NAME____________________________ School________________ Program____________
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Foundation
Student Scholarship
Application 2015
APPLICATION MUST BE COMPLETED AND SIGNED BY THE APPLICANT
Submit to West Sound Tech School Office/ Kari Morgan by April 17, 2015.
This year we are offering two types of scholarships, Academic Scholarships for students
who will continue with formal education after high school, and Career Equipment Needs
Scholarships for those who will enter the workforce in an occupation relevant to their
training at WST. Students will be interviewed during the week of May 4th. Recipients of
the scholarship must attend the West Sound Tech Foundation awards luncheon on
May 20, 2015 to receive their award.
Scholarships have a 2 year expiration date.
Please check below for type of scholarship requested.
___ Career Equipment Needs Scholarship $1,000.00
___ College and or Technical School Scholarship $1,000.00
Applications and instructor evaluations will be reviewed by the panel members. Each
panel member will rate each response on a scale of 1-5. In addition, each applicant will be
interviewed and evaluated by the panel.
Final determinations will be made by the panel according to a weighted distribution point
system. The weighted point formula is 50% Interview, 30% application, 20% Instructor
Evaluation.
NAME____________________________ School________________ Program____________
APPLICATION MUST BE COMPLETED AND SIGNED BY THE APPLICANT
Submit to School Coordinator by April 17, 2015
Name
Last
First
Middle Initial
Street Address (Must Have Both Street and PO Box if applicable)
City
Zip
County
Phone
School (Where you are currently enrolled)
Career and Technical Education Program
Address and Zip Code
Student Leadership Organization
101 National Ave. N. Bremerton, WA 98312
(if applicable)
College or Private Vocational School you may attend
Intended Program of Study
For statistical purpose, your voluntary cooperation is requested indicating the
following (Check all that apply)
Asian
Black/African American
Mexican/Hispanic
Student Signature
2015 West Sound Tech Contact Information
Instructor Name, Phone and Email
Male
Female
Mixed (Specify Optional)
Native American
Other (Specify Optional)
White
Date
MUST BE COMPLETED AND SIGNED
Signature
NAME____________________________ School________________ Program____________
APPLICATION RESPONSES (typed or printed)
TO BE COMPLETED BY APPLICANT (continued)
Applicant Name
Last
Limit information to the directions provided.
First
Middle Initial
Responses must at least 12 point type.
Statement of Need Describe in 200 words or less why you are applying for this award.
.
Leadership Describe in 200 words or less activities that demonstrate your initiative and how you provide
positive contributions to your school, including leadership, citizenship, and interpersonal skills.
NAME____________________________ School________________ Program____________
APPLICATION RESPONSES (typed or printed)
TO BE COMPLETED BY APPLICANT (continued)
Applicant Name
Last
First
Middle Initial
Limit information to the space provided. Responses must be no smaller than 12 point type.
Community Service Describe in 150 words or less what community services or volunteer services
have you done? (Activities not related to school functions).
Career and Technical Plans Describe in 150 words or less your career and technical skill(s) and how
you plan to use them in your future.
Other (work experience, etc.) In 150 words or less, describe your occupational work experience,
particularly work experiences related to your career and technical education program, including any
employment, cooperative education, work study, or experience obtained in the home or family
environment. You may include other information, such as unique accomplishments, grade point average,
or special circumstances not indicated in other sections.
NAME____________________________ School________________ Program____________
APPLICATION RESPONSES (typed or printed)
TO BE COMPLETED BY APPLICANT (continued)
Applicant Name
Last
First
Middle. Initial
Limit information to the space provided. Responses must be no smaller than 12 point type.
Student Narrative Explain in 300 words or less what career and technical education has meant to you.
You may do this in the form of a letter, report, or narrative account, but the preparation must be your
own.
NAME____________________________ School________________ Program____________
APPLICANT EVALUATION (typed or printed)
TO BE COMPLETED BY THE INSTRUCTOR
Applicant Name
Last
First
Middle Initial
Instructor Name
Last
First
Middle Initial
The above applicant is enrolled and, by June 30, 2015, will meet the following criteria:
a. High school applicants must graduate and have completed a minimum of 360 hours in a single, approved career and
technical education program.
Please provide a written evaluation in the areas indicated below.
Proficiency Level Describe the quality of work performed in the occupational area. Give consideration to
the student who demonstrates initiative, but is unable to achieve proficiency as rapidly as his/her peers due
to a special need.
Leadership Describe the student’s involvement in leadership activities that have a positive influence on
other students, the school, or community.
APPLICANT EVALUATION (typed or printed)
NAME____________________________ School________________ Program____________
TO BE COMPLETED BY THE INSTRUCTOR (continued)
Applicant Name
Last
First
Middle Initial
Instructor Name
Last
First
Middle Initial
Please provide a written evaluation in the areas indicated below.
Attitude & Character Describe in the student’s attitude and commitment towards school, assignments,
other students, instructional staff, administrators, career, and work. Describe the student’s honesty,
trustworthiness, and reliability.
Attendance Describe the student’s record of school attendance and punctuality. This attribute is an
indication of the student’s commitment.