THOMAS H. LUTSEY SCHOLARSHIPimages.pcmac.org/SiSFiles/Schools/WI/Marinette/MarinetteHigh/Upl… ·...

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1986 Diring, (Bergmann) Karen (Ashwaubenon) UW-Madison Berg, (Schlies) Christine (Luxemburg-Casco) Viterbo College, Medical College of Wisconsin 1987 Russell, (Harrington) Maureen (Reedsville) St. Norbert College Whitney, Todd (Premontre) UW-Madison 1988 Paul, Matthew (Green Bay East) UW-Madison Phipps, Steven (Reedsville) St. Norbert College 1989 Laluzerne, Darren (Luxemburg-Casco) St. Norbert College Ziech, (Marosezk) Jennifer (Pulaski) UW-Oshkosh 1990 Schmitz, Julie (Chilton) UW-LaCrosse Robin, (Seidl) Hannah (Green Bay West) St. Norbert College Affolter, (Seidl) Sarah (Green Bay West) Marquette University 1991 Kolbe, Christopher (Chilton) Milwaukee School of Engineering Skarda, Steven (Denmark) Marquette University Quam, Bambi (Sturgeon Bay) Marquette University 1992 Boomsma, Teri (Oconto) UW-Madison Christman, Brian (Luxemburg-Casco) Milwaukee School of Engineering Hinz, Philip (Shiocton) Massachusetts Institute of Technology Skibo, Eric (De Pere) UW-Madison izsa Nguyen, (Lockstein) Marie (Gillett) UW-Madison Rosek, Peter (Denmark) Marquette University 1994 Jones, (Bouche) Bethany (Oconto Falls) UW-Green Bay Klein, (Olson) Darilyn (Gillett) UW-Stevens Point Belflower, (Radandt) Carla (New Holstein) UW-River Falls li2..S. Madsen, Sally (Denmark) St. Cloud University Pagenkopf, Jessica (Gillett) UW-Madison Johnson,(Rosek) Patricia (Denmark) UW-Eau Claire ~ Ulness, (Brey) Angie (Southern Door) UW-Madison Zwald, (Geiger) Angela (Reedsville) UW-Madison Kraus, Katie (New Holstein) UW-Oshkosh 1997 Budzban, Michelle (Denmark) St. Norbert College Demmin, Dustin (Denmark) UW-Whitewater Jones, (Hutchison) Casey (Shiocton) UW-Oshkosh Brey, Katie (Southern Door) UW-Madison 1998 Kuhn, (Sattler) Erin (New Holstein) UW-Eau Claire Schmidt, (Skarda) Sandra (Denmark) UW-Madison Scott, (VandeVoort) Sheri (Wrightstown) UW-Platteville 1999 Budzban, Patricia (Denmark) St. Norbert College Froemming, Kristin (Gresham) UW-Whitewater Herlache, Ryan (Southern Door) UW-Green Bay Sunder, (Knaapen) Jeni (Southern Door) UW-River Falls 2000 Dura, Stephanie (Peshtigo) UW-River Falls Lorge, Kelly (Clintonville) UW-River Falls VanDeurzen, Shaun (West De Pere) St. Norbert College 2001 Holewinski, Garrett (Pulaski) St. Norbert College Konitzer, Andrea (Oconto Falls) UW-Green Bay Seiler, Jennifer (Southern Door) UW-River Falls Stodola, Angeline (Lena) UW-River Falls 2002 Pagel, James (Oconto Falls) UW-River Falls Rieden, Laurie (New Holstein) UW-Madison Sellen, Troy (Oconto Falls) UW-River Falls Volkman, Laurie (Seymour) UW-Madison 2003 Brey, Anthony (Southern Door) UW-Madison DeWindt, Talon (Green Bay Southwest) UW-Madison 2004 Cisar, Nikole (Oconto) UW-River Falls Konitzer, Ashley (Oconto Falls) UW-Green Bay 2005 Hansen-Schmitt, Nicholas (West DePere) UW-Madison Pfluger, Brianna (Green Bay East) UW-River Falls VandeBurgt, Joseph (Brillion) UW-Madison 2006 Cook, Charity (Oconto Falls) UW-Stout Hedrich, Jessica (Chilton) UW-River Falls Kaye, Dana (Southern Door) UW-River Falls 2007 Bender, Robb (Kiel) UW- Madison Casper, Elizabeth (New Holstein) UW- Fond du Lac Gunderson, Joshua (Little Wolf, Manawa) UW- Fox Valley Ploeckelman, Joseph (Athens) UW- Marathon County 2008 Kepler, Krystyna (Richland Center) UW-Platteville Lisowe, Lindsay (Chilton) UW-River Falls Lueddecke, Justin (Colby) UW-Madison Farm & Industry Short Course 2009 Beaumier, Bradley (Oconto Falls) UW-Green Bay Geiger, Stephanie (Brillion) UW-Madison O'Leary, Ryan (Laconia) UW-Madison 2010 Riedeman, Caleb (Laconia» UW-River Falls Borgardt, Benjamin (Oshkosh West) UW-River Falls LaPlant, Kyle (Sevastopol) UW-Madison Haelfrisch, Jordan (Reedsville) UW-Madison <6

