ARTS OF TOLLAND
Scholarship Application for Tolland residents only
This scholarship of $1,000 recognizes and encourages the pursuit of a career in the arts and is awarded to any high
school graduating senior living in Tolland. This award is meant to incorporate any aspect of the arts, including
visual and performing arts, creative writing, and music. Our main criteria for selection will be personal
commitment to an artistic discipline and community involvement.
Return to: Debbie Kupfer, 39 Stonehedge Drive, Tolland CT 06084
All applications and recommendations must be complete and received by May 8, 2015.
Name___________________________________________________________________
Address_______________________________________________
phone _______________________
Email address __________________________________________
DOB _______________________
Academic Information
Most recent grade transcript:
GPA/Scale____________
Rank/Class Size__________________
List all colleges or universities you have applied to
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
College you would most like to attend_________________________________________________________
Major or Anticipated Major_________________________________________________________________
What future business or educational career you will likely pursue___________________________________
List any community service, special skills, activities or organizational groups in which you are involved or have been
involved in during your high school years.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
To be considered for this scholarship, the following must be submitted:
A one page double-spaced essay regarding your interest in pursuing a career in the Arts, mailed with this
application.
Two teacher recommendations on forms provided, mailed separately.
Recommendation Form
Arts of Tolland Scholarship of $1000
This scholarship recognizes and encourages the pursuit of a career in the arts. This award is meant to incorporate
any aspect of the arts, including visual and performing arts, creative writing, and music. Our main criteria for
selection will be the student’s interest in and application of the Arts.
Dear Teacher/Mentor/Friend,
Please fill out the following information and mail to Debbie Kupfer, 39 Stonehedge Drive, Tolland CT
06084. Deadline is May 8, 2015. Thank you!
Student’s name ___________________________________________________
Your name _____________________________________ relation to student __________________
Rank the student on a scale of 1 to 5, 5 being the highest and 1 the lowest, in the following areas:
1.
Has demonstrated ability in chosen field
1
2
3
4
5
2.
Has enrolled in a college or training institute
1
2
3
4
5
3.
Has a strong academic record in chosen areas
1
2
3
4
5
4.
Has a strong academic record in all areas
1
2
3
4
5
5.
Demonstrates a spirit of cooperation in
group activities
1
2
3
4
5
6.
Demonstrates qualities of leadership
1
2
3
4
5
7.
Demonstrates an attitude of perseverance
and consistency
1
2
3
4
5
Additional comments here or attach a letter __________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Recommendation Form
Arts of Tolland Scholarship of $1000
This scholarship recognizes and encourages the pursuit of a career in the arts. This award is meant to incorporate
any aspect of the arts, including visual and performing arts, creative writing, and music. Our main criteria for
selection will be the student’s interest in and application of the Arts.
Dear Teacher/Mentor/Friend,
Please fill out the following information and mail to Debbie Kupfer, 39 Stonehedge Drive, Tolland CT
06084. Deadline is May 8, 2015. Thank you!
Student’s name ___________________________________________________
Your name _____________________________________ relation to student __________________
Rank the student on a scale of 1 to 5, 5 being the highest and 1 the lowest, in the following areas:
1.
Has demonstrated ability in chosen field
1
2
3
4
5
2.
Has enrolled in a college or training institute
1
2
3
4
5
3.
Has a strong academic record in chosen areas
1
2
3
4
5
4.
Has a strong academic record in all areas
1
2
3
4
5
5.
Demonstrates a spirit of cooperation in
group activities
1
2
3
4
5
6.
Demonstrates qualities of leadership
1
2
3
4
5
7.
Demonstrates an attitude of perseverance
and consistency
1
2
3
4
5
Additional comments here or attach a letter __________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________