Westwood Community School Foundation Scholarship Application 1. Name: 2. Address: City: State: Zip: 3. Parent s/guardian s: 4. Phone Number: 5. Student Email: 6. Other Special Contact Information: 7. Name and mailing address of college or school you will be attending: School: Address: City: State: Zip: 8. Major Field of Study you plan to pursue: 9. Cumulative GPA: _(Minimum 2.5 GPA to qualify) 10. ACT Composite Score: 11. Class Rank: out of 12. I understand that the Foundation Committee decides the Scholarship Award and the decision they make is final: YES / NO Applicant Signature: (signature certifies that all information is true and correct to the best of your knowledge) Administrator Signature:
Community Involvement/Employment: Please list all of the community, civic, and church activities you have voluntarily participated in the last four years and any employment you have had the last four years. Please give some indication of the type of activity, the time involved, and the type of roles you fulfilled. Activity/Employer Involvement/Job Title Hours/Week Academic Achievements: Award/Year Award/Year
Activity Involvement: List all activities during your four years of High School Activity # Years Participated Special Awards: List any special awards won during your four years of activities. Award Won Year
Westwood Community School Foundation Scholarship Submittal Requirements 1. Print and/or complete the application form and attach additional sheets if needed. 2. Enclose a copy of your most recent high school transcript. 3. Enclose a short essay, no more than one page, completed by you, the applicant, outlining your educational plans and career goals. Please include motivating factors or experiences that have helped shape your personal philosophy and moral character. 4. Enclose one letter of reference from a teacher, coach, or counselor and one letter of reference from someone in the community (clergy, friend, employer, etc.) using the attached form and have them returned to the school. 5. Applications must be returned to the Westwood High School Office C/O Foundation Scholarships at 1000 Rebel Way Sloan, IA 51055 by Friday, April 15 th 2016. Applications will not be considered unless all the requirements above are completed. Any questions concerning this program should be directed to Foundation Chairman, Lee Haveman at 712-253-7509: leehaveman@gmail.com or High School Principal Matt Drees at 712-428- 3355: mdrees@wcsdrebels.com. All entries are confidential and will only be viewed by the Westwood Community School Foundation Scholarship Committee. The Westwood Community School Foundation will be awarding six $500 scholarships this year to high school seniors in the Westwood Community School District. To be eligible a student must have a minimum 2.5 Cumulative GPA and meet the specified enrollment guidelines below. The applicant must be a student who is planning to enroll in a full-time undergraduate course of study at an accredited, two year or four year university, or vocational/technical school. The scholarships must be used for education costs billed by the school, and the student will receive the scholarship for the spring semester once enrollment verification is received. The scholarship will be paid directly to the school of enrollment. *Westwood Community School Foundation Board Members with a conflict of interest (any relative) with any applicant will not be a part of the Foundation Scholarship Selection Committee.
Westwood Community School Foundation Reference Form Students Name: Due Date 4/15 Work Ethic/Focus Comes Prepared Leadership Meets Deadlines Attitude Responsibility Trustworthy Dependability Communication Skills Teamwork Citizenship Attendance Respects Self/Others Excellent Very Good Below Poor N/A Briefly describe the strengths you see in this applicant: Briefly describe any areas that could use or need Improvement for this applicant: Reference Completed By: (Signature) Submit To: Westwood High School 1000 Rebel Way Sloan, IA 51055 c/o Foundation Scholarship
Westwood Community School Foundation Reference Form Students Name: Due Date 4/15 Due April 15th Excellent Very Good Work Ethic/Focus Comes Prepared Leadership Meets Deadlines Attitude Responsibility Trustworthy Dependability Communication Skills Teamwork Citizenship Attendance Respects Self/Others Below Poor N/A Briefly describe the strengths you see in this applicant: Briefly describe any areas that could use or need Improvement for this applicant: Reference Completed By: (Signature) Submit To: Westwood High School 1000 Rebel Way Sloan, IA 51055 c/o Foundation Scholarship