ROSEMOUNT HIGH SCHOOL
RHS Senior Scholarship Application-Class of 2015
Due Date: Wednesday, April 1, 2015
APPLYING STUDENT:
This year the Rosemount High School Senior Local Scholarship Program hopes to award approximately 21
scholarships valuing $24,000. The mission of this scholarship program is to recognize as many individual
students as possible. To be considered for one or more of these local scholarships, carefully follow the directions
below.
QUALIFICATIONS:
Unless otherwise noted, the following qualifications apply.
1. Graduating senior attending Rosemount High School is eligible to apply. RHS students attending SES may
apply for any scholarship not duplicated at SES.
2. Students must be planning to further their education after high school at an accredited two- or four-year
college or technical college.
3. A student’s involvement in school activities, community service, academic achievement and overall conduct
while enrolled at Rosemount will be considered in the selection process.
DIRECTIONS:
1. Fill out the entire Application (ALL complete sections A-J; if applicable sections K and/or L) as
completely as possible online, save as a Word Document, print the entire document, sign and turn in to
Lynn Heieie in the RHS Career Center.
2. Do not be concerned with the look of your form, some Xs may not be lined up or in the box, or the page break
may not be in a convenient spot. Content and completeness are more important.
3. You DO NOT need to attach a copy of your transcript. We will provide this information.
4. Financial need information is required for some scholarships. Complete section K of the application if you
wish to be considered for these scholarships.
5. Flint Hills Resources Discovery Scholarship has an additional requirement listed in section L of the
application.
6. Completed applications are due Wednesday, April 1, 2015. NO EXCEPTIONS WILL BE MADE.
Please note, other scholarships awarded through area elementary schools, middle schools,
colleges or other local organizations need to be applied for individually. Watch for
announcements and check Family Connection with more information about these
scholarships.
Rosemount High School
A. RHS Senior Scholarship Application– Class of 2015
(Staple this page to the top of your application-this should be the cover of your application)
(Type your first and last name)
Please use the following checklist to ensure proper submission of your scholarship application
____I have completed sections A, C, D, E, F, G, H, I and J and verified that the information is correct.
____I have completed section K to be considered for scholarships for students with financial need. I also included
a copy of my SAR report or copy of on-line estimate of EFC from your FAFSA application.
____I have completed section L to be considered for the Flint Hills Resources Discovery Scholarship.
I understand that information I have provided may be used in the RHS All School Awards Program on
May 20, 2015, and the 2015 Scholarship Tea in May at RHS.
____________________________________________
(student signature)
___________________________________
(student email)
____________________________________________
(parent/guardian signature)
___________________________________
(parent email)
B. The following is a list of scholarships that applicants may be considered for.
There may be additions or deletions to this list pending final confirmation from providers.
Anchor Bank – community involvement, academics and student activities
Apple Valley Ford – GPA of 3.0+, financial need and community involvement-MUST SUBMIT SECTION K
Dakota Electric Association Scholarship – financial need-MUST SUBMIT SECTION K
Fairview Ridges Medical Scholarship – high academic achievement, strong school and community involvement
First State Bank of Rosemount – must be planning to major in some type of business
Flint Hills Resources Pine Bend Discovery Scholarship-GPA of 3.7/entrepreneurship/math & science focus-MUST
SUBMIT SECTION L
Food & Nutrition Scholarship Program-majoring in food services, nutrition or related field of study (those students who
indicate a major in this field will be called down and asked to fill out an additional application)
Kopp Family Foundation – Criteria varies but may include academics, community service and student activities.
Midwest Vending Scholarship – personal statement and educational goals/career objectives
Pine Bend Paving
Scholarship recipients will be notified in May and will be invited to the Scholarship Tea
RHS Senior Scholarship Application – Class of 2015
C.
Name:
Last name
First Name
Middle Initial
State
Zip Code
Address:
Street number & address
City
Phone:
(
)
Area Code
Cell Phone:
(
Phone #
)
Area Code
Phone #
Student email:
Parents/Guardian Name(s):
POST HIGH SCHOOL PLANS:
Place an “X” next to your selection
4-Year College
2-Year College
Technical School
List the college or post high school institution that you think you will attend in the fall. If you are undecided,
list your first three choices in order of preference.
