WESTERN NEBRASKA ADMINISTRATORS
EDUCATION SCHOLARSHIP
Established in 2011 by Administrators of Fifty (50) Western Nebraska Schools
Scholarship Awarded Without Regard to Race, Color, National Origin, Creed or Age
DESCRIPTION:
Amount: Five Hundred Dollars ($500)
Number of Scholarships Awarded: Four (4)
Scholarship Paid at the Beginning of the Second Semester to the Institution Student Attended
the First Semester.
Scholarship may be applied to: Tuition, Books, Board and Room.
Deadline to Apply: April 1, 2015
Recipients will be selected by Scholarship Committee of Administrators.
REQUIREMENTS FOR ELIGIBILITY:
Students Must Graduate from a High School whose Administrator is a Paid Member of the
Western Nebraska Administrators Organization.
Student Must Indicate Interest in a Career in the Education Field.
Complete Application Form.
Submit Two Letters of Recommendation Stating Why Applicant Should Receive the Scholarship:
One from a Teacher in the High School Graduated From
One from a Community Member of the District
Attach a One-Paragraph Narrative Written by Applicant on Why She/HeShould Receive this
Scholarship.
Turn Application and Supporting Documents into the Counselor of Your High School.
Counselors: SubmitApplication, and Supporting Documents to:
WNA Scholarship Committee
% Ted Classen
Creek Valley Schools
P.O. Box 608
Chappell, NE 69129
WESTERN NEBRASKA ADMINISTRATORS SCHOLARSHIP APPLICATION FORM
MUST BE POSTMARKED ON OR BEFORE April 1, 2015
Please Print or Type Your Response
ADMINISTRATIVE INFORMATION:
NAME: _______________________________________________________________
Last
First
Middle Initial
PARENT OR GUARDIAN NAME: ____________________________________________
ADDRESS: _____________________________________________________________
Street Number
P.O. Box
_____________________________________________________________
City
State
Zip
TELEPHONE: ________________________________
NAME OF HIGH SCHOOL: ________________________________________________
ADDRESS OF HIGH SCHOOL: ______________________________________________
Town
State
Zip
GPA: _________
DATE OF GRADUATION: ___________________
NAME OF ADMINISTRATOR: ______________________________________________
NAME OF POST-SECONDARY INSTITUTION YOU PLAN TO ATTEND:
_______________________________________________________________
ADDRESS OF POST-SECONDARY INSTITUTION:
_______________________________________________________________
TELEPHONE OF POST-SECONDARY INSTITUION: ______________________________
INDICATE INTENDED PROGRAM OF STUDY IN EDUCATION FIELD:
_______________________________________________________________
SUPPORTING INFORMATION: Please provide the following information; if additional space is
needed please attach a separate sheet.
PARTICIPATION AND ACHIEVEMENTS IN EXTRACURRICULAR SCHOOL ACTIVITIES:
_________________________________________________________________
_________________________________________________________________
POSITIONS HELD IN GAINFUL EMPLOYMENT AND PERIODS OF EMPLOYMENT:
_________________________________________________________________
_________________________________________________________________
VOLUNTEER WORK PERFORMED AND WHERE IT WAS PERFORMED:
_________________________________________________________________