Norfolk Public Schools Foundation Scholarship
Application Instructions
Thank you for your interest in applying for scholarships offered through the Norfolk Public Schools Foundation. We are proud
to represent our many donors and offer these outstanding scholarship opportunities to Norfolk High School graduating
seniors. We have streamlined the process by consolidating the application process into one comprehensive application. By
completing one application you can apply for multiple scholarships. Check back often as new scholarships can be added at any
time. If you have already completed an application, and a new scholarship is added, simply complete a second application for
that scholarship.
To apply please read and follow these instruction carefully:
 Complete page 2 of the following application. This page is required but will be for office use only. Scholarship
applications are kept anonymous during the selection process. Your name will be removed from all documents and
forwarded to the selection committee.
 Complete the additional information necessary on page 2-7 of the application. Please be sure to mark all
scholarships for which you would like to be considered. If you do not mark the scholarship, you will not be
considered. Only complete the essays pertaining to the scholarship(s) for which you are applying. Essays should be
typed and must be included with the application at time of submission. Please put the Scholarship Name and your
Student ID# in the header of each page. To ensure anonymity please do not use your name in the essay. Please review
the website information (www.norfolkpublicschools.org) to determine what additional information is required for
each scholarship.
 To determine financial need we use the SAR (Student Aid Report) from the FAFSA (Free Application for Federal
Student Aid). If the scholarships you are applying for lists "financial need" in the selection criteria you will need to
provide us with a copy of your FAFSA. No other financial aid form will be accepted. To ensure anonymity, these
reports will be used "in office" only to determine eligibility and will not be shared with the selection committee.
 Transcripts are required and must be attached to this completed application at time of submission. The lack of a
transcript will disqualify the applicant. If you have questions regarding transcripts, please contact the Guidance Office.
To ensure anonymity your name will be blacked out by our office for the selection process.
 Letters of Recommendation are a requirement for many scholarships. If your application is being considered for a
scholarship that requires a Letter of Recommendation from a NPS staff member, those recommendations must be
attached to the completed application at time of submission. To ensure anonymity please ask your reference to not
refer to you by name. All references to your name will be blacked out for the selection process. If you have multiple
recommendations in your packet please note which scholarship(s) each recommendation is intended to accompany.
 It is the responsibility of the student applying to ensure all fields and required items have been completed correctly
and turned in by the deadline date. Incomplete applications, not meeting the requirements of the selection criteria
as defined on the NPS website (www.norfolkpublicschools.org, Foundation, Traditional Scholarships), will be
disqualified from consideration.
 You must be a member of the graduating class of Norfolk High School to apply for NPSF Scholarships. If you will
receive a diploma from Norfolk Public Schools on graduation day you are eligible to apply.
 Mail or deliver your printed application and all supporting documentation to:
Norfolk Public Schools Foundation
Attention: Scholarship Committee
512 Philip Avenue, PO Box 139
Norfolk, NE 68702-0139
 Selected recipients will be notified by mail prior to the Honors Night presentation. (The Jenna Krivohlavek Memorial
Scholarship recipient and Cindy Froehlich Memorial Scholarship recipient will be held in confidence and revealed in
person at Honors Night. If you apply for those scholarships you must be present at Honors Night.)
Best wishes to you on your quest for post-secondary educational scholarships. The NPS Foundation hopes you have
much success as you leave Norfolk High School and go on to do great things!
Any questions or concerns can be directed to the NPS Foundation office at 402-644-2500, ext 1174 or
sarahdittmer@npsne.org; or at the Senior High Guidance Office. Thank you!
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Central Administration Bldg – 512 Philip Ave – PO Box 139
Phone: 402-644-2500, ext 1174
Website: www.norfolkpublicschools.org Email: sarahdittmer@npsne.org
Student ID #:
Application Date:
Student Name:
Address:
City/State/Zip:
Parent/Guardian Name(s):
Home Phone:
Cell Phone:
Email Address:
Yes, I agree to allow the NPS Foundation to use my photo/likeness in any marketing materials (including the
website and FaceBook) to promote the work of the Norfolk Public Schools Foundation.
Application Deadline: March 23, 2016 at 4:00 p.m.
Before submitting your application please review the "Traditional Scholarships" section on the "Foundation" page
of the NPS website at www.norfolkpublicschools.org to be sure you have all the supporting documents
including transcripts, teacher recommendations, etc.
Mail or deliver your printed application and all supporting documentation to:
Norfolk Public Schools Foundation
Attention: Scholarship Committee
512 Philip Avenue, PO Box 139
Norfolk, NE 68702-0139
Please remember to not include your name in any supporting materials such as letters of recommendations
or essays. All references to your name will be blacked out by the NPSF office to ensure anonymity.
