THE NANCY L. NIXON MEMORIAL SCHOLARSHIP FOR ST VRAIN HIGH SCHOOLS GRADUATING SENIORS SPONSOR: AWARD AMOUNT: ELIGIBILITY: RESTRICTIONS: SELECTION BASIS: SELECTION BY: FORMS: FINANCIAL AID: DEADLINE CONTACT: HELPFUL HINTS The Nancy L. Nixon Foundation -­‐ A 501 (C)3 Tax Exempt Not For Profit Corporation recommendation letter from someone who knows you other than your teachers. One Thousand Dollars ($1,000) payable in one amount directly to the college/university where the student has been accepted. Any Senior scheduled to graduate this academic year Students must be accepted and attend an accredited two or four year college or university. Extra consideration will be given to students attending in state supported institutions. 100 maximum points scored as follows: Cumulative Scholastic Record. Copy of Transcript Required........................ 40 Points Your most recent ACT/SAT scores. Include with transcript.......................... 10 Points A one page (single spaced) essay. Tell us about yourself and why you deserve this scholarship. Include the following topics:................................................ 15 Points School Clubs, Sports, Student Offices, Special Recognitions............................. 5 Points Volunteerism in your community....................................................................... 5 Points Part time jobs held or participation in family farming......................................... 5 Points Letters of recommendation................................................................................ 5 Points Special situations such as single parent, physical handicap, etc......................... 5 Points Extra Credit-­‐ for something remarkable that you have achieved....................... 5 Points Financial Need..................................................................................................... 5 Points The Foundation Scholarship Committee The attached Application Form together with the foregoing documents. Applicants may include other materials for consideration. Extra consideration will be given to students with financial need but this is not a requirement for selection. Students who wish to be considered for financial need should submit the required information requested in the Application Form. February 26, 2015. Extensions considered for good cause. Award date-­‐no later than May 1 Submit your completed Application with all attachments to: Your Counselor or you may mail to the Foundation-­‐ 6231 Prospect Road -­‐ Longmont, CO 80503 by the deadline. Your academic record is very important but accounts for only half of the considerations in evaluating your application. Any student with reasonable grades has a chance to win this scholarship. Your essay should be very thorough. This is no time to be modest. Past accomplishments are important but so are your goals and aspirations. Try to avoid using "undecided" but if you do tell us why. Try to obtain at least one We thank you for your application and extend our congratulations and best wishes on your upcoming graduation. THE NANCY L. NIXON MEMORIAL SCHOLARSHIP APPLICATION FORM FULL NAME___________________________________ SOCIAL SECURITY NUMBER (required for award) MAILING ADDRESS_________________________CITY____________________ZIP CODE______________ PHONE NUMBER_______________________EMAIL___________________MALE______FEMALE_______ FATHER'S NAME____________________________OCCUPATION________________________________ MOTHER'S NAME___________________________OCCUPATION ________________________________ NUMBER OF SIBLINGS: YOUNGER_______OLDER________NUMBER IN COLLEGE____________________ WHAT HIGH SCHOOL ARE YOU ATTENDING__________HOW MANY YEARS _____LIST OTHER HIGH SCHOOLS YOU HAVE ATTENDED__________________________________________________________ WHAT COLLEGE OR UNIVERSITY DO YOU PLAN TO ATTEND_____________________________________ HAVE YOU MADE APPLICATION_____HAVE YOU BEEN ACCEPTED_____DATE OF ACCEPTANCE_________ HAVE YOU SUBMITTED THE FAFSA APPLICATION_______IF NOT DO YOU REQUIRE ASSISTANCE________ WHAT IS YOUR INTENDED FIELD OF STUDY IN COLLEGE________________________________________ WHAT ARE YOUR CAREER GOALS__________________________________________________________ HAVE YOU ATTACHED: TRANSCRIPT AND ACT SCORE_____LETTERS OF RECCOMENDATION___________ HAVE YOU ATTACHED YOUR ONE PAGE, SINGLE SPACED, TYPEWRITTEN ESSAY_____________________ DID YOU INCLUDE ALL, OR MOST, OF THE FOLLOWING TOPICS IN YOUR ESSAY: SCHOOL ACTIVITIES SUCH AS SPORTS, BAND, CHOIR, CLUBS SUCH AS NHS, OFFICES HELD, HONORS OR LEADERSHIP RECOGNITIONS, PARTICIPATION IN ORGANIZATIONS OUTSIDE OF SCHOOL SUCH AS SCOUTING OR CHURCH, YOUR EXPERIENCE AS A VOLUNTEER IN THE COMMUNITY, YOUR PART TIME JOB WORK EXPERIENCE, HOW YOU SPENT OR SAVED MONEY YOU EARNED, ANY SPECIAL SITUATIONS IN YOUR FAMILY YOU WOULD LIKE FOR US TO KNOW ABOUT. FINISH THIS SENTENCE: THE MOST IMPORTANT THING ABOUT MY EDUCATION IS_________________ ____________________________________________________________________________________. Page Two FINANCIAL INFORMATION AND PARENTS CERTIFICATION (All information on this page to be treated in the most confidential manner) Applicant's estimated expenses for the college academic year: Tuition, Books, Fees $________Room/Board $_________Other $__________ Total $________________ Applicant's estimated earnings next summer $______________Next academic year $________________ Applicant's Savings Account $___________Value of other scholarships received $___________________ Based on the most current tax returns -­‐ Parents Gross Income $__________ Tax Paid $______________ Tax Exemptions Claimed_________. Cash, Savings Accts, Stocks, Bonds-­‐ Est Total $_______________ Please tell us of any unusual personal or economic situations in your family not included in your essay. _____________________________________________________________________________________
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_____________________________________________________________________________________ Signature of Applicant________________________________________Date_______________________ CERTIFICATION AND AUTHORIZATION We have checked this form for omissions and errors. To the best of our knowledge and belief the information reported is correct. We authorize its confidential use by any appropriate scholarship committee. Signature of Parent or Guardian___________________________________Date____________________