LSNHS 2016 Scholarship Cover Sheet
Please attach a cover sheet with each individual scholarship application.
Applicant's Name_________________________________________ Date_______________
Address_____________________________________________________________________
City____________________________________________ State________
Zip__________
Home Phone # (_____)_______________________ Cell (_____)______________________
Email Address _______________________________________ Birthdate________________
GPA_______ Class Rank__________
University/College/Trade School you plan to attend:__________________________________
Scholarship Applying for: (Read qualifications for each scholarship before applying. Check ONLY the specific
scholarship for which you are applying (use a separate cover sheet for each scholarship for which you apply).
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Bernard C. Campbell Scholarship (LSHS, LSN and LSW)
Beth Chandler Service Scholarship (LSHS, LSN and LSW– only one awarded districtwide)
Billy Goat Scholarship (LSHS, LSN and LSW)
Carrie Foresee Memorial Scholarship (LSHS, LSN and LSW)
Derek Risner Memorial Scholarship (LSN only)
Harold A. Morlock JROTC Scholarship (LSHS, LSN and LSW)
Jared Rice Lacrosse Scholarship (LSN only)
Jarrod Carroll Memorial Scholarship (LSN only)
Lee’s Summit Teachers Scholarship (LSHS, LSN and LSW)
Lola Rowe Moses Memorial Scholarship (LSN only) (female only)
Major Saver Scholarship (LSHS, LSN and LSW)
Pinnell Family Scholarship (LSHS, LSN and LSW – only one awarded districtwide)
Rachel Dent Athletic Scholarship (LSHS, LSN and LSW) (female student)
Ruth Mitchell Jones Scholarship (LSHS and LSN) (must attend a MO university)
Stepp Into the Future Scholarship (LSHS, LSN, LSW – only one awarded districtwide to former LSE student)
Sue Jacobi Scholarship (LSHS, LSN, LSW – only one awarded districtwide to former PLE student or child of PLE staff)
Todd Davis Memorial Scholarship (LSN only)
Tom Reynolds & Lynn Griffith Robotics Scholarship (LSN only)
For office use only:
John B. Morgan Scholarship (LSN and LSW only – this applicant is to be identified via staff and then asked to submit
an application staff have been provided electronically by LSEF )
Partners In Education Exemplary Student Award (LSN only – student recipient identified via PIE Team)
Data Sheet
Scholarship Name:
Tom Reynolds & Lynn Griffith Robotics Scholarship
Send Application to:
Your Guidance Counselor
(Guidance counselors will forward applications and transcripts to
S. Franke at Foundation Office)
Deadline:
Wednesday, March 9, 2016 – 3:00 p.m.
Background:
This scholarship was established to honor teachers and coaches Tom Reynolds &
Lynn Griffith for diligently guiding robotics students; for demonstrating gracious
professionalism, integrity, and dedication; and for leading by example.
Purpose:
This fund was established to provide financial support to a LSN graduating senior
who was an active member in good standing of The Broncobots, and who
is pursuing continued education in Science, Technology, Engineering or Math.
Number of Recipients:
One
Scholarship Amount:
$500
Guidelines:
Graduating senior from Lee’s Summit North High School.
Broncobot team member in good standing.
Plans to further their education at an accredited university, college or technical school
pursuing a STEM (Science, Technology, Engineering, Math) career.
Financial need may be considered.
The applicant must show evidence of being a well-rounded individual displaying
exemplary character and exhibiting high academic achievement.
The recipient shall in no way be limited by gender, race, religion, or any other
designation that could exclude an individual.
a.
b.
c.
d.
e.
f.
Process:
The Selection Committee will consist of at least one Broncobot coach, two mentors, a
representative of the originating donor family, and a representative from the Lee’s
Summit Educational Foundation. The award will be announced at the Academic
Awards Night.
Scholarship Payment:
The Scholarship will be made by a LSEF check payable jointly to the recipient and his
or her choice of a higher learning institution. To receive the check, recipient must send
proof of enrollment to Sheryl Franke, 301 NE Tudor Road, Lee's Summit, MO 64086.
Tom Reynolds and Lynn Griffith
Robotics Scholarship
Application Form
Please return your responses to the following application questions and the cover sheet
to your guidance counselor by Wednesday, March 9, 2016.
1. Please list the community outreach activities you have participated in specifically for/with The
Broncobots.
2. Describe how your participation in robotics has made you a better, more well-rounded person.
3. Describe a lesson you have learned from a coach, mentor or teammate.
4. Relate a favorite memory from an off-season event, the build season, or a regional competition.
5. Discuss your university choice and your anticipated STEM area of study.
6. Please list other civic, school and community activities, outside of robotics, in which you have
participated.