STUDENT LEADERSHIP SCHOLARSHIP INFORMATION & APPLICATION Sentry Insurance is pleased to announce our Student Leadership Scholarships. The scholarships are designed to help and encourage individuals with proven leadership potential who choose to pursue careers in business, finance, accounting, math or computer science. Sentry’s purpose in sponsoring the scholarships is to provide quality educational opportunities for the best and brightest students. We want to help develop individuals with vision, creativity and dedication to lead all sectors of society. Sentry believes that by supporting the education of gifted young people, we are investing in America’s future. We sincerely look forward to helping young leaders achieve their goals through the Sentry Insurance Student Leadership Scholarships. Dale R. Schuh Chairman of the Board and Chief Executive Officer Sentry Insurance SENTRY INSURANCE STUDENT LEADERSHIP SCHOLARSHIP Description Sentry Insurance will award two Student Leadership Scholarships to incoming freshmen attending selected universities. Each scholarship will be awarded in the amount of $2,500 per school year. The scholarships are available for up to four years, as long as the recipient continues to maintain eligibility requirements. Eligibility requirements The Sentry Insurance Student Leadership Scholarship promotes educational opportunities and encourages the educational pursuits of gifted academic leaders who have chosen to major in any of the following disciplines: • Business Administration • Computer Science (MIS) • Accounting • Finance • Mathematics (Actuarial Science) The annual scholarships are renewable for up to four years as long as the recipient: • maintains a grade point average of 3.3 or above; • continues to pursue a degree in one of the five areas of study outlined above. Selection criteria The Sentry Insurance Student Leadership Scholarship is designed to help develop future business and community leaders. Recipients of the award will be selected based on the following criteria: • Credentials that place them in the top 15 percent of their high school graduating class; • Involvement in extra-curricular activities, community activities, charitable organizations and other endeavors which indicate significant leadership records and outstanding leadership potential. Application guidelines • The universities are responsible for providing scholarship information to school counselors, for actively recruiting students who meet the scholarship criteria and for handling the application and selection process. • Each university has an established committee that will review all applicants and select recipients. • Financial need will be considered on an informal basis, especially as a tie-breaking consideration. • Sentry Insurance retains the authority to change future scholarship criteria. Application for SENTRY INSURANCE STUDENT LEADERSHIP SCHOLARSHIP Name ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Address ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ City _____________________________________________________________________________________________________________________________________________________________________________ State ______________________________________________ Zip code ______________________________________________________________________ Telephone number ____________________________________________________________________________________________________________________________ Social Security number ________________________________________________________________________________________ High school____________________________________________________________________________________________________________________________________________________ Date of graduation________________________________________________________________________________________________________ City _____________________________________________________________________________________________________________________________________________________________________________ State ______________________________________________ Overall grade point average _____________________________________________ ACT score____________________________________ Final rank in graduating class______________________________________ Intended college major __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ACADEMIC HONORS (attach additional sheet if necessary) List honors won or special programs for which you have been chosen, such as National Honor Society, national merit/achievement recognition, foreign exchange, Boys’/Girls’ State, etc. ORGANIZATION HIGH SCHOOL 9 10 11 HONORS RECEIVED 12 ACTIVITIES (attach additional sheet if necessary) List activities, either in or out of school, in which you have been involved. Include specific events or major accomplishments, such as leadership positions held, positions played, letters earned, etc. ACTIVITY HIGH SCHOOL 9 10 11 POSITIONS HELD, HONORS WON, LETTERS EARNED 12 WORK EXPERIENCE List jobs held since 9th grade JOB DESCRIPTION EMPLOYER DATES OF EMPLOYMENT HOURS PER WEEK PLEASE ATTACH ■ high school transcript ■ letter(s) of reference from teacher or adviser 46-80 ■ Writing exercise on one of the following subjects: 1. How do I know I am a leader? 2. Leadership in a changing world. 3. A leader or role model for me. Exercise should be two typed pages, double spaced. 3-06