suicide. Tyler was a victim of suicide in March of A young, loyal member of the Juda community, Tyler chose to make a decision his friends and family would unfortunately have to live with. Just months later, several members of the community, bound by the same common objective, came together to draw from the positives of this extremely unfortunate situation to give back to the community that has supported us so well, as we handle the loss of this great young man. Forming what eventually grew to become Tyler s TEAM Foundation, Inc., the friends and family of Tyler Pierce sought to memorialize his life while raising funds, which would be used to promote suicide prevention and awareness in Green County. Our organization continues to grow, as we gain support every day. Hoping that one day, no one has to go through what Tyler went through, we constantly strive to grow and improve this organization by gaining resources, networking, and ultimately, giving more back to the community. Tyler s TEAM Foundation, Inc. announces the 2017 Tyler Pierce Memorial Scholarship Awards Program. This year, four (4) $250 scholarships will be awarded to seniors attending a high school in Green County, Wisconsin, who will be attending an accredited college or university during the Fall 2017 semester. Scholarship Guidelines & Priorities: * Seeking graduating seniors with a record of volunteer work, leadership, and involvement in a variety of extracurricular school activities * Applicants must have a minimum cumulative GPA of 3.0, plan to attend a 2 or 4 year college or university, and be a two-year varsity award winner in athletics. * Scholarship funds will be paid in December 2017 or January 2018 for the second semester of the student s first year of undergraduate education upon submission of first semester transcripts and proof of enrollment for the second semester. Funds will be paid to the student AND the institution. * Application deadline is March 31, 2017 by 4:00 p.m. to be received by the Foundation. Late applications are not accepted. Submit copy of a completed typed application package via to: tylersteamfoundation@gmail.com (This includes typed application, essay, and school transcript. Applicants may save this entire document as PDF and it.) The applications will be reviewed and recipients selected by a committee consisting of members of Tyler s TEAM Foundation, Inc. The scholarships will be awarded in May Please submit any questions to: tylersteamfoundation@gmail.com

2 SCHOLARSHIP APPLICATION 2017 Please type your answers. Last Name: First Name: 1. Mailing Address 2. Street: City: State: Zip: Daytime Telephone Number: Address: 3. Date of Birth (MM/DD/YYYY): Gender: 4. Parents Names: 5. Parents Occupations: 6. High School Attending: High School Record Location: Other High Schools Attended: 7. Cumulative GPA: (On a 4.0 scale) Class Rank (XX/XX) Attach proof of GPA and class rank. Your most recent school transcript is required. Post-Secondary Education Plan First and Second Choice of College (Must be 2 or 4 year college/university) First Choice: Second Choice: Intended College Major(s) or Field(s) of Study (limit two): First Choice: Second Choice: Future career plans: Anticipated Cost of Your First Year of College (ie. Tuition, Books, Room & Board): How much financial assistance can you expect from your family? Have you applied for or received any other scholarships? Do you plan to work while attending college? Explain.

3 8. A. List all high school activities and the years in which you participated. Example: FFA (9, 10, 11), Track (9) B. List any positions of leadership, honors, or awards received in or out of school as well as the years in which you earned them. Example Citizenship Award (10), Varsity Basketball Captain (11,12) C. List your non-school related activities and community service. This may include any employment.

4 9. In a least 400 words, answer the following question (If more space is needed, attached typed response). How has your involvement in extracurricular activities and service to the community made you a better person and prepared you for your future endeavors?

5 STATEMENT OF ACCURACY FOR STUDENTS I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge and that the required essay was my original work. I also consent that if chosen as a scholarship recipient, my picture may be taken and used to promote the Foundation and its scholarship program. I hereby understand that if chosen as a scholarship winner, I must be present at any awards ceremony to receive my scholarship award. I hereby understand that if chosen as a scholarship winner, it is my responsibility to remit to the Foundation the appropriate information for my scholarship, which will be paid to myself and my educational institution for my second semester in December 2017/January I hereby understand I will not submit this application without all required attachments and supporting information. Incomplete applications or applications that do not meet eligibility criteria will not be considered for this scholarship. Electronic Signature of Applicant: (Typing your full legal name denotes electronic signature) Date: Checklist Application Essay School Transcript COMPLETE APPLICATION PACKAGE TO THE FOUNDATION AT: tylersteamfoundation@gmail.com REMINDER: The deadline for this application to be received by the Foundation is: March 31, 2017, at 4:00 p.m. NO EXCEPTIONS!

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