1.
2.
3.
Possible major(s) or field(s) of study:
Possible career:
Name:____________________________________________
D. Write a personal statement (double spaced; limit of 2 pages):
The personal statement is an opportunity to talk about YOU and what sets you apart from other
applicants. It is a place where you can tell the committee who you are and what accomplishments
you are most proud of. Tell us about things that have helped you grow as a person and helped
build your character. If there have been any hardships or challenges in your life, include those as
well. If you have specific career aspirations, you can elaborate here. This statement is a very
important part of your application. Essay is limited to 2 pages and should be double spaced.
Name:_________________________________________________
E. SCHOOL ACTIVITIES LIST
List the names of the activities (not including athletics) in which you have been involved. Mark grade 12 if you
plan to participate during your senior year.
Activity
9TH
10TH 11TH 12TH
Leadership Positions/Offices Held
Special Awards/Honors
Supervisor
F. SCHOOL ATHLETIC ACTIVITIES LIST
List the names of the sports in which you have been involved. Mark grade 12 if you plan to participate during
your senior year.
Activity
9TH
10TH 11TH 12TH
Leadership Role/
Special Awards/Honors
Coach
G. COMMUNITY SERVICE/VOLUNTEERING
List all volunteering opportunities that you have been involved with during grades 9-12.
Supervisor’s
Total # of Hours:
TH
10TH 11TH 12TH
Volunteer Organization 9
Activities
Name
be specific if total is
(If the activity is
yearly or weekly,
for your NHS
including # of weeks
hours, list NHS as
or a one time
the supervisor)
opportunity
Name:__________________________________________________
H. WORK EXPERIENCE AND/OR COMMUNITY ACTIVITIES
List any work experience in which you have been involved, indicate years that you worked, company, supervisor
with phone number, and the approximate number of hours worked/participated per week.
Position
9TH 10TH 11TH 12TH
I. Elementary School(s) Attended:
J. Middle School(s) Attended:
Company/Employer
# of
Supervisor’s Name hours
per
week
K. Financial Need:
Do you wish to be considered for scholarships that consider financial NEED as a factor (choose one)?
Yes
No
You must complete the question below if you wish to be considered for any of our need based
scholarships. You must also provide the front page of your Student Aid Report (SAR) or a copy of your
on-line estimate, which indicates Expected Family Contribution (EFC) from your FAFSA application, if
you wish to be considered for these scholarships.
In the box provided answer the following: Explain in as much detail as possible about any extenuating
family circumstances, such as parent(s) loss of job, extraordinary medical expenses, divorce, etc.
ROSEMOUNT HIGH SCHOOL
Flint Hills
L. FLINT HILLS RESOURCES DISCOVERY SCHOLARSHIP
APPLICATION PROCEDURES
Selection Criteria:



Minimum cumulative GPA of 3.6 with focus on Math or
Science classes; demonstrated success in accelerated math or
science classes.
Plans to pursue a career in a math or science related field.
Proven leadership and entrepreneurial skills; significant
business or project initiative.
Two $2500 scholarships
An entrepreneur is one who owns, launches, manages and assumes the responsibilities of a venture or project; an
organizer, a promoter, a producer. At Flint Hills Resources we believe in entrepreneurship. At all times we strive
to act as entrepreneurs and to demonstrate the sense of urgency, discipline, accountability, judgment, initiative,
economic and critical thinking skills, and risk-taking mentality necessary to generate the greatest contribution
to the company. Please address this philosophy in your application.
Applications Procedure:
On a separate piece of paper, address the following questions:




Give a specific details about the types of Science or Math related career you are interested in pursuing and
why.
How are you planning to prepare yourself for your chosen field?
Give a specific example of a time during your high school career that you took leadership and ownership
over a school or community project, event or cause. How were you (knowingly or unknowingly)
incorporating the principals of entrepreneurship?
How will the Flint Hills Resources Discovery Scholarship help you achieve your goals in college and
beyond?
Students awarded a Flint Hills Resources Discovery Scholarship will be invited to an
awards dinner in June.