Transcript of THOMAS H. LUTSEY SCHOLARSHIPimages.pcmac.org/SiSFiles/Schools/WI/Marinette/MarinetteHigh/Upl… ·...

Page 1: THOMAS H. LUTSEY SCHOLARSHIPimages.pcmac.org/SiSFiles/Schools/WI/Marinette/MarinetteHigh/Upl… · THOMAS H. LUTSEY SCHOLARSHIP P.O.Box 22074 Green Bay, WI 54305,2074 920,339,9823

1986Diring, (Bergmann) Karen (Ashwaubenon) UW-Madison

Berg, (Schlies) Christine (Luxemburg-Casco) Viterbo College, MedicalCollege of Wisconsin

1987Russell, (Harrington) Maureen (Reedsville) St. Norbert College

Whitney, Todd (Premontre) UW-Madison

1988Paul, Matthew (Green Bay East) UW-MadisonPhipps, Steven (Reedsville) St. Norbert College

1989Laluzerne, Darren (Luxemburg-Casco) St. Norbert College

Ziech, (Marosezk) Jennifer (Pulaski) UW-Oshkosh

1990Schmitz, Julie (Chilton) UW-LaCrosse

Robin, (Seidl) Hannah (Green Bay West) St. Norbert CollegeAffolter, (Seidl) Sarah (Green Bay West) Marquette University

1991Kolbe, Christopher (Chilton) Milwaukee School of Engineering

Skarda, Steven (Denmark) Marquette UniversityQuam, Bambi (Sturgeon Bay) Marquette University

1992Boomsma, Teri (Oconto) UW-Madison

Christman, Brian (Luxemburg-Casco) Milwaukee School of EngineeringHinz, Philip (Shiocton) Massachusetts Institute of Technology

Skibo, Eric (De Pere) UW-Madison

izsaNguyen, (Lockstein) Marie (Gillett) UW-MadisonRosek, Peter (Denmark) Marquette University

1994Jones, (Bouche) Bethany (Oconto Falls) UW-Green Bay

Klein, (Olson) Darilyn (Gillett) UW-Stevens PointBelflower, (Radandt) Carla (New Holstein) UW-River Falls

li2..S.Madsen, Sally (Denmark) St. Cloud University

Pagenkopf, Jessica (Gillett) UW-Madison

Johnson,(Rosek) Patricia (Denmark) UW-Eau Claire

~Ulness, (Brey) Angie (Southern Door) UW-Madison

Zwald, (Geiger) Angela (Reedsville) UW-Madison

Kraus, Katie (New Holstein) UW-Oshkosh

1997Budzban, Michelle (Denmark) St. Norbert College

Demmin, Dustin (Denmark) UW-Whitewater

Jones, (Hutchison) Casey (Shiocton) UW-OshkoshBrey, Katie (Southern Door) UW-Madison

1998Kuhn, (Sattler) Erin (New Holstein) UW-Eau ClaireSchmidt, (Skarda) Sandra (Denmark) UW-Madison

Scott, (VandeVoort) Sheri (Wrightstown) UW-Platteville

1999Budzban, Patricia (Denmark) St. Norbert CollegeFroemming, Kristin (Gresham) UW-WhitewaterHerlache, Ryan (Southern Door) UW-Green Bay

Sunder, (Knaapen) Jeni (Southern Door) UW-River Falls2000

Dura, Stephanie (Peshtigo) UW-River FallsLorge, Kelly (Clintonville) UW-River Falls

VanDeurzen, Shaun (West De Pere) St. Norbert College

2001Holewinski, Garrett (Pulaski) St. Norbert CollegeKonitzer, Andrea (Oconto Falls) UW-Green BaySeiler, Jennifer (Southern Door) UW-River Falls

Stodola, Angeline (Lena) UW-River Falls

2002Pagel, James (Oconto Falls) UW-River Falls

Rieden, Laurie (New Holstein) UW-MadisonSellen, Troy (Oconto Falls) UW-River FallsVolkman, Laurie (Seymour) UW-Madison

2003Brey, Anthony (Southern Door) UW-Madison

DeWindt, Talon (Green Bay Southwest) UW-Madison2004

Cisar, Nikole (Oconto) UW-River FallsKonitzer, Ashley (Oconto Falls) UW-Green Bay

2005Hansen-Schmitt, Nicholas (West DePere) UW-Madison

Pfluger, Brianna (Green Bay East) UW-River Falls

VandeBurgt, Joseph (Brillion) UW-Madison

2006Cook, Charity (Oconto Falls) UW-StoutHedrich, Jessica (Chilton) UW-River Falls

Kaye, Dana (Southern Door) UW-River Falls2007

Bender, Robb (Kiel) UW- MadisonCasper, Elizabeth (New Holstein) UW- Fond du Lac

Gunderson, Joshua (Little Wolf, Manawa) UW- Fox ValleyPloeckelman, Joseph (Athens) UW- Marathon County

2008Kepler, Krystyna (Richland Center) UW-Platteville

Lisowe, Lindsay (Chilton) UW-River Falls

Lueddecke, Justin (Colby) UW-Madison Farm & Industry Short Course

2009Beaumier, Bradley (Oconto Falls) UW-Green Bay

Geiger, Stephanie (Brillion) UW-MadisonO'Leary, Ryan (Laconia) UW-Madison

2010Riedeman, Caleb (Laconia» UW-River Falls

Borgardt, Benjamin (Oshkosh West) UW-River FallsLaPlant, Kyle (Sevastopol) UW-Madison

Haelfrisch, Jordan (Reedsville) UW-Madison

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Page 2: THOMAS H. LUTSEY SCHOLARSHIPimages.pcmac.org/SiSFiles/Schools/WI/Marinette/MarinetteHigh/Upl… · THOMAS H. LUTSEY SCHOLARSHIP P.O.Box 22074 Green Bay, WI 54305,2074 920,339,9823

Thomas H. Lutsey was a successful businessmanwho never forgot his dairy farm roots. Without thebenefits of a college education, he was neverthelessa great man with driving intellect and curiositywho pushed his dairy business boundaries everoutward. Always looking to the future, he wasdetermined to pay "forward" to the cominggenerations of young prospects with those sameroots. Believing hard work was essential tosuccess, he founded the Thomas H. LutseyScholarship with that in mind.

He learned a lot growing up on the family farmnear Pulaski. In 1933, he began processing anddelivering milk to the Green Bay area. A few yearslater, he moved his milk operation, called JerseyDairy, to Green Bay. Always looking for newarenas of opportunity, he developed a fascinationwith ice cream and began making his own. Soon,he was selling it to customers on the same deliveryroute with the milk.

His curiosity did not end there. He had an ideato slice quarts of ice cream into tenths, insertsticks, dip the squares into chocolate, and roll innuts. They became popular at fairs around GreenBay and were sold as "paddle pops." By 1946, Mr.Lutsey established Gold Bond Ice Cream andmoved the business from bottling milk to producingonly ice cream novelties.

As paddle pops became popular, he beganthinking how to make them faster. Seeing otheroperations, Mr. Lutsey soon built a brine tank

production line of ice cream bars and water icepieces. The business shifted away from packagedice cream and became dedicated toward novelties.As time went by, this process was continuallyrefined and upgraded to allow increased productioncapacity to leap forward.

By 1953, he expanded Gold Bond's operation tosouthern Wisconsin by purchasing the Clarson IceCream Company in Richland Center. In 1969,Gold Bond built a new facility on Green Bay's westside, and by 1973, Gold Bond built its thirdmanufacturing plant in Ocala, Florida. Thebusiness continued to grow. In 1980, Sikeston,Missouri became the site for Gold Bond's fourthplant followed by a fifth in Hagerstown, Maryland.Westward expansion allowed construction of asixth plant in Henderson, Nevada.

Gold Bond Ice Cream now had the attention ofthe worldwide ice cream industry. In 1989,Unilever purchased Gold Bond and relocated itsNorth American headquarters to Green Bay. Withthe Good Humor and Popsicle brands in Unilever'sportfolio, this acquisition allowed them tomanufacture their branded treats "in-house." Inearly 1993, Unilever added Klondike to its brands,and by late 1994, Breyers All Natural Ice Creambecame their fourth brand, allowing entry into thepackaged ice cream business. The businessbecame known as Good Humor-Breyers Ice Cream,one of the largest ice cream companies in theworld. It was headquartered in Green Bay until2008, when Unilever consolidated the ice creamoperation to its New Jersey corporate location.

Thomas H. Lutsey never allowed his success inlife to take him away from his dairy farm roots.He was determined to do something tangible tosafeguard that lifestyle. In 1986, he founded theThomas H. Lutsey Scholarship to ensure newgenerations educational opportunities whichcould keep them competitive in a global market.

Each year the Scholarship Committee reviewsapplications using guidelines to select recipients.Candidates are measured on scholastic excellence,family financial need, good citizenshipparticipation and agricultural roots. Preference isgiven to candidates from rural backgrounds andto those intending to take their degree back to thefarming industry. Specific fields of study includedairy science, animal science, agricultural engi-neering and veterinary medicine. Studiesindirectly related to agricultural managementsuch as agricultural economics, biotechnology,computer science, environmental science,business administration and education are alsoacknowledged.

Since 1986, more than 70 students havebenefited from the program with more that$350,000 being contributed towards theireducation. Lutsey Scholars, for their part, areexpected to maintain their grades and continue tofocus their major studies toward agriculture. It isrenewable for up to three subsequent years withincreasing amounts each year.

For more information about thisscholarship, check out the website at

www.LutseyScholarship.org.

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THOMAS H. LUTSEY SCHOLARSHIPP.O.Box 22074

Green Bay, WI 54305,2074920,339,9823

December 20,2010

Marinette High School

Dear Ms. Zylkowsk.i:

This is the 2S' year students will have the opportunity to be awarded a Thomas H. LutseyScholarship. This scholarship is designed to assist students who are interested in pursuingoccupations that enhance rural communities and have a financial need. Last year four scholarshipswere awarded to students from Laconia, OshKosh West, Sevastopol and Reedsville High Schools.

Enclosed are guidelines, applications, letters of recommendation and a brochure which gives thehistorical perspective of this scholarship. Forms can also be downloaded at our website:ww,v.LuL'ieVScholarship.org.

In 2010, we received 148 applications and a number of them were not complete because ofmissing information. To avoid incomplete applications, please emphasize these items toapplicants:

1. April 1",2011 is the deadline for receipt of all forms-NO EXCEPTIONS.

2. Encourage students to complete their FAFSA data as soon as possible. It maytake six weeks to get the information processed. Students must submit a copy of theirSAR to the Scholarship Committee.

3. In addition to the principal or counselor's recommendation, two additional letters ofrecommendation are required.

4. Cumulative CPA must be based on a scale of 1-4 rather than a letter grade.

This Scholarship is very personal to our family. Not only did Thomas H. Lutsey grow up on afarm, we currently own and operate a Certified Organic cattle farm in Door County, WI. You canlearn more about us at www.WasedaFarms.com.

If you have any questions, please feel free to contact us at 920-339-9823 [email protected].

Sincerely,Thomas H. Lutsey Scholarship AdministrationEnclosures

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THOMAS H. LUTSEY RURAL SCHOLARSHIP2011 GUIDELINES

BackgroundThis award provides financial assistance to graduating seniors pursuing degrees that enhance rural communities. During thefreshman year, the scholarship amount is up to $1,750 and can be renewed up to three (3) subsequent years for studentsmaintaining a 3.0+ GPA. Each successive year the award increases (up to $2,000, $2,250 and $2,500) and is subject toScholarship Committee review and approval.

Eligibility Requirements

Yes No

Graduating senior attending high school within Northeast Wisconsin?Planning to attend an accredited 4-year college or a 2-year program/technical school thentransferring to a 4-vear orozram as a full time student?3.0 GPA or higher?Satisfactory ACT or SAT test scores?Have a rural or agricultural background?Planning a career enhancing rural communities such as dairy science, animal science, agriculturalengineering, veterinary medicine, agricultural economics, biotechnology, computer science,environmental science, business administration and education?Have the need for financial assistance?

Application Process & Deadlines

January 1,2011 Obtain application from agriculture teacher and/or guidance counselor, visit scholarshipwebsite at www.LutseyScholarship.org or call 920-339-9823. Return application to schoolguidance counselor or principal for completion.

Financial data is important - start process now - can take 6 weeks.Complete and mail Free Application for Federal Student Aid (FAFSA) and send a copy of StudentAid Report (SAR) to The Thomas H. Lutsey Scholarship Fund after you receive it.

March 27, 2011 Mail application, personal statement, 3 recommendations (one needs to be from the principal orguidance counselor), grade transcript and Student Aid Report to:

The Thomas H. Lutsey Scholarship FundP. O. Box 22074Green Bay, WI 54305-2074

April 1, 2011 Deadline - Scholarship Committee must receive all scholarship information.Late applications will not be accepted.

Questions? Contact Scholarship Administrator at 920-339-9823 or office(uiLutseyScholarship.org

Announcement of Winners & Award Payments

May 2011 Scholarship winners will be recognized at high school honors banquet. All informationis strictly confidential. The Thomas H. Lutsey Scholarship Committee makes allselections.

Aug. & Dec. 2011 Award payments are made in two equal installments. Scholarships may be held for up to one yearfor good cause and with written approval of the Scholarship Committee.

(Rev. 11110) SEE REVERSE SIDE

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Ashwaubenon1986-Business Administration

Athens2007-Dairy Science

Brillion2005-Veterinary Medicine

2009-Dairy Science

Chilton1990-Business Administration1991-Electrical Engineering

2006-Agribusiness2008-Dairy Science

Clintonville2000- Veterinary Medicine

Colby2008-Dairy Farm Management

Denmark1991-Electrical Engineering1993-Electrical Engineering

1995-Biotechnology1995-Math

1997-Secondary Education1997-Computer Science

Management1998-Education

1999-Business Administration

De Pere1992-Electrical Engineering

Gillett1993-Biochemistry1994-Psychology

1995-Animal Science

Green Bay East1988-Engineering

2005- Veterinary Medicine

Green Bay Southwest2003- Education & Math

Green Bay West1990-Business Administration

1990-Economics

AWARD DEMOGRAPHICS

Gresham Community1999-Communications

Kiel2007-Dairy Science

Laconia2009-Dairy Science

2010-Crop&Soil Science

Lena200 l-Agricultural Science

Luxemburg-Casco1986-Pre-Medicine

1989-Business Administration1992-Mechanical Engineering

Manawa-Little Wolf2007 -Computer Science

New Holstein1994-Animal Science

1996-Business Administration1998-Business Administration

2002-Dairy Science2007 -Pre-Vet

Oconto1992-Zoo1ogy & Biology2004- Dairy Science

Oconto Falls1994-Accounting & Business200 l-Agricultural Engineering2002-Crop and Soil Science

2002-Dairy Science2004-Biology/Veterinary Science

2006-Dietics2009-Biology/Animal Science

Oshkosh West2010-Agricultural Engineering

Peshtigo2000-Environmental & Animal

Science

Premontre1987-Veterinary Medicine

Pulaski1989-Business Administration

200 I-Education

Reedsville1987-International Business

1988-Economics1996-Dairy Science &Agricultural Economics20lO-Dairy Science

Richland Center2008-Dairy Science

Sevastopol2010-Agronomy

Seymour2002-Dairy Science

Shiocton1992-Physics

1997-Business Administration

Southern Door1996-Dairy Science1997-Pre-Law

1999-Environmental Science1999-Animal Science2001-Animal Science2003- Dairy Science2006-Dairy Science

Sturgeon Bay1991-Business Administration

West De Pere2000-Agricultural Engineering

Biology & Genetics2005-Life Science/Media

Wrightstown1998-Biology & Chemistry

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Street City State/Zip County

THE THOMAS H. LUTSEY SCHOLARSHIP FUND2011 APPLICATION FORM

Directions: Please print neatly and legibly or type. After completing, give form to your high school guidance counselor or principalto complete. They will fill in the final portion and will return this form to: Thomas H. Lutsey Scholarship Fund, P. O. Box22074, Green Bay, WI 54305-2074.

Deadline for scholarship consideration is April I, 2011. By then, the Scholarship Fund must receive these items:I Completed application form with principal or counselor's approval and a copy of the student's transcript;2 Student Aid Report (SAR) generated from Free Application for Federal Student Aid (FAFSA);3 Two (2) additional recommendation forms in addition to the guidance counselor or principal's recommendation on the

application form.

Personal Data

Last First MISocial Security # _

(for verification)

Home Phone # (~__ ---J. _ Cell Phone # ('-__ --' _

Date of Birth ------------ E-Mail Address -------------------Family InformationParents (check if living)

FatherStepfather

Parents' Names _

MotherStepmother

Parents divorced or separatedStudent has legal guardian

Parent(s) disabled (explain below):

Number of Children: Brothers: Older YoungerSisters: Older YoungerNumber who will be in college or technical school next year __

2010 Personal Income SummaryFather's Income Occupation Mother's Income Occupation _Explain special financial circumstances in the family: _

Educational DataList extracurricular activities, honors, and awards won, offices held and appropriate dates. (add page if needed)

List first 2 choices of colleges: 1. 2. _Intended college major: _List other scholarships or grants you are applying for: _

When you file the Free Application for Federal Student Aid (FAFSA), it is essential you send us a copy of theStudent Aid Report (SAR). Date Sent _

SEE REVERSE SIDE

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Work ExperienceList employment and appropriate dates. (add page if needed)

Personal StatementOn a separate page, clearly write or type a statement regarding information about yourself which you wouldlike the Selection Committee to consider in evaluating your application including your career goals/futureplans. NOTE: This statement is used as one of the selection criteria.

Miscellaneous Scholarship QuestionsHow did you originally find out about this scholarship? _If you receive a scholarship, do you agree to keep The Thomas H. Lutsey Scholarship Fund informed of anyother scholarships or awards you may receive and to send a copy of your first semester grades?

Yes NoDo you authorize The Thomas H. Lutsey Scholarship Fund to use the information you've included, includinga picture you would supply if you are selected, in a bio on the Thomas H. Lutsey Scholarship website?Information: Yes No Picture: Yes No Date: _

Student Signature: _ Parent Signature: _

AuthorizationI authorize the release of any information relevant to my application for this scholarship, and I certify that allinformation given on this application is true and complete to the best of my knowledge. I also request myhigh school to submit a copy of my transcript and other academic information to The Thomas H. LutseyScholarship Fund.

Signature of Student Signature of Parent Date

To Be Completed by Principal or CounselorA copy of the student's transcript must be attached to the application form and sent to The Thomas H. LutseyScholarship Fund. If the following information is not on the transcript, please complete the following.

Student ranks in a class of based on (6) (7) semesters (cross out one)

Student's Grade Point Average based on 4.0 scaleIf test scores are available: ACT Composite SAT Verbal Math _Comments:

Date Signature of Principal or Counselor (cross out one) Name of High School

Recommendation FormsPlease list all the people you asked to complete a recommendation on your behalf.

Revised IIIl 0

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Signed _ Date _

THE THOMAS H. LUTSEY SCHOLARSHIP FUND2011 RECOMMENDATION FORM

Directions for Applicant: Please print neatly and legibly. After completing, give form to person making therecommendation for you. They will fill in the portion below or write a separate letter and attach it to this form.

Name of Applicant (please print) _

Authorization: I hereby request and authorize the completion and submission of the recommendation form toThe Thomas H. Lutsey Scholarship Fund Selection Committee.

Applicant's Signature _ Date, _

Directions for person making the recommendation for applicant: After completing (and attaching letter ifwriting a separate letter is preferred), return by April 1, 2011 to the address below.

Relationship with the Candidate _

How long have you known the Candidate? _

Describe any contributions you are aware of that the Candidate has made to school activities, communityorganizations, or other activities.

Explain your overall reasons for supporting the Candidate's application for the scholarship.

Return completed recommendation by April!, 2011 to: The Thomas H. Lutsey Scholarship FundP.O. Box 22074Green Bay, WI 54305-2074

(Rev. 12/10)

Page 9: THOMAS H. LUTSEY SCHOLARSHIPimages.pcmac.org/SiSFiles/Schools/WI/Marinette/MarinetteHigh/Upl… · THOMAS H. LUTSEY SCHOLARSHIP P.O.Box 22074 Green Bay, WI 54305,2074 920,339,9823

THE THOMAS H. LUTSEY SCHOLARSHIP FUND2011 RECOMMENDATION FORM

Directions for Applicant: Please print neatly and legibly. After completing, give form to person making therecommendation for you. They will fill in the portion below or write a separate letter and attach it to this form.

Name~Ap~~a~~e~eprin0 _

Authorization: I hereby request and authorize the completion and submission of the recommendation form toThe Thomas H. Lutsey Scholarship Fund Selection Committee.

Applicant's Signature _ Date-------------

Directions for person making the recommendation for applicant: After completing (and attaching letter ifwriting a separate letter is preferred), return by April 1,2011 to the address below.

Relationship with the Candidate _

How long have you known the Candidate? _

Describe any contributions you are aware of that the Candidate has made to school activities, communityorganizations, or other activities.

Signed _ Date ------------

Explain your overall reasons for supporting the Candidate's application for the scholarship.

Return completed recommendation by April I, 2011 to: The Thomas H. Lutsey Scholarship FundP.O. Box 22074Green Bay, WI 54305-2074

(Rev. 12/10)

Page 10: THOMAS H. LUTSEY SCHOLARSHIPimages.pcmac.org/SiSFiles/Schools/WI/Marinette/MarinetteHigh/Upl… · THOMAS H. LUTSEY SCHOLARSHIP P.O.Box 22074 Green Bay, WI 54305,2074 920,339,9823

THE THOMAS H. LUTSEY SCHOLARSHIP FUND2011 RECOMMENDATION FORM

Directions for Applicant: Please print neatly and legibly. After completing, give form to person making therecommendation for you. They will fill in the portion below or write a separate letter and attach it to this form.

Name~Ap~~a~(~e~eprinQ _

Authorization: I hereby request and authorize the completion and submission of the recommendation form toThe Thomas H. Lutsey Scholarship Fund Selection Committee.

Applicant's Signature _ Date _

Directions for person making the recommendation for applicant: After completing (and attaching letter ifwriting a separate letter is preferred), return by April 1,2011 to the address below.

Relationship with the Candidate _

How long have you known the Candidate? _

Describe any contributions you are aware of that the Candidate has made to school activities, communityorganizations, or other activities.

Explain your overall reasons for supporting the Candidate's application for the scholarship.

Signed _ Date _

Return completed recommendation by April I, 2011 to: The Thomas H. Lutsey Scholarship FundP.O. Box 22074Green Bay, WI 54305-2074

(Rev. 12/10)