SCHOLARSHIP CRITERIA
BIRCHWOOD PUBLIC SCHOOLS
1) Applicant must be a senior in the Birchwood Public School displaying commendable academic
record, showing initiative in other areas, and possessing potential to academic and personal
growth after graduation.
2) This application is used to assess a student’s qualification for a variety of scholarships. Some of
these scholarships accentuate academic achievement. Others are awarded for characteristics
such as community service, leadership, athleticism, work habits, or any combination of the
above. Some of the awards are intended for those students who are going onto college, with “no
strings attached”. In other words, the recipient may use them for any purpose they wish.
3) All parts of applications must be typed, except for signatures.
4) The Birchwood School Scholarship Committee will make the award selections. This committee
may include all staff members of the Birchwood Public School.
5) There are several community service organizations in the area who use this application to award
their own scholarships. By submitting this application you are agreeing to the release of some
school records to these organizations.
6) Deadline for this application is Monday, March 17th. The completed applications should be
turned into Mrs. Nehring by 3:30 pm on that day.
Scholarship Application Form
Name
Last
First
Middle
Address
Name of Parent or Guardian
Telephone #
Required Application Materials
1) Please complete the attached document (maximum 2 pages, font 11), it can be formatted in any way but
should remain in this order, please make sure it is professional and your name should appear on all pages.
2) Please write a 1 page essay identifying your career/vocational goals, what you were involved in in high
school, why service is important and how you have demonstrated that. And any other information which
you believe makes you a worthy scholarship recipient.
3) Two letters of recommendation from school staff members or members of the community who are
familiar with your accomplishments. DO NOT include recommendations from family members
Please include with your application this signed, dated release of information, Mrs. Nehring will attach a copy
of your transcript.
“I authorize the members of the Birchwood School Scholarship Committee to view and disclose my school
records pertaining to the scholarship selection process, including but not limited to grades, class rank, GPA,
behavior and attendance. I further authorize the release and disclosure of these records to community
organizations who are independently awarding scholarships to Birchwood School students.”
_________________________
(Student Signature)
____________________
(Date)
“I authorize the members of the Birchwood School Scholarship Committee to view and disclose my child’s
school records pertaining to the scholarship selection process, including grades, class rank, GPA, behavior
and attendance. I further authorize the release and disclosure of these records to community organizations
who are independently awarding scholarships to Birchwood School students.”
_________________________
(Parent/Guardian Signature)
Name of Student:
Address:
Phone Number/Email Address:
__________________
(Date)
EDUCATION AND CAREER GOALS
Please type your future education and career goals here.
Birchwood High School
Class Rank
GPA
Advanced Coursework: please list any advanced coursework here (College courses, etc.)
RECOGNITION AND AWARDS
List any recognition and/or awards here and year(s) received (can be from school/community)
Example:
A Honor Role
9,10,11,12
Volleyball Honorable Mention
11
SERVICE
List any community service you have completed in 9-12 grades. Please identify what group it was for what kind
of work you did and number of hours.
Example:
Future Business Leaders of America (FBLA)
Adopt-A-Family Program (9th, 10th, and 12th grade)-helped sort presents, shop, and collect money to
purchase gifts. TOTAL Hours: 10
LEADERSHIP AND ACTIVITIES
Please list all leadership and school/community activities you have been involved in 9-12 grade.
Example:
Softball--Varsity, 9-12; Honorable Mention 9, All-Conference 10-11, captain 11, team MVP 11)
Student Council Member 9-12; Secretary 10, President 11, Treasurer 12, coordinated blood drive and assisted in
CPTO events, reported to school board
WORK EXPERIENCE
Please list all work experience during high school, include number of hours worked per week and a brief
description of tasks completed.
Example:
Buck’s Hardware Hank
Cashier, 10-20 hours per week, 11-12.