Universal Scholarship Check List

Please check the scholarships for which you feel you qualify.

Scholarship Criteria

Allan Cobb Memorial Scholarship Planning on attending a Tech SchoolAmerican Red CrossBecky Hadden Memorial ScholarshipBellflower Youth Club Scholarship Must be from the Bellflower AreaBellflower PTO Scholarship Award Completed 4th & 5th grade at Bellflower ElementaryF.B.L.A. Business Scholarship Member of F.B.L.A.FCCLA Munch Madness Scholarship Current or Former FCCLA membersThe First Bank Scholarship

Glenn Nobles Memorial ScholarshipMust be a resident of the Montgomery Volunteer Fire Protection District

Herbert H. Sleight Memorial Kiwanis ScholarshipJim Mulverhill Memorial ScholarshipW. Robert & Pauline Jones Scholarship Jonesburg Elementary PTO Scholarship Attended Jonesburg Elem. 1 yr.The Jonesburg Lions Scholarship The Jonesburg Lioness Scholarship Attended Jonesburg ElementaryThe Jonesburg Masonic LodgeJonesburg Area Optimist Scholarship Attended Jonesburg Elem.Metalflakes Kar Klub Planning on attending a Technical SchoolMichael Wilson Scholarship Planning on attending a Technical SchoolMontgomery City Lions Scholarship Mont. County Kustoms & Classics Scholarship Attending Vocational or Technical SchoolMont. Co. R-II H.S. Faculty & Staff Scholarship Montgomery County Rotary Club Scholarship Montgomery Co. R-II All School Reunion Assoc.Mont. County R-II Student Council Scholarship Member of Student CouncilMontgomery Education Association Scholarship Majoring in educationMontgomery Elementary PTO Scholarship Must have attended Montgomery ElementaryMSTA/CTA Scholarship Must be majoring in EducationThe New Florence Area Lions Club ScholarshipThe New Florence Telephone Company ScholarshipNew Florence Wood Products Scholarship"Penny Day" Scholarship At least 1 credit in a business classPete Hart Memorial Scholarship Should be attending vocational/technical schoolRyan Biggs Memorial ScholarshipTyler Stevens Basketball Scholarship Senior Boys Basketball PlayerVFW Post #4436Walker Triangle Scholarship Award/Methodist Presbyterian Church

Member of the Methodist-Presbyterian Church

Jacob Davenport Memorial Scholarship

 M O N T G O M E R Y C O U N T Y R - I I H I G H S C H O O LLOCAL SCHOLARSHIP FORM

 

Last Name:       First Name:       Middle Initial:Date of Birth:      

Phone Number:       

Street Address       City:        ZIP:       Elementary Schools Attended:       Middle Schools Attended:      

High Schools Attended:      

Parent/Guardian Name:        

Parent’s place of employment/Position:      Number of brothers & sisters living at home:         Number attending higher education:      

Are they receiving financial assistance? Yes       No  

What is your proposed major in college/vocational program      Name of University, College, Vocational or Trade School you plan to attend      

Date you expect to enter:   Length of Program:      

In the budget form below, please list your anticipated expenses & your resources for meeting these costs for the school year.EXPENSES: RESOURCES:

Tuition & Fees        Summer Savings      

Books & Supplies        Parents Contribution      

Room & Board       Loans      

Misc Expenses       Part Time Job       

A+ Eligibility      

Other Income        

Total Expenses       Total Income      

The following information will be provided by the Guidance Counselor.

Cum. GPA:  (7TH Semester) Rank: ACT Composite: Number of Absences:   9th 10th 11th 12th /thru 1st semester  

Counselor’s Signature

List your Senior Year Classes:       

Please list your involvement in extracurricular activities during your 4 years of high school and how you contributed to those groups? (School, Church, Community 4-H, etc.) (attachments accepted):

     

Academic Awards and Honors:  (Attachments Accepted)     

Briefly, tell us about your educational and career goals and how you will help make our world a better place in which to live:   

     

Please tell us why you should be considered for this scholarship: (earn not deserve)     

State the qualities you possess and your accomplishments that qualify you as a scholarship winner:  

Write a brief paragraph stating how you feel about attending a higher education institution and how it will help you achieve the goals you have set for yourself:  

     

Please tell us about any work experience that you may have had:

Where employed Primary Responsibility Dates                 

1

Character References:

2

     

3

     

I agree that if I am a recipient of a scholarship, I will use it for expenses related to my education.  I further understand that if I fail to complete the 1st Semester or term that I have or will enroll, the Club or organization may request that the full amount of the Scholarship (s) be returned and if so requested I will comply with that request.