The information contained herein is true and accurate to the best of my knowledge. I understand that information given
falsely will result in an ineligible application.
Applicant’s Signature ___________________________________________________ Date __________________
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Student ID#:
Year of NHS Graduation:
Number of years as a student at NPS:
SAT Scores (List in order of Critical Reading/Math/Writing):
Class Rank:
ACT Composite Score:
GPA:
Yes, a transcript is included (required)
What course of study do you plan to pursue in college?
What college(s) do you plan to attend?
Please only attach a resume if the scholarship selection criterion specifically requests it as a separate attachment. We
ask that you type your activities, honors, awards and employment information in these two boxes regardless of what
scholarships you are applying for. A resume does not replace the two boxes below. Thank you.
Please list all school-related honors/awards you have received & extra-curricular activities.
(Include a brief description of the activity & the dates of participation)
Please list all experiences in community, church, volunteer, and other activities outside an educational setting. Also
include any relevant employment history. (brief description & dates)
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Student ID #:
Financial Need information
This page will be shared with the selection committee if the scholarship lists "financial need" in the criteria.
If you are not applying for any scholarships that asks for "financial need" in the criteria then you may disregard this page.
The criteria details can be found at www.norfolkpublicschools.org - under the "Foundation" tab, then choose
"Traditional Scholarships".
Yes, I have reviewed the scholarship information and if "financial need" is a listed criteria (or secondary
criteria) I have included a FAFSA copy.
(Please see example below – we only need the page of the FAFSA that lists the EFC number.)
Please list any scholarships you have been awarded as of the date of this application. (Include scholarship name/amount)
Are there any circumstances or details you would like the selection committee to consider regarding your financial
need? Please explain in detail.
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Student ID #:
Scholarships Available
Please select all scholarships for which you would like the application to be considered. If there is an essay question
required for the scholarship application it is listed below the title. The essay should be typed and included with the
completed application at time of submission.
A reminder that each scholarship has criteria for supporting documentation. Please consult the "Traditional Scholarships"
section of the Foundation’s portion of the school district’s website (www.norfolkpublicschools.org) to be sure you have
met the application criteria and deadline.
B Positive (B+) Doug Brown Memorial Scholarship
Essay: Tell how you have displayed a positive attitude, kindness, and compassion in your community of family
and friends. How have you used these attributes to mentor or lead others?
Deb Cover Memorial Scholarship
Essay: If you received Speech Language therapy during your school career, how has it positively impacted you? If
you are planning a college major in Speech Pathology, what do you hope to accomplish in your career? Please
answer the question(s) applicable to your application.
Were you a recipient of Speech Therapy services at NPS?
Yes
No
Are you seeking a degree in Speech Pathology?
Yes
No
Do both criteria apply?
Yes
No
Richard Cross/Allen Janovec/NFL Speech & Debate Scholarship
Essay: How have you benefited from the Speech/Debate program and how do you feel it will help you
in the future?
How many years have you competed on the Speech/Debate team?
years
Dan and Trudie DePasquale Education Scholarship
Are you seeking a Bachelor's degree in Education?
Yes
No
Fraternal Order of Eagles (FOE) Auxiliary #3611 Service Scholarship
Essay: What goals would you have for helping people through your chosen profession?
Are you seeking a degree in one of the criteria defined service professions?
Yes
Future Educator Ethnic Minority Student Scholarship
Essay: Why do you want to be a teacher and what do you hope to accomplish as a teacher?
Are you seeking a degree in Education?
Yes
No
Please be sure you meet the ethnic minority student requirement of this scholarship.
Future Educator Scholarship
Essay: Why do you want to be a teacher and what do you hope to accomplish as a teacher?
Are you seeking a Bachelor’s degree in Education?
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Yes
No
No
Student ID#:
Cindy Gipson Scholarship
Essay: Tell us about a book you read and how that book influenced your life. (Essay should be one page long).
Lawrence and Hilda Jochens Memorial Enrichment Scholarship
Jenna Krivohlavek Memorial Scholarship
Essay: How have your years at NHS influenced your life?
(Please use specific examples to show how you’ve grown, what you’ve enjoyed, and how you’ve been challenged.)
Lincoln Elementary School PIC Scholarship
Essay: What are your educational plans and what will be your major college study? Why should you be awarded
this scholarship? How did your years at Lincoln Elementary prepare you for a lifetime of learning?
Are you a former student of Lincoln Elementary School? (prior to 2010 –
does not include Montessori students)
Yes
No
John & Lousie Looker Memorial Scholarship
Essay: Why should you be considered for this scholarship? Specifically, for what would you use this scholarship
money?
Eva C. Maas Memorial Scholarship
Essay: Explain why you plan to attend Northeast Community College and what your plans are for education and
career.
Roger E. Maxwell