8-in-1 Scholarship Application Form College Academic Year
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1 8-in-1 Scholarship Application Form College Academic Year Joan Kolberg Lowen Scholarship (One $4,000 award) Davenport Schools Foundation Scholarship (One $1,000 award) -- for minority students -- Class of 59 Scholarship (One $1,000 award) Dr. Lisa Arbisser Scholarship (One $500 award) Jane Grady Memorial Scholarship for Academic Excellence (One $5,000 award) Davenport Schools Future Educator Scholarship (Maximum three $500 awards) Marie Linke Powell Scholarship (One $1,000 award) Mary Means Memorial Scholarship (One $2,000 award) Deadline: Due on or before Wednesday, April 5, 2017 Mail to: 8-in-1 Scholarship, Attn: Scholarship Committee Davenport Schools Foundation, 1606 Brady St., Davenport, IA THE JOAN KOLBERG LOWEN SCHOLARSHIP AWARD The Joan Kolberg Lowen Scholarship Fund was established in 1996 by the huband and children of Joan Kolberg Lowen to provide an annual scholarship in her memory. The Lowens live in California, but Joan lived in Davenport as a child and always regarded it as her hometown. Since she received most of her early education in Davenport Schools, where she acquired a deep respect for learning, the family chose the Davenport Schools a recipient of the memorial fund. JANE GRADY MEMORIAL SCHOLARSHIP FOR ACADEMIC EXCELLENCE Jane Grady, in her will, requested the Davenport Schools Foundation award an annual college scholarship to be known as the Jane Grady Memorial Scholarship for Academic Excellence. The recipient each year is to be a female graduate of Davenport Community School District who has demonstrated a high level of proficiency in English (especially in writing), mathematics, and science. The award is $1,250 each year for four years as long as the student carries a fulltime schedule and maintains at least a 3.00 GPA. MARIE LINKE POWELL SCHOLARSHIP The family of Marie Linke Powell established this scholarship in honor of their mother, a highly respected educator, who taught in DCSD for 34 years, including 20 at Fillmore Elementary. Per Mrs. Powell s wishes, the award is given annually to a student with the intent of majoring in education. MARY MEANS MEMORIAL SCHOLARSHIP The family of the late Mary Means created this scholarship in honor of the long-term DCSD teacher who passed away in It goes to a student intending to have a career in education or Family and Consumer Science. The Davenport Schools Foundation is committed to an anti-discrimination policy in all of its programs and services including, but not limited to, the applying for and awarding of scholarships, requests and grants for Great Minds programming, recruitment of DSF Board members and employment. The Davenport Schools Foundation is consciously and proactively inclusive of all areas of diversity including, but not limited to race, ethnicity, color, national origin, ancestry, gender, sexual orientation, religion, age, socioeconomic status, marital status, language, disability and any other protected class under applicable law.
2 8-in-1 Scholarship Application Rules and Instructions 1. Applicants must satisfactorily complete a course of study from a Davenport Community High School. 2. Minimum requirements include an ACT score of 24 or a GPA (grade point average) of Grants will be awarded on an objective and non-discriminatory basis without regard to age, sex, race or religion, with the exception of the Davenport Schools Foundation Scholarship, which is designated for minority students. 4. Grants shall be applied toward tuition, books and fees for one academic year, Grants must be made for a course of study leading to a Bachelor s Degree at an accredited two - or four-year college or university in the United States. 6. Release of awards scholarship funds must be preceded by proof of enrollment or attendance at accredited institution. 7. Awards are made on the basis of financial need, academic achievement and such additional criteria as may be deemed appropriate by the Selection Committee. 8. IMPORTANT: To be considered for the Kolberg Lowen Scholarship, applicants must file an early financial aid form (FAFSA) and include in item 12 on this application form the resulting Expected Family Contribution (E.F.C.) number found on the Student Aid Report. Failure to provide this index number will eliminate your application from Kolberg Lowen consideration, but not the other six scholarships. The chosen applicant shall report to the Selection Committee their receipt of any other scholarship awards or grants. The Selection Committee may, at its discretion, withdraw the amount of any scholarship awarded to an applicant when the total resources of the applicants (from other scholarship and grant awards) exceed the estimated annual cost of tuition, room, and board at any of Iowa s state universities. The receipt of large awards such as the Alcoa, Thomas Dooley, Rotary, Hapke or comparable awards will require that the tentative awardee choose between one of the above awards and the Joan Kolberg Lowen Award. 9. All completed applications must be received by the Scholarship Chairman by April 5, Send through your high school counselor or mail directly to: 8-in-1 Scholarship Application Attn: Scholarship Committee Davenport Schools Foundation 1606 Brady St. Davenport, IA Required information with each application: 1. Completed Student Application Form 2. EFC number (up to five digits) from the Student Aid Report (to be eligible for the Kolberg Lowen Scholarship 3. Letter of reference (if not included with this application, be sure it has been mailed to Scholarship Committee at the above address). 4. Official copy of the applicant s high school transcript, completed through the first semester of senior year. In addition, third and fourth terms courses should also be listed. 5. Copy of ACT results (also SAT, if available)
3 Davenport Schools Foundation Scholarship Application PERSONAL DATA SHEET (ONE APPLICATION WILL COVER ALL EIGHT SCHOLARSHIPS) To be completed by the applicant. Please print or type. A transcript of grades is required. 1. Applicant's Name First Middle Last 2. Address Number and Street City State Zip 3. Home Telephone Cell: Area Code and Number Area Code and Number 4. Date of Birth Sex: Male Female 5. High School Name and Address 6. Date of Graduation 7. Is your father living? Yes No Is your mother living? Yes No 8. Names of persons living in your home: Father Mother Brothers (names and ages) Sisters (names and ages) Others 9. Name(s) of siblings currently in college and identify the school. 10. Are you presently holding a job? Yes No How many hours of work per week? Place of employment How long have you worked there? 11. In what college or university do you plan to enroll? First choice Second choice Third choice 12. If applying for the Kolberg-Lowen Scholarship, it is imperative that you study the Student Aid Report which you received after your financial aid form was processed. Your EFC number is. The EFC number is a requirement of the Kolberg Lowen award.
4 13. List financial awards (scholarships or grants) you have already received. 14. Identify scholarships or other financial assistance for which you have or will apply. 15. List extracurricular school activities you have engaged in during your high school years; identify the year(s). 16. List community service and activities you have performed during your high school years; identify the year(s). 17. Identify any leadership positions you have held in the performance of community service and/or extracurricular activities. 18. Identify any unusual family or personal circumstances you feel would be helpful information to the Selection Committee. 19. If you are seeking consideration for the Davenport Schools Foundation Scholarship (for minority students), please self-identify your qualification as a minority, i.e. African-American, Asian/Pacific Island, Hispanic, Native American. 20. On a separate attached sheet, express in 300 words or less your purpose in going to college, your immediate objectives, and your future goals. Also, list any accomplishments, either in school or outside of school, which have given you the greatest personal satisfaction. I (we) certify that all answers to the preceding questions are true and correct. Applicant s Signature Date Parent or Guardian Signature Date
5 Davenport Schools Foundation Scholarship Letter of Reference Instructions: Items 1, 2 and 3 should be completed by the applicant. As a courtesy to the people providing a reference for you, please provide a stamped envelope and make your request at least two weeks before the deadline. (See addresses and deadlines below.) Application has been made for the Eight-in-One Scholarships. 1. Name of Applicant Last First Middle 2. Name of high school and address 3. How long and in what capacity have you known this individual? 4. Please rate the applicant on the following characteristics: Above Below Unable to Make Excellent Average Average Average Determination Dependability Motivation Leadership Ability to get along with others Likelihood of academic success 5. Please explain why you feel this individual is (or is not) deserving of a scholarship. Signature Position Date This information will be kept confidential. Return this form to Davenport Schools Foundation, Attn: Scholarship Committee, 1606 Brady Street, Davenport, IA 52803, prior to April 5, The Davenport Schools Foundation is committed to an anti-discrimination policy in all of its programs and services including, but not limited to, the applying for and awarding of scholarships, requests and grants for Great Minds programming, recruitment of DSF Board members and employment. The Davenport Schools Foundation is consciously and proactively inclusive of all areas of diversity including, but not limited to race, ethnicity, color, national origin, ancestry, gender, sexual orientation, religion, age, socioeconomic status, marital status, language, disability and any other protected class under applicable law.
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