If I earn a scholarship, I will be responsible for providing documentation of my enrollment in college or school and contacting the club or organization as to how and where the funds will be distributed. The information on this application is true to the best of my knowledge.  I also understand that this application can be disqualified if I knowingly falsified any of the information that I have provided.

Date  Applicant’s Signature

 Montgomery Education Association – MEA   (only )

(Must be majoring in Education)

Are other dependents receiving financial assistance for college expenses? Y/N If so, how

much?  

   

W A L K E R T R I A N G L E S C H O L A R S H I P ( o n l y ) (must be a member of the First United Methodist-Presbyterian Church in Montgomery City)

Please list church activities in which you are, or have been involved and indicate length of involvement:     

 “ P E N N Y D A Y ” S C H O L A R S H I P ( o n l y ) 

Why would you like to be a “Penny Day” scholarship winner?  Also state the qualities you possess and what accomplishments have you had to qualify you as a scholarship winner?

    

 

MONTGOMERY CITY LIONS INTERNATIONAL SCHOLARSHIP (only)  

Provide a typed summary (100-200) words in length:  (1) telling what you intend to do after graduation, (2) Why you chose your occupation, (3) How would you use the Scholarship if awarded, and (4) How do you feel this career choice will be able to change with Technology, to keep you employed, and enables you to be a worthy member of society.  

     

MSTA (Only)

Write a short essay about what characteristics you have that would make you a good teacher?

     

Student Council Scholarship (Only)Name:      

Number of years in Student Council:

     

Offices held:      

Please list the activities you have been involved in as a Student Council member:

     

Please answer the following: (attachments accepted)

What is a Student Council member’s responsibility to their school?

     

Describe the impact your Student Council organization has had on the student body of Montgomery County R-II.

     

               

               

F B L A S C H O L A R S H I P

Number of years in FBLA: ___________

List business courses taken in High School:

Offices held:

Awards & Honors received through FBLA membership:

F B L A S C H O L A R S H I P ONLY (CONTINUED) Business Courses Taken: (please list all the business courses you have taken during high school)

Total Courses Taken: ________

How many years have you been in FBLA: (check each year that applies) Freshman Sophomore Junior Senior

How many years have you gone to FBLA Contest: (check each year that applies) District State National Freshman Freshman Freshman Sophomore Sophomore Sophomore Junior Junior Junior Senior Senior Senior

Have you been an officer in FBLA: (check each year that applies and list what position you held) Freshman ___________ Sophomore __________ Junior ___________ Senior ____________

How many years have you attended the FBLA Banquet:____________

List the FBLA Sponsored Activities that you participated in: (ex. Penny Day, Fundraisers etc…)

Freshman Year:

Total Activities:______

Sophomore Year:

Total Activities:______

Junior Year:

Total Activities:______

Senior Year:

Total Activities:______

Glen Nobles Memorial Scholarship (only)Glen Nobles was a founder and supporter of the Montgomery Rural Fire Protection Association. He served on the Board and dedicated many hours of service to it. He worked to join the fire departments of the rural associations and the City of Montgomery. The public elected him to the Board of what is now the Montgomery Volunteer Fire Protection District.

Please write one paragraph on your goals for the future and why you want this scholarship.

FCCLA Munch Madness Scholarship

Name: _________________________________

Number of Years in FCCLA: ________________

Offices Held:______________________________________________

Please list the activities and competitive events you have been involved in while a member of FCCLA (include year). Explain how they have prepared you for your future career.

What is an FCCLA members’ responsibility to their community? Explain how you have been involved.

How has your FCCLA experience prepared you to be a positive family member?

Montgomery Co. R-II All School Reunion Association (only)

In his 1961 inaugural address President Kennedy stressed the importance of national service with his famous quote "ask not what your country can do for you-ask what you can do for your country"  In a brief essay of 100 words or less explain how you plan to give back to the R-II School and Community.