SCHOLARSHIP APPLICATION Upper Midwest Chapter Scholarship grants of at least $2,500 each are offered to high school seniors planning to major in television, broadcasting or electronic media at an accredited post secondary educational institution beginning in the fall of 2010. The grant will be used for tuition and fees. Application, essay and letters of recommendation must be received by Friday, March 12, 2010. There are two scholarship categories. Applicants must designate the category for which they are applying. 1. The Ed Piette Leadership Scholarship is for students who have demonstrated leadership skills in their school or community and who are planning to seek careers in television, broadcasting or the electronic media. (See clarification of leadership credentials in the essay explanation.) 2. The NTA Upper Midwest Scholarships are for students planning to seek careers in television, broadcasting or the electronic media. To be eligible you must satisfy all of the following: 1. Application to, or acceptance by, an accredited college, university, community college or technical school offering a television, broadcasting or electronic media curriculum. The award is contingent on acceptance for admission. 2. Intent to pursue a major and a career in television, broadcasting or electronic media. 3. A solid GPA. We prefer, but do not require, a 3.0 pr 4.0 GPA. A lower GPA with compelling experience or aspirations will receive serious consideration. 4. Demonstrated qualities of creativity, leadership and passion for the major and career of your choice. 5. Resident of Minnesota, North Dakota, South Dakota, Iowa, or western Wisconsin (La Crosse-Eau Claire, Superior) For consideration of this award applicants must: 1. Complete the entire scholarship grant application. 2. Complete the essay portion of the application. 3. Supply a letter of recommendation from a faculty member with whom you are well acquainted. Letter should be mailed to the NTA office at address below. Letters of recommendation should be written on letterhead stationary. Please do not email or fax letters of recommendation. Recipients will be announced in May, 2010. Thank you for your interest. Karen Boros. Scholarship Chair ksboros@comcast.net SCHOLARSHIP APPLICATION Upper Midwest Chapter Please print or type. This form is also available online at www.MidwestEmmys.org. Send, fax, or e-mail your form to the chapter office. Name: ______________________________________________________________ Home Address: _______________________________________________________ ____________________________________________________________________ Home Phone: ________________________________________________________ E-mail Address: ______________________________________________________ Accredited school (see above) at which you have applied or been accepted for admission in Fall 2009: ____________________________________________________________________ School Address: ______________________________________________________ School City, ST, ZIP: ___________________________________________________ School Phone: _______________________________________________________ Major field of study (planned): ___________________________________________ Minor, emphasis, or area of concentration (planned): ____________________________________________________________________ Date of graduation from high school: _________ High School: _________________________________________________________ High School Address: ___________________________________________________ High School City, ST, ZIP: ________________________________________________ High School Phone: _____________________________________________________ Grade Point Average: __________ (If additional space is needed to answer the following questions, use a separate page.) Extra-Curricular Activities:_____________________________________________________________ Honors and Awards:_______________________________________________________________ Community Service:_______________________________________________________________ Television Related Employment (if any):______________________________________ How will you finance your education?________________________________________ Mandatory essay questions follow for the scholarships offered. Please answer only one, for the scholarship you desire. Ed Piette Leadership Scholarship Essay Ed Piette was the first President of the Upper Midwest Chapter of the NTA. He served as General Manager at KSTP-TV and WCCO-TV before moving on to a job in Boston. Applicants for the Ed Piette Leadership Scholarship must tell us how they demonstrated initiative or innovation on a project. Please include problems encountered and how you and/or others were able to solve those problems. We also want to know what you learned about taking responsibility for the success or failure of your project. 450 words. NTA Upper Midwest Scholarship Essay What changes does the media need to make to attract your generation to the information you need to make informed choices? 450 words. Essays will be judged on logic, strength of your argument and your ability to focus on the assigned topic. We will also pay keen attention to grammar, spelling and punctuation. By signing below I affirm that this scholarship application is accurate and truthfully represents my qualifications for the grant. Signature______________________________________Date___________ See following page for materials return information. Send all Materials to: Scholarship Committee NTA-Upper Midwest Chapter 4967 Kensington Gate Shorewood, MN 55331 phone: 952-474-7126 fax: 952-474-7370 email: info@MidwestEmmys.org Submission Checklist: Will make March 12, 2010 deadline Completed Application form Completed Essay Letter(s) of Recommendation sent – not emailed! 01/10