LSHS 2016 Scholarship Cover Sheet Please attach a cover sheet with each individual scholarship application. Applicant's Name_________________________________________ Date_______________ Address_____________________________________________________________________ City____________________________________________ State________ Zip__________ Home Phone # (_____)_______________________ Cell (_____)______________________ Email Address _______________________________________ Birthdate________________ GPA_______ Class Rank__________ University/College/Trade School you plan to attend:__________________________________ Scholarship Applying for: (Read qualifications for each scholarship before applying. Check ONLY the specific scholarship for which you are applying (use a separate cover sheet for each scholarship for which you apply). □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ Andy and Dennis Early Memorial Scholarship (LSHS only) Bernard C. Campbell Scholarship (LSHS, LSN and LSW) Beth Chandler Service Scholarship (LSHS, LSN and LSW – only one awarded Districtwide) Bill Polomsky Scholarship (LSHS only) Billy Goat Scholarship (LSHS, LSN and LSW) Carrie Foresee Memorial Scholarship (LSHS, LSN and LSW) Class of 1980 (LSHS only) Class of 1981 (LSHS only) Coach Bob Craddock Athletic Scholarship (LSHS only) (cross country/track) Coach Diane Black Scholarship Fund (LSHS only) (female student) Debra S. Nielsen Memorial Scholarship (LSHS only) Harold A. Morlock JROTC Scholarship (LSHS, LSN and LSW) Ian Drazick Memorial Football Scholarship (LSHS only) Kary and Becki Hocker Memorial Scholarship (LSHS only) The Kenney Family Science Scholarship (LSHS only) (science) Kyle Zammar Scholarship (LSHS Only) Larry and Marilee Jansen Scholarship (LSHS only) (female student) Lee’s Summit Teachers Scholarship (LSHS, LSN and LSW) Major Saver Scholarship (LSHS, LSN and LSW) Paul D. Coverdell (Class of 1957) Memorial Scholarship (LSHS only) Pinnell Family Scholarship (LSHS, LSN and LSW – only one awarded Districtwide) Rachel Dent Athletic Scholarship (LSHS, LSN and LSW) (female student) Ruth Mitchell Jones Scholarship (LSHS and LSN) (must attend a MO university) Sandra, David and Linda Simpkins Scholarship (LSHS only) (education or nursing/healthcare) Stepp Into the Future Scholarship (LSHS, LSN, LSW – only one awarded Districtwide to former LS Elementary student) Sue Jacobi Scholarship (LSHS, LSN, LSW – only one awarded Districtwide to former PLE student or child of PLE staff member) Data Sheet Scholarship Name: The Ruth Mitchell Jones Scholarship Fund Send Application to: Your Guidance Counselor (Guidance counselors will forward applications and transcripts to S. Franke at Central Office.) Deadline: Wednesday, March 9, 2016 – 3:00 p.m. Background: The Ruth Mitchell Jones Scholarship Fund was established in June 1996 by Vernon and Maralee Jones to honor his mother, Ruth Mitchell Jones. A second scholarship was established in 1999. Purpose: This scholarship fund is to recognize academic achievement and provide funds for a college-bound student. An amount of $500 per year ($2,000 total over four years) will be paid to the Missouri college of the student's choice. Number of Recipients: One at Lee's Summit High School and One at Lee's Summit North High. Scholarship amount: To be determined. Guidelines: The applicant must be a Lee's Summit graduating senior. The applicant plans to pursue an education degree and a career in education. The applicant plans to attend a Missouri college. The recipient shall in no way be limited by gender, race, religion, or any other designation that could exclude an individual. The applicant must be or must have been involved in civic, community and extra-curricular activities preferably in an educational program. a. b. c. d. e. Process: The Selection Committee, consisting of two Foundation board members and two counselors from the respective high schools, will review the applications and, if necessary, interview the candidates and obtain any additional background information. Scholarship Payment: The Scholarship will be made by a Lee’s Summit Educational Foundation check payable jointly to the recipient and his or her choice of a higher learning institution. To receive the scholarship check, recipient must send proof of enrollment to Sheryl Franke, 301 NE Tudor Road, Lee's Summit, MO 64086 each of the four years to receive their $500 annual scholarship award. The Ruth Mitchell Jones Scholarship Fund Please complete the following application and cover sheet by Wednesday, March 9, 2016 and return it to your guidance counselor. A. Please provide a brief autobiography. B. Please discuss your anticipated future study plans after high school and your particular area of interest. C. Please list the civic, school and community activities in which you have been/are involved.