THE WARD AND MARY WOODDELL SCHOLARSHIP TRUST Amos Ward Wooddell established the Ward and Mary Wooddell Scholarship Fund in his last will and testament to provide a fund, the income from which is to be used to “defray the tuition and college living expenses of worthy students who are not financially able to fully pay their own expenses at college”. Any institution, whether academic or technical, qualifies as long as the program leads to a B.A. or B.S., or the equivalent. (Postgraduate studies do not qualify.) These scholarships are renewable annually for a maximum of three times, provided that recipients maintain a “C” average (2.0 of 4.0); that they are enrolled full-time; and that they are making satisfactory academic progress. Any student graduating from a Clinton County high school, or a permanent resident of Clinton County graduating from a non-Clinton County high school, may apply for a scholarship. Scholarships will be awarded based on a demonstrable need for financial assistance, with consideration given to good character, citizenship, seriousness of purpose and enthusiasm for learning. The attached application must be completed and returned to the guidance counselor by April 1st. The scholarship award will be announced at graduation. The money connected with this scholarship will be credited to the recipient’s account at the college of their choice. To apply for renewal, recipients must forward a copy of their grades, and a statement certifying that they will be attending college full-time, to the trustee of the Ward and Mary Wooddell Scholarship Fund. Trustee: National Bank & Trust Company Investment & Trust Services Department 48 N. South Street Wilmington, OH 45177 Selection Committee: Trust Officer, National Bank & Trust Company Superintendent of Wilmington City Schools Superintendent of Southern Ohio Educational Service Center Superintendent of Blanchester Local Schools Superintendent of Clinton Massie Local Schools Superintendent of East Clinton Local Schools Due to a conflict of interest, no award will be made to any relative of an employee of National Bank & Trust Company, Wilmington City Schools, Blanchester Local Schools, Clinton Massie Local Schools, East Clinton Local Schools or the Southern Ohio Education Service Center. STUDENT APPLICATION FORM THE WARD AND MARY WOODDELL SCHOLARSHIP The National Bank & Trust Company, Wilmington, Ohio, is the Trustee of the Ward and Mary Wooddell Scholarship Trust. The income from this Trust is to be used to defray the tuition and college living expenses of worthy students who are not financially able to fully pay their own expenses at college. Student: ______________________________________________________________ Address: ______________________________________________________________ Phone: __________________ Social Security #: ______________________________ Parents’/Guardians’s Names: _____________________________________________ Probable College, University, or Technical Institute: Name: _________________________________________________________ Address: _______________________________________________________ Semester system ______________ or Quarter system ____________________ Major subject (if known): __________________________________________ Estimated cost of tuition: __________________________ Board & Room: _________________________________ Books & Fees: __________________________________ Other scholarships received: _____________________________________________ ____________________________________________________________________ Other grants (work study, student loans, etc.): _______________________________ ____________________________________________________________________ Please respond to the questions on the next page, in your own handwriting. Please attach an official transcript, including extra-curricular activities and class rank. Also, please attach your ACT or SAT scores. Please have your parents complete the attached confidential financial statement. I certify that the information submitted is true and correct, and that if funds are granted, they will be used entirely and directly to defray my academic costs. Date: _____________________ Signature: ________________________________ Please answer briefly, in your own handwriting: What are your favorite three subjects, and why? Tell of a problem you have encountered, and how you solved it. Name a person you admire and tell what traits they have that you would like to adopt. What do you like to do for relaxation. THE WARD AND MARY WOODDELL SCHOLARSHIP TRUST PARENTS’ FINANCIAL STATEMENT Student’s name: __________________________________________________________ Father: _____________________________ Mother: _____________________________ Address: ___________________________ Address: ____________________________ ASSETS (What I Own) DEBTS (What I Owe) Cash on hand & in checking account: _________________________________ List total debts outstanding including mortgages, notes, charge accounts, etc. Savings & Certificates of Deposit: _________________________________ _________________________________ Stocks & Bonds (Market Value): _________________________________ _________________________________ Home mortgage: ________________ Car loans: _____________________ ______________________________ ______________________________ ______________________________ What others owe to me: _________________________________ _________________________________ Other loans & notes: ______________________________ ______________________________ Household Goods: _________________________________ Balance due on credit cards: ______________________________ ______________________________ ______________________________ Automobiles & Trucks: _________________________________ _________________________________ All other Personal Property (Itemize) _________________________________ _________________________________ _________________________________ Other bills I owe: ______________________________ ______________________________ ______________________________ Real Estate owned: _________________________________ _________________________________ Life Insurance (Cash Surrender Value): _________________________________ _________________________________ Total Assets: ______________________ Total Debts: ____________________ Annual Income (Father) _________________________________ Annual Income (Mother) _________________________________ Employer (Father) _______________________________ Employer (Mother) _______________________________ Family Status: List children, ages, and name of school attending (if applicable): __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ _____ _____ _____ _____ _____ _____ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ List other dependents, their ages and relationship: __________________________________ _____ ______________________________ __________________________________ _____ ______________________________ __________________________________ _____ ______________________________ Explain family circumstances, which cause unusual financial burdens. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ I hereby certify that I have carefully read the contents of the above financial statement and affirm that the same is a true and correct statement of my financial condition on the ___________ day of _______________ , ______. Date: _________________ (Father) ____________________________________ (Mother) ___________________________________