Hiawatha High School Class of 1984
Scholarship Application
The Class of 1984 Scholarship Fund will award three $1,000 scholarships to graduating seniors from Hiawatha
High School. Members of the 1984 class created the scholarship to recognize the outstanding education they
received at Hiawatha High School and to show appreciation for the community scholarships they received
many years ago.
The Class of 1984 Scholarship is intended to recognize a well-rounded student who plans to continue their
education at a four-year college, community college, or vocational school. Members of the class serve on the
Scholarship Committee and may change the criteria from year to year. The selection of the recipient will be
made without any regard to gender, national origin, or religion. The Scholarship Recipient will be announced
at the Senior Awards Night in May. The scholarship award will be made directly to the educational institution
for tuition expenses in the Fall of 2016 in a one-time installment of $1,000, upon proof of enrollment.
Applications will be available from the high school counselor’s office in January 2016 and are due back to the
Hiawatha Education Foundation office on the deadline established by the counselor’s office.
Applicants must meet the initial selection criteria:
 Graduate from Hiawatha High School in May of the year the award is made.
 Attend Hiawatha High School since the beginning of the junior year.
 Achieve a GPA cumulative average of 2.50 or higher on a 4.0 point scale.
 Enroll as a full-time student (12 hours minimum) at an accredited four-year college, community
college, or vocational school in the Fall of 2016 semester.
 Return the completed 3-page application, transcript, and essay to the counselor’s office by the
deadline. Applications without all three items will not be scored.
Instructions: The student should complete the application and essay with minimal outside assistance.
Application: Complete the application as received with legible printing or by typing within the electronic Word
document. Ineligible words or responses will not receive a score. Do not reformat the application – each page
should retain the same content as each individual page of the original blank application.
Essay: The essay must be typed. See additional essay instructions in the application.
A committee will conduct a blind review and score the following criteria as a general guide to their decision:
Essay
30 points
Extra-curricular involvement
15 points
Community service and organizations
15 points
Honors/awards
10 points
GPA (transcript required)
10 points
ACT/SAT scores (if taken/required – See application**)
10 points**
Work experience
10 points
Total
100 points
Congratulations and best wishes to all seniors in the Class of 2016!
Hiawatha High School Class of 1984
Scholarship Application
Name:_______________________________________________
(Your application will receive a blind review, without your name, by the scholarship committee. By submitting
this application, you are attesting that this is your original work and you received minimal outside assistance.)
Email:_______________________________________________
Essay
Write an essay based on the 2016 prompt. The essay is the highest weighted portion of the scholarship
application and should be given critical thought and effort. The essay should be the primary work of the
student.
The first paragraph of the essay should be a few statements regarding the selected post-secondary education
institution(s), as well as a description of college major or career choice. The statement and essay combined
should be a minimum of 1 page but no more than 1 ½ pages, single-spaced in 12-point font with 1-inch
margins. Scores will be based on clarity of thought, completeness, and appropriate use of grammar and
punctuation.
The essay will not be scored if 1) hand-written, 2) does not follow format instructions, and 3) is not based on
the prompt topic.
2016 Essay Prompt: Describe an experience that has shaped your character.
Extra-curricular involvement
List up to seven extra-curricular activities you have participated in at Hiawatha High School such as sports,
clubs, music, competitive academic teams, etc. Place an asterisk (*) next to your favorite activity.
Activity
Leadership/positions held
9th
10th
11th
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Community service and organizations
List up to seven non-school related community service projects (one time or ongoing) for which you have
volunteered and membership in any community organizations (4-H, Scouts, faith organizations, etc.) since the
fall of your freshman year. Be specific on the number of hours. For organization membership, list any
leadership positions. Place an asterisk (*) next to your favorite activity.
Organization & Responsibility/Leadership position
# Hrs/Week
# Weeks/Yr
9th
10th
11th
12th
Honors/awards
List any honors or awards you have received based on performance or competition in school or community
events. This may include Honor Roll, Varsity Letters, Girls/Boys State, National Honor Society, etc. Place an
asterisk (*) next to the award you are most proud to receive.
Award – Title and brief description (if necessary)
Awarded by
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GPA
Include a copy of your unofficial transcript from the school office. Applications without an unofficial
transcript will not be scored.
Cumulative GPA:________
ACT/SAT score**
_______ACT Total (Highest scores in math, reading, science and combined English/writing )
_______SAT Total (Highest scores in critical reading, math, and writing from a single setting. Do not include
any subject test scores.)
______I did not take the ACT or SAT tests and do not have scores to report because the tests are not required
by the institution where I plan to enroll Fall 2016. Name of the institution:_____________________________
**Note: The application scoring will be pro-rated to exclude this section for vo-tech and community college students that did not take
the ACT or SAT. However, any student that did not report ACT or SAT scores, indicates plans to attend a vo-tech or community
college, and receives a scholarship will only receive the award upon enrollment in a vo-tech program or community college.
Work experience
Describe any part-time jobs while attending high school from fall of freshman year through fall of senior year.
Be specific about the number of hours per week and the number of weeks you have worked that position.
Place an asterisk (*) next to the job you felt taught you the most about responsibility or influenced your
career decision.
Employer/Position
# Hrs/Week
# Weeks/Yr
9th
10th
11th
Thank you for completing the HHS Class of 1984 Scholarship application.
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