NORTH DAKOTA TELEPHONE COMPANY (NDTC) SCHOLARSHIP

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NORTH DAKOTA TELEPHONE COMPANY (NDTC) SCHOLARSHIP ***NDTC Scholarships are due to NDTC no later than March 3, 2014*** North Dakota Telephone Company will once again be awarding ten (10) $750.00 scholarships to Senior s who will be graduating in May of 2014 from high schools in NDTC s serving area. NDTC is offering this scholarship to High School Seniors in our serving areas whose parent(s) or guardian(s) have residence within NDTC exchanges and are a current subscriber of NDTC telecommunications services. Applicants must be a graduating high school senior who plans to attend an accredited institution of higher education in the fall. The applicant s requested high school transcript must include his/her GPA (based on a 4.0 system), class rank, and ACT (or SAT) score(s). Scholarship winners must be accepted and registered for the 2014 fall term at an accredited college, university, or vocational school before funds will be disbursed. Additional criteria are found on the scholarship application form. The scholarship application form, along with all required materials, must be received or postmarked, to the following address no later than Monday, March 3, 2014: North Dakota Telephone Company Attn: Pat McLean PO Box 180 Devils Lake ND 58301-0180 Incomplete and/or applications received after the deadline date will not be considered. The 2014 NDTC Scholarship Application form may be downloaded from the following NDTC website link: http://gondtc.com/scholarships.html Questions on this scholarship may be directed to: Pat (662-6439) or Lynne (662-6437)

2014 NORTH DAKOTA TELEPHONE COMPANY SCHOLARSHIP Application Deadline: Monday, March 3, 2014 SCHOLARSHIP ELIGIBILITY AND CRITERIA Applicant must be a graduating high school senior who plans to attend an accredited institution of higher education in the fall. Applicant s parent(s) or guardian(s) must have residence within NDTC exchanges and must be a current subscriber of NDTC telecommunication services. (Children of NDTC employees are not eligible.) Scholarship winners must be accepted and registered for the 2014 fall term at an accredited college, university, or vocational school before funds will be disbursed. Scholarship award will be sent to the college to be attended and will be split between fall and spring semester. Scholarship winners must provide a photograph for publication. DIRECTIONS Complete the application, type or print neatly and legibly. Essays should be no more than the requested length and must be double spaced. Attach an official copy of most recent high school transcript. The transcript must include GPA (based on a 4.0 system), Class Rank, and ACT and/or SAT scores. If ACT and/or SAT scores are not included on the High School transcript, applicant must include a copy of his/her test scores. Attach one reference letter from a high school official/teacher. Attach one reference letter from a community member (not related to the applicant). Application must be received or postmarked no later than Monday, March 3, 2014. SELECTION CRITERIA Applications are judged on: Appearance of application Responses to essay questions Grades (GPA, Class Rank, ACT and/or SAT scores) Achievements School activities Community activities (non-school related) Two reference letters College Financial Need statement Consideration may be given for special circumstances NDTC will award a maximum of ten $750.00 scholarships. Incomplete and/or applications received or postmarked after March 3, 2014 will not be considered.

2014 NORTH DAKOTA TELEPHONE COMPANY SCHOLARSHIP APPLICATION Application Deadline: Monday, March 3, 2014 Name: : Phone#: Address (Street, City, Zip Code): Name of Parent(s)/ Guardian(s): Parent/Guardian s Local Telephone Company: E-mail address: HS Graduation : High School from which you will be graduating: Current GPA Class Rank out of students ACT Composite Score SAT Composite Score University or College you plan to attend: Intended Major: Have you applied and been accepted by this University or College? Yes No Identify the activities in which you have been involved by circling the number of years you have participated in each. (For example: If you have participated in band for 3 years in High School circle the 3 for Band.) If the activity is not listed please write in the activity in one of the blank areas and circle the number of years you participated in the activity. Academic Team 1 2 3 4 Debate 1 2 3 4 Foreign Lang. 1 2 3 4 Skating 1 2 3 4 Yearbook 1 2 3 4 Band 1 2 3 4 Dance Team 1 2 3 4 Golf 1 2 3 4 Speech 1 2 3 4 1 2 3 4 Baseball 1 2 3 4 Drama 1 2 3 4 Hockey 1 2 3 4 Soccer 1 2 3 4 1 2 3 4 Basketball 1 2 3 4 FBLA 1 2 3 4 Math Team 1 2 3 4 Student Cncl. 1 2 3 4 1 2 3 4 Cheerleader 1 2 3 4 FCCLA 1 2 3 4 NHS 1 2 3 4 Track 1 2 3 4 1 2 3 4 Choir 1 2 3 4 FFA 1 2 3 4 Newspaper 1 2 3 4 Volleyball 1 2 3 4 1 2 3 4 Cross Cntry 1 2 3 4 Football 1 2 3 4 Robotics 1 2 3 4 Wrestling 1 2 3 4 1 2 3 4

On a separate sheet(s) of paper please respond to each of the following: List Honors and/or Awards you have received during your high school career. List community activities you have volunteered for during your high school career. (These must be non-school related volunteer activities.) Explain why education matters to your community? (This essay should be no more than 150 words and must be double spaced.) Describe the solutions you would propose to improve or resolve a current issue, such as health care, the economy, discrimination, or a current topic of your choice. (This essay should be no more than 300 words and must be double spaced.) Application Checklist: Current Official HS Transcript ( including GPA & Class Rank) ACT and/or SAT Scores(if not included on the HS Transcript) Honors/Awards/Activities information Attachment(s) for short summary question and essay question Recommendation letter from High School Official or Teacher Recommendation letter from Community member not related to applicant College Financial Need Statement Statement of Special Circumstances, if applicable All requested supporting documentation/materials must be included for the application to be complete. Important: Incomplete and/or applications received or postmarked after March 3, 2014 will not be considered. I do hereby acknowledge that the information herein provided by me is true and correct. Applicant The application and required materials must be received or postmarked no later than March 3, 2014. Send to: North Dakota Telephone Company Attn: Pat McLean PO Box 180 Devils Lake, ND 58301-0180 Any inquiries regarding NDTC s Scholarship Program may be directed to: Pat at 662-6439 patm@ndtel.com

NDTC Scholarship College Financial Need Statement Scholarship Applicant s Name: College you will be attending: City/State of College: Father/Guardian s Occupation: Mother/Guardian s Occupation: 2014 Annual Estimated Expenses for Intended College: Please provide estimated costs for one year of college (two semesters). These costs can typically be found in your college s current catalog, on their website or you can call the Admissions Office at the college for the information. Tuition/fees: Books: Housing: Food: Gas/Travel: Other: : : Total 2014 College Expenses: $ year 2014 Estimated College Assistance: Scholarships Awarded: Other Financial assistance: (Parents, grants, etc.) Total 2014 Estimated Assistance: $ per year Total 2014 Estimated College Financial Need: $ per year The Scholarship Committee does take into consideration special circumstances when determining the NDTC scholarship awards. If applicable, please state any additional factors for your financial position (i.e. additional children attending college, poor health of a family member, etc.). Applicant Signature Parent/Guardian Signature