P.O. Box 3312 Lacey, Washington 98509-3312 Message Phone 360-951-4365 www.ntef.org ntef@hotmail.com NORTH THURSTON EDUCATION FOUNDATION 2014-15 APPLICATION FORM AND INSTRUCTIONS The North Thurston Education Foundation offers scholarships to graduating seniors from district high schools to assist them in financing their post-high school education. In addition to graduating from a North Thurston Public School high school, applicants must have demonstrated (1) the skills necessary to succeed in their chosen post-secondary school; (2) good citizenship and leadership qualities; and (3) a need for financial assistance to meet their educational goals. Full details about the scholarships and the criteria for selection are available on the Foundation’s website at http://www.ntef.org/scholarships/. Graduating seniors who would like to apply for one or more of these scholarships must complete the attached application, sign it and submit it to their high school counseling office or by mail to the Foundation no later than April 17, 2015, along with the following required attachments: 1. An official signed transcript of their high school courses and grades through the first semester of their senior year; 2. Two letters of recommendation, as follows: a. One from a teacher or counselor which documents scholarship, leadership and citizenship qualities and potential for success in post-high school education; and b. One from a member of the community who is not a member of your family or an employee of the school district; NOTE: To be considered for the Lisa Corwin Memorial Scholarship, applicants must submit a third letter of recommendation, also from a teacher or counselor, which documents scholarship, leadership and citizenship qualities and potential for success in post-high school education; 3. A short essay (no more than 500 words) responding to one or more of the topics below. Please note that the scholarships offered by the North Thurston Education Foundation require that specific topics be addressed in the essay, and they are identified below. In order to be considered for more than one scholarship applicants must submit an additional essay for each scholarship for which they are applying, but only need to submit one application form. All essays must include the applicant’s name, the name of the scholarship for which they are applying, and the topic that the essay addresses at the top of each page. Applicants should check the criteria for each scholarship to make sure that they are eligible before applying. The required essay topics are as follows: 1. Davies Vocational-Technical Scholarship -- What is the most important invention or technological advance in your area of vocational-technical education and why? 2. John Gott Educational Scholarship - What do you consider to be the most difficult challenge that teachers will face in the next 10 years and why? 3. Roy Pedersen Memorial Scholarship and Foundation Scholarships - How will your college education help you accomplish your goals for your life? (NOTE: applicants for both need only submit one essay.) 4. Jeannette Hostetter Ford Memorial Scholarship - What do you consider to be the most important event of the century and why? 5. Lisa Corwin Memorial Scholarship - Why do you wish to attend the chosen institution named above, and how do your personal goals relate to the choice of institution? 6. Frank Parker Memorial Scholarship - How does your pursuit of math or science contribute to your creativity and your ability to accomplish your life goals? 7. Alex Ward Memorial Scholarship (NTHS seniors only)- How do you think your involvement with sports has helped you develop the qualities of leadership, self-discipline and decision-making necessary to be successful? NORTH THURSTON EDUCATION FOUNDATION SCHOLARSHIP APPLICATION APPLICANT INFORMATION Last name: First name: Middle: Street address: Mr. Miss Email: Phone: ( P.O. Box: High School Name: City: ) State: Mother’s Name: Father’s Name: ZIP Code: Number of siblings: If NO, please list the name, address, and relationship of your guardian: Do you live with your parents? Yes No Please enter the adjusted gross income (AGI) from the 2014 Federal Income Tax return filed by your parent(s) or guardian(s). If your parents did not file a joint return, their individual AGI should be combined. The AGI is found on Line 4 of IRS Form 1040EZ, Line 21 of IRS Form 1040A, or Line 37 of IRS Form 1040. Enter the correct amount here: __________________ What is the name and address of the college, university, or technical school that you plan to attend if you receive this scholarship? Have you already been accepted for admission? Yes No If yes when will you begin (MM/YY)? What course of study will you most likely pursue (intended major)? Please list all other scholarships and/or financial aid you have received or expect to receive: List the activities you have been involved in through the school, including community activities that have been sponsored by the school program. School Activities Grade level of year of participation Approximate number of hours per week Position held or honors won Outside Activities Grade level of year of participation Approximate number of hours per week Position held or honors won Briefly summarize any employment experiences you have had, including the name of the employer, how long you worked for the employer, the average hours per week worked and a description of your duties. Employer Name How long you worked here Average hours worked per week Brief Description of your duties I certify that all information on this application and the other documents submitted with it are true and correct to the best of my knowledge. If I am awarded a scholarship, I agree to submit a copy of my senior picture or a similar photograph and consent to the Foundation’s use of the photograph to promote the Foundation’s Scholarship Program. Date:__________________________________ Signature of applicant ____________________________________