YOPST SCHOLARSHIP TRUST
APPLICATION YEAR 2013-2014
The Yopst Scholarship Trust Fund is providing scholarships for deserving students. The Center for Scholarship
Administration, Inc. (CSA), a non-profit, independent organization is the Facilitator of the scholarship fund.
QUESTIONS AND ANSWERS ABOUT THE PROGRAM
Q:
A:
Who is eligible for the scholarship?
Applicants must be graduating seniors from a high school located in Wabash County, Indiana, or from any
of the high schools located in the five counties bordering Wabash County.
Applicants must have a minimum cumulative GPA of 2.0 on a 4.0 scale by the end of the Spring 2012
semester.
Applicants must demonstrate traits of high personal character and leadership.
Applicants must be planning to attend college in the fall of the year the award is made
Q:
A:
When is the deadline for submission of materials?
The deadline for submission of this application along with the additional required materials is a postmark no later
than FEBRUARY 1, 2013. Materials must be mailed in ONE envelope to the Yopst Scholarship Trust, 4320
Wade Hampton Boulevard, Suite G, Taylors, SC 29687.
Q:
A:
What constitutes a complete application packet?
You must submit the following additional materials:
1. Submit a completed PAPER APPLICATION along with signed TERMS OF AGREEMENT, found in this
application.
2. Submit an OFFICIAL TRANSCRIPT with grades and cumulative GPA posted through the Spring 2012
semester. (It must be OFFICIAL)
Q:
A:
What is the value of the scholarship award?
The number of recipients and the amount of each scholarship may vary from year to year due to fluctuations in the
Fund’s value and/or applicable document restrictions.
Q:
A:
What schools can a recipient attend?
The recipients may attend any accredited two-year or four-year college or university, technical or vocational
school in any field of study leading to a degree, as full-time students, provided the institution meets the criteria in
the following paragraph.
The institution must be an educational organization that normally maintains a regular faculty and curriculum and
normally has a regularly enrolled body of pupils or students in attendance at the place where its educational
activities are regularly carried on. To the extent the institution is involved in the selection of the recipients (if at
all), such involvement must comply with the Fund’s policy of awarding scholarships on an objective and nondiscriminatory basis as well as the Fund’s Conflict of Interest Policy.
Q:
A:
What if I am unable to attend consecutive semesters?
Extenuating circumstances requiring a student to sit out a semester must be explained in writing to CSA. You
will be notified of the final decision. If a recipient is out for a semester, then that semester is forfeited.
Q:
A:
How are winners selected?
An Awards Advisory Committee will consider the respective ability, educational goals and career ambitions of
each applicant.
Q:
A:
How will I be notified if I am chosen as a recipient?
All complete applicants will be notified of the decisions of the committee.
Q:
A:
Is this scholarship renewable?
These scholarships are for the year awarded only and are non-renewable.
YOPST SCHOLARSHIP TRUST
APPLICATION FOR SCHOLARSHIP AWARD FOR 2013-2014
Complete this section regarding personal information:
First Name _____________________________ MI _______________ Last Name ______________________
Date of Birth
_________/_________/_________
 Male
Gender:
Female
Country of Citizenship ___________________________________________________
Home Address (Street)________________________________________________________________________
Home Address (Apt #)___________________________________________________________________
City ____________________________ State _________________ Zip ___________
Primary Phone
_________________________
Type _____________________
Secondary Phone
__________________________
Type _____________________
Email address ___________________________________________________________________________
Complete this section regarding your high school information:
Currently enrolled at (name of high school) __________________________________________
Anticipated HS graduation date ___________/______________
Month
Year
Complete this section regarding your education plans for 2013-2014:
Name of college planning to attend 1st Choice_____________________________________
Location of college planning to attend __________________________________________
City
Type of College – 2 Year or 4-Year
State
_________________
Name of college planning to attend 2nd Choice_____________________________________
Location of college planning to attend __________________________________________
City
State
Type of College – 2 Year or 4-Year
_________________
Classification for upcoming fall term
FR SO  JR SR
Anticipated Date of College Graduation ________/_________
Month
Year
Complete this section regarding “known” or “applied for” financial aid
Will you be receiving any other form of scholarship aid for academic year 2013-2014?____
If yes, list name of scholarship
______________________________
Annual Amount
_____________
Renewable (yes or no)
__________________
______________________________
_____________
__________________
______________________________
_____________
___________________
Complete this section regarding family information:
Mother’s Full Name_________________________________________________________________
Mother’s Occupation______________________
Mother’s Employer___________________________
Father’s Full Name_________________________________________________________________
Father’s Occupation_______________________
Separated
Father’s Employer___________________________
Parent’s are:
Married
Divorced
Other
Applicant lives with:
Both Parents One Parent One Parent and Stepparent Other
REMEMBER
You must submit the following in ONE envelope in order for your application to be complete:
1. Submit a completed PAPER APPLICATION along with signed TERMS OF AGREEMENT, found in the
application.
2. Submit an OFFICIAL TRANSCRIPT with grades and cumulative GPA posted through the Spring 2012
semester. (It must be OFFICIAL)
DEADLINE
Deadline for submission of all materials is a postmark no later than FEBRUARY 1, 2013. Faxed copies and
materials received after the postmark deadline will not be considered.
MAIL ALL INFORMATION TO:
YOPST SCHOLARSHIP TRUST FUND
4320 WADE HAMPTON BOULEVARD, SUITE G, TAYLORS, SC 29687
TERMS OF AGREEMENT
Yopst Scholarship Trust
YOU MUST PRINT AND SIGN THIS PAGE. INCLUDE THE SIGNED FORM IN THE APPLICATION PACKET.
I understand that certain persons may not be eligible to apply for this scholarship. In order to avoid potential conflicts of interest or
the appearance thereof and in order to avoid certain forms of self-dealing described in Section 4941 of the Internal Revenue Code,
the following persons shall not be eligible for or receive any scholarship offered by the Wabash County Scholarship Trust Fund.
Any "Interested Person: (which term includes, for the purposes of this document, any donor, trustee, selection
committee member, advisory board member, and staff members of the Fund, and those otherwise deemed to be
"disqualified persons" under the Internal Revenue Code);
the spouses and ancestors of Interested Persons;
the children, grandchildren, and great-grandchildren of Interested Persons;
the spouse of any child, grandchild, or great-grandchild of an Interested Person;
current employees of Wells Fargo and CSA and their spouses, ancestors, children, grandchildren, great-grandchildren
and the spouses of such children, grandchildren and great-grandchildren.
I acknowledge that I have read and agree to provide the additional materials required to complete my application.
I certify that the information contained in this application and all other materials submitted by me for consideration of this
scholarship are to the best of my knowledge accurate and true. I also certify that the personal statement is my own work.
I authorize my school to provide the Awards Advisory Committee with any and all requested information concerning my enrollment,
grades, SAT/ACT scores or any combination of the above, and any other information deemed necessary by the Awards Advisory
Committee to enable them to make an informed decision regarding the selection of recipients.
I give Wells Fargo Bank/CSA permission to list my name as a scholarship recipient on the Wells Fargo Bank/CSA website if I am
chosen as a recipient.
I understand that this is a competitive scholarship program. Scholarships shall be awarded on an objective and non-discriminatory
basis, with neither race, creed, color, sex, age, religion, national origin nor disability being considered. Selections are based on
information received from the application and the additional materials postmarked by the deadline. Decisions of the committee are
final and justification for recipient selection(s) by the Awards Advisory Committee, CSA, Wells Fargo Bank staff will not be
disclosed under any circumstances.
I understand that if I do not submit all the required materials by the postmark deadline that I will not be considered for a scholarship.
I have read the above terms and certify that I am eligible to apply for a scholarship and that I will abide by these terms.
YOU MUST PRINT AND SIGN THIS PAGE. INCLUDE THE SIGNED FORM IN THE APPLICATION PACKET.
_______________________________________ _______/_______/_______
Signature
Date
_______________________________________
Print Name
By signing your name you certify that you agree to the terms of this scholarship process.