SCHOLARSHIP
INSTRUCTIONS & APPLICATION
Due: March 31st
Listed below is information the selection committee will consider for Hinds Career Center scholarship
opportunities. It is important that all items be included and submitted to the Career Center Director in the
order listed below.
1. COMPLETE THE APPLICATION.
2. PREPARE A PROFESSIONAL RESUME.
3. PREPARE A PERSONAL AUTOBIOGRAPHY.
Its purpose is to provide the scholarship committee with insight into your personality and chosen
opportunities. It is to be no more than two pages in length. Address, at minimum, the points of emphasis
listed below and expand on items in resume (not just re-list them). If the scholarship to which you are
applying addresses a specific qualification or requirement, be sure to address that in the writing, also.
Points of Emphasis:
a.
b.
c.
d.
e.
f.
Personal history
Career choice and how your CC program enhances your chosen career goal(s).
High school academic accomplishments
High school activities (include leadership roles)
Community involvement not associated with school
Other information YOU feel is important for the committee to know
(Typed papers are more impressive than handwritten. Grammar, spelling, etc. all are important.)
4. OBTAIN REFERENCES FROM:
1. Your Career Center Program Instructor (use attached form)
2. High School Teacher or Counselor (use attached form)
3. One other of your choice (optional) (use attached form)
Note: Provide each reference a copy of the attached form. Each reference must be placed in a sealed
envelope by the person completing the reference and the reference must sign across the seal of the
envelope.
5. OBTAIN A COPY OF YOUR HIGH SCHOOL TRANSCRIPT REFLECTING 1ST
SEMESTER GRADES
Notice of Nondiscrimination
The School Board declares it to be the policy of the Elwood Community School Corporation to provide an equal opportunity to all students, regardless of race,
color, creed, age, disability, religion, gender, ancestry, national origin, place of residence within the sending school district, or social or economic background,
to learn through the curriculum offered in this Corporation.
rev. 7/2011
Scholarship Application
Please Check Scholarship(s) Applying For:
VFW and Auxiliary Scholarships
Dan Rayshich Scholarship
Student Advisory Committee Scholarship
Hinds CC Scholarship
Edna Maley Scholarship
James Fouch Scholarship
Therese Fouch Scholarship
Comp Integrated Mfg, Program only
John Morse Scholarship
PERSONAL INFORMATION
Legal Name: Last _____________________ First Name _________________ Middle ___________
Address ________________________________________ City ________________ Zip _________
Birth date (M-D-Y) _____________
High School _______________________________________________________________________
Number of absences from school during current school year: ___________ Tardies: ___________
Parents/Guardians __________________________________________________________________
Father’s Place of Employment/ Occupation _____________________________________________
Mother’s Place of Employment/ Occupation ____________________________________________
CURRENT CAREER CENTER PROGRAM ____________________________________
(must be enrolled in a multi-period program)
POST-SECONDARY PLANS
Planned Area(s) of Study:
Colleges/Schools of Interest: ___________________________________
Applied: Yes No
Accepted: Yes
___________________________________
Applied: Yes No
Accepted: Yes
___________________________________
Applied: Yes No
Accepted: Yes
Do you plan to work while continuing your education?
Yes
No
rev. 7/2011
Hinds Career Center
Scholarship Reference
PART I – To Be Completed by Applicant
Student Name
_________________________________________________________________
First
Middle
Last
Optional: I hereby waive access to this reference ______________________________________________
Signature of Applicant
Upon return of this reference in a sealed envelope, it is the applicant’s responsibility to include it in his or her
application packet.
PART II – To Be Completed By Person Completing Reference
The student named above is applying for scholarships at Hinds Career Center. Your assistance is requested in
supplying information which the selection committee will use to assist in determining the applicant's
qualifications. The applicant may have access to this information unless such access has been waived by his/her
signature above.
When completed, this reference must be placed in an envelope, sealed, and signed across the seal of the
envelope. You may be contacted to verify that you completed this form or to request further information. This
recommendation must be returned to the applicant so that they may include it with their complete application
packet.
Name of Reference ___________________________________
Title ________________________
Address _____________________________________________ Phone ___________________________
Nature of acquaintance with applicant (e.g., supervisor, teacher) _______________________________
Length of acquaintance _________ Signature of Reference __________________________________
rev. 7/2011
RATING SCALE EXPLANATION: People seldom exhibit the same characteristics all the time.
Usually, behavior falls on a continuum between "never" and "always". The five point rating scale (5 being
always) used below symbolizes the continuum. Check the point on the continuum most descriptive of the
frequency with which the candidate you are evaluating evidences this characteristic. If you have not had the
opportunity to judge the behavior in question or are not clear as to the nature of the behavior being
described, check the column headed N/I (No Information). Your supplementary comments will be
extremely helpful.
Never
CHARACTERISTICS
N/I
1
Always
2
3
4
5
LEADERSHIP- Takes initiative; is able to obtain cooperation from others.
PERSERVERENCE UNDER STRESS- Demonstrates the ability to make a sustained effort for
accomplishment of a goal (for example, is likely to complete two or four years of rigorous academic
and technical training).
RELIABILITY-Is faithful to duties; has sense of responsibilities in carrying out assignments.
COOPERATIVENESS I- Works effectively with peers.
COOPERATIVENESS II- Works effectively with supervisors.
PROBLEM SOLVING- Demonstrates the ability to make careful observations and construct
logical inferences. Finds solutions to problems with only moderate assistance.
COMMUNICATION (ORAL)- Speaks clearly with precision and accuracy, without
ambiguity, in day-to-day conversation.
COMMUNICATION (WRITTEN)- Writes precise, accurate, grammatically correct and
unambiguous statements.
INTERPERSONAL REGARD- Exhibits nurturing behavior towards others; establishes esteem
for others, recognizing their competence and worth.
VALUE ORIENTATION- Recognizes his/her own values, likes and dislikes. Comprehends
and accepts as different, but usually appropriate, habits and values unlike his/her own.
FLEXIBILITY- Demonstrates the ability to break set patterns or ideas, observations, feelings,
actions and responses. Is able to see things from several perspectives and is open to change.
ETHICS- Displays honesty, integrity and ethical behaviors.
GLOBAL ASSESSMENT- Displays a combination of personality, judgment, integrity and
suitable maturity.
COMMENTS: Please provide examples illustrating any of the above characteristics or provide additional characteristics, if desired. Is there
any reason why the applicant would not be a good candidate for scholarship?
rev. 7/2011