INDIANA FEDERATION OF REPUBLICAN WOMEN SCHOLARSHIPS General Information

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INDIANA FEDERATION OF REPUBLICAN WOMEN SCHOLARSHIPS General Information This is the 34 th year of The Indiana Federation of Republican Women s scholarship awards. The scholarship awards were established in honor of Rainie McCormick, who worked at all levels of Indiana politics from her precinct to state headquarters. Applicants must be Indiana residents, must be attending an Indiana college or university and must be majoring in political science, government, journalism, radio, or television. College sophomores, juniors, and seniors and students enrolled in a Masters Program are eligible for the Indiana Federation of Republican Women Scholarships. Eligible students have until April 30, 2013 to apply. Applications for an Indiana Federation of Republican Women Scholarship award must be made at the club level. Two applicants from each of the nine congressional districts may be nominated for final review by the Indiana Federation of Republican Women Scholarship Committee. These are one-time, non-renewable awards. Preferably, at least one nominee from each district and at least one of the final recipients should be female. Nominees must be majoring in the subjects mentioned above. Consideration will be given to both traditional and non-traditional students. At the club, district, or state level, letters of reference or other background information may be requested in consideration of applicants. Financial need may also be considered but is not required for application or selection. Club presidents should forward their winning application to their IFRW District Director by May 15, 2013. Each District Director, along with the District Chairman or Vice Chairman (female), and one other Federation member from the district appointed by the District Director, may select a maximum of two nominees from the district. Those nominees applications are then sent to, Indiana Federation of Republican Women, Attn: Suzanne Heinzmann, Scholarship Chair, Indiana Federation of Republican Women, 47 South Meridian Street, Suite 200, Indianapolis, IN 46204 NO LATER THAN June 1, 2013. The Federation will award up to two $1,000 scholarships. Winner(s) will be notified by July 1, 2013 and the money will be presented in time for the 2013 fall term. Some colleges and universities apply half the scholarship award in the fall term and the remaining half in the spring term. When the Scholarship fund was established, the Indiana Federation set a goal of $10,000. That goal was successfully attained. To maintain the goal, contributions must be made each year by individuals and groups in honor or memory of friends, relatives, and political or business associates. In addition, many IFRW clubs make an annual contribution to this worthy project. Contributions should be mailed to the scholarship fund in care of the Indiana Federation of Republican Women, Attn: Marsha Carrington, 47 South Meridian Street, Suite 200, Indianapolis, IN 46204. Make checks payable to the IFRW Scholarship Fund. Thank you for your participation!

INDIANA FEDERATION OF REPUBLICAN WOMEN Scholarship Application Please attach your photo here. The Indiana Federation of Republican Women Scholarship is awarded annually by the Indiana Federation of Republican Women to an individual pursuing a college education in the field of political science, government, journalism, radio, or television media. The applicant must be a resident of Indiana attending an Indiana college. (PLEASE TYPE OR PRINT LEGIBLY) (ATTACH ADDITIONAL PAGES IF NEEDED) SECTION A: PERSONAL INFORMATION FULL NAME DATE OF BIRTH ADDRESS Street or Rural Route City, State, Zip TELEPHONE (include area code) E-MAIL ADDRESS CONGRESSIONAL DISTRICT SIGNATURE OF APPLICANT Date Signed RETURN THIS COMPLETED APPLICATION TO THE PRESIDENT OF YOUR LOCAL REPUBLICAN WOMEN S CLUB BY April 30, 2013. For further information, call Suzanne Heinzmann at the IFRW Headquarters 1/800-466-1087 or 317/635-7561 FOR FEDERATION USE ONLY PLEASE SIGN AND MARK WHEN APPLICABLE Club Winner District Winner IFRW Club President Signature Name of Club IFRW District Director Signature District Chairman or Vice Chairman District Scholarship Representative

SECTION B: SCHOOL INFORMATION I. Name of High School Attended Grade Point Scale A= Date of Average Graduation II. What were your major activities and achievements in high school? III. Name of College/University Grade Point Scale A= Date of Attending Average Entrance Please mark: sophomore junior senior graduate student IV. Please attach an official copy of your most recent college transcript to this application. V. Why did you choose this college/university? VI. How are you covering the cost of your education? VII. What are your major activities and achievements in college? VII. List Major(s), Minor(s), and vocation you are pursuing:

SECTION C: CIVIC AND POLITICAL ACTIVITIES AND INTERESTS I. What civic and/or political activities have you participated in and how were you involved? II. Please mark your answers: Are you registered to vote? Did you vote in the last election? yes no yes no If either answer is no, please explain: SECTION D: GENERAL INFORMATION I. List any work experience either paid or volunteer: II. What are your hobbies and interests? III. Name the person who has had the most influence on your life and give the reasons why:

IV. Name a political figure or office holder that most inspires you and explain how this person has influenced you. V. Identify a challenge facing Indiana and provide a solution you support. VI. Please provide a brief way to motivate your generation to participate in the Republican Party using one or multiple new media sources (for example, Facebook or Twitter). VII. Please attach a one-page type-written essay stating why you should receive this award. Please include any information you believe might be of interest to the Scholarship Committee.

VIII. IX. Please attach a one-page type-written essay explaining your career goals. List three references who will attest to your good citizenship. Please do not list members of your family. Please identify each reference s relationship to you such as teacher, minister, friend, etc. Name Address City, State, Zip Telephone E-mail Address Name Address City, State, Zip Telephone E-mail Address Name Address City, State, Zip Telephone E-mail Address X. Please list the name of your hometown newspaper and the appropriate contact information below: Newpaper s Name: Contact Person s Name: Contact Person s Phone: Contact Person s Email: Campus Newspaper s Name: Contact Person s Name: Contact Person s Phone: Contact Person s Email: INDIANA FEDERATION OF REPUBLICAN WOMEN 47 SOUTH MERIDIAN STREET, SUITE 200 INDIANAPOLIS, IN 46204 1/800-466-1087 or 317/635-7561