Fred Barnowsky Memorial Scholarship
This $1,000 scholarship is being offered through Polson Dollars for Scholars in memory of Fred Barnowsky,
a long-time resident of Northwest Montana . He was employed by the Forest Service and was one of the
early smoke-jumpers based out of Missoula.
Criteria for the receipt of the Fred Barnowsky Memorial Scholarship is as follows:

Applicant must be a Polson High School graduate currently attending any accredited twoyear, four-year, or vocational school.

Financial need will be considered as a factor in determining scholarship recipients
Applicants must include the following:
►Copy of FAFSA Student Aid Report or copy of parent and student’s last two 1040 forms
► Official transcript
► Current Photo
► A comprehensive resume.
► Three current letters of recommendation (to include one school
faculty/administrator and one community member, no relatives)
► Write an essay no longer than two pages – typed and double-spaced – on the following topic:
What is our role as stewards of the environment?
Applications must be returned to the SKC Career Center no later than 3:30 April 10, 2012 .
Please return all pages with application.
Scholarship Application
Applicant Data—Please include a current photo
Please Print or Type
Mr.
MS. _______________________________________________________________________________
Name
Last
First
Ml
Permanent Address
Date of Birth
Street
Month, Day, Year
City
Telephone Number
State
Zip Code
E-Mail Address
Name of parent/guardian
___________________________________________________________________________________________
Permanent mailing address of parent/
Guardian if different from applicant
___________________________________________________________________________________________
Street
City
State
Zip Code
Telephone Number
School Data
High School ________________________________________Graduation Date: Month _____ Year _________
Name of post-secondary school for which applicant’s scholarship is requested
_______________________________________________________________
Student will: Live on campus
Enrolled:
Live off campus
4-year College/University
Community College
Technical College
Commute
less than half-time half-time or more full-time
Anticipated date of graduation from post-secondary program ____________________________________________
Major field of study applicant plans to pursue ______________________________________________________________
Scholarship Application
These items must be included in your resume.
The following information should be listed in chronological order (most recent to
oldest). This information may be typed, double-spaced and attached with the
proper headings.

Honors and Awards: State year and name of activity. Include position of leadership.

Out of School Activities: State the name of the activity. Include organizations, volunteer
programs, 4-h, scouting, church groups, etc. Include hours involved in each activity.

College Activities: State the name and activity. Include organizations, extracurricular sports,
drama, speech, journalism, choir, and service groups. Include hours involved in each
activity.

SERVE/ Community Service Activities: State year and description of activity. Include
how it helped the community or others. Were you a part of a group or was this an individual
effort? Include hours involved in each activity.

Types of Part-time and Summer Employment: State year and type of employment. List:
employer’s name; title, business name, complete address, phone number. Describe job,
duties, responsibilities, and skills required.

Anticipated savings prior to entering a post-secondary school. $____________
Please include your name and date on each page of the application and return all pages
with the application.