Watertown High School Scholarship Application 2018 Name (Last, First): In order to be eligible for academic scholarships, a student must be continually enrolled since second semester of the 2016 17 school year at Watertown High School immediately prior to the awarding of the scholarship. To attain senior standing a student must have earned at least 15.5 credits. Please submit one copy of the scholarship application with a transcript attached by Tuesday, February 13, 2018. Additional applications can be found at: http://www.watertown.k12.wi.us/schools/high/whsscholarships.cfm Available Scholarships: 1. Betty J. Joseph Scholarship 19. Matthew R. Zindars Memorial 2. Rev. & Ruth Lemke Memorial Scholarship 20. Stan Larsen Memorial 3. Joe Davies Scholarship 21. Watertown Country Club Women s Assoc. 4. Edna H. Wiegel 22. Watertown Kiwanis Noon Club* 5. Muriel Thauer 23. Watertown Outboarders 6. Brandt/Quirk 24. Watertown Regional MC Health Careers 7. Christopher & Dorothy Coogan Scholarship* 25. Emory L. Grady 8. Earl & Al Maas Family 26. Lorna Voigt Grady 9. Joseph & Sharon Darcey Foundation 27. American Legion Family Nursing 10. Larry & Sally Reich 28. Grace Thompson Memorial Scholarship 11. Rotary Scholarship 29. Isabelle Jaedecke Business 12. Beatrice Schumann Scholarship 30. Isabelle Jaedecke Nursing 13. Edwin F. Hulbert 31. James L. Bloor Scholarship 14. John & Joyce Byrne 32. Jefferson County Masonic Lodge #9 15. Josephine N. Hulbert 33. Student Council (4 Year) 16. Joe & Sue Wimmer Scholarship 34. Thane Schwantes Memorial Scholarship 17. Ella Reubhausen 35. Student Council Vocational Tech (2 Year) 18. Lions Club *Please see additional requirements found on last page of application. Application Deadline: Tuesday, February 13, 2018 (Student Services Office) NO EXCEPTIONS 1
Student Information Name (Last, First Middle): Date of Birth: Address (Street, City, State, Zip): Cell Phone: Selected College(s): Planned Major: Composite ACT Score (highest): *If you list multiple colleges, it is your responsibility to contact Mrs. Fischer (S268) with your final decision by April 1 st. Family Information Guardian Name: Relationship: Address (Street, City, State, Zip): Employer: Position: Guardian Name: Relationship: Address (Street, City, State, Zip): Employer: Position: 2
List all children living at home (applicant first): Name Age Listed as Dependent? Year/Grade School Attending Other dependents receiving financial support from family: Explain any special family circumstances the scholarship committees should know, such as: divorce, separation, unemployment, illness, widowhood, special housing problems, etc. 3
Name (Last, First): School & Community Activities Do not list activities that are required parts of a class. School Activities/Athletics 9 10 11 12 Honors/Awards/Offices Held 9 10 11 12 Community Service Employer: From: To: Hours Worked Weekly: Employment Employer: From: To: Hours Worked Weekly: 4
Name (Last, First): Financial Information This financial information is required for need based scholarships and consists of three parts: (A) a copy of the parents latest 1040 Income Tax Form (first page only), (B) a copy of the student s latest Income Tax Form (first page only) and (C) the data to be furnished below. Both (A) & (B) must be attached to this application. If you have not completed your taxes at this time, please submit last year s data. Please submit current year s tax return once filed to the Scholarship Chairperson, Deb Fischer in room S268. Monetary Scholarship/Awards from University: $ (Required to report upon verification of scholarship) Parents Assets Cash, savings, & checking accounts: $ Parents or childrens past inheritance or settlements: $ Parents monthly home mortgage or rental payment: $ If parents own home: Year Purchased: Purchase Price: $ What is it worth today? Home (renters write 0 ) $ $ Business, Rental, or Other Real Estate $ $ Investments (Stocks or Bonds) $ $ Other Investments (Educational Savings) $ $ Retirement Investments $ $ Farm $ $ What is owed on it? 5
Name (Last, First): Personal Statement On a separate sheet of paper, please type a response to the following prompt: Describe an experience that has influenced you to make a difference in the world. The response must be no more than 500 words and in Times New Roman, size 12 font and single spaced. Student s Authorization: Authorization I have completed this form to the best of my ability and all questions are answered accurately and honestly. I understand that upon receipt of a full tuition or full ride scholarship, I may be asked to waive my right to the Betty Joseph and/or Rev. & Ruth Lemke Scholarships. For a fair evaluation as a scholarship candidate, I hereby release all academic records, including a transcript, to the Scholarship Committees. Student Signature Date Parent s Authorization: I/We have checked this form for omissions and errors and to the best of our knowledge the information reported is completed and accurate. We authorize its transmittal along with all academic records, including a transcript, to the Scholarship Committees. Parent Signature Date Parent Signature Date 6
Special WHS Scholarships These WHS Scholarships are available to WHS graduating seniors. Each requires a separate application or other paperwork to be submitted with the WHS scholarship application packet. This information can be found in the WHS Guidance Office or on the WHS Scholarship Webpage: http://www.watertown.k12.wi.us/schools/high/whsscholarships.cfm AAUW $1,500 (2) For a senior who has a 3.2 or better cumulative grade point average, who is active in the school and community, and has a job background. Letters of recommendation are required. American Legion Auxiliary Unit 189 $500 (1) Must be a graduating student who is a son/daughter, grandchild, or sibling of a veteran. Must attend a technical school or college. A short essay is required. Coach J s JamFest $1,500 (2) Separate application and essay: How will you leave your mark in the world? Glory Global Solutions $500 (1) Intended for a WHS senior student, whose parents or grandparents work at Glory Global Solutions. Must have a 3.0 or better cumulative grade point average, and high extracurricular/community involvement. Grelton Club Scholarship TBA Intended for a graduating senior from Jefferson/Dodge County who is majoring in the field of Agriculture and Natural Resources. Jefferson County Area Retired Educators $1,000 (1) Intended for a graduating senior in Jefferson County who is majoring in Education, attending a four year school, has a 3.0 or better cumulative grade point average, and involved in two or more activities. Saturday Club $1,000 (1) Intended for a graduating senior who currently holds an IEP for at least one year during high school. Graduating senior must be enrolled in an accredited post secondary school. 7
Watertown Agri Business Club Scholarship $500 (1) *Application available in early January This scholarship is intended for a graduating senior who is continuing their studies in the field of Agri Business at a college, vocational school or the University of Wisconsin short course. Student must have maintained a C average or higher in high school. Three letters of recommendation are required. Watertown Booster Club $1,000 (TBA) This scholarship is for a graduating senior who has attended WHS for at least their junior and senior year. The recipient must have lettered in 2 varsity WIAA sports and have a cumulative grade point average of 2.5 or higher. Parental involvement in Booster Club is required. Watertown Conservation Club $1,000 (1) This Scholarship is intended for a graduating senior who is entering the field of conservation/environmental studies. Watertown FFA Alumni Scholarship $TBA (1) Intended for a student pursuing a career in agriculture at a 4 year, 2 year or specialized college. Students must be active in the FFA and an experimental learning project or SAE. *Christopher & Dorothy Coogan Student must complete the additional statement form which can be found on the WHS Scholarship webpage and attach it to the WHS Scholarship Application. *Kiwanis Club Student must have completed the additional guidelines which can be found on the WHS Scholarship webpage and attached to the WHS Scholarship Application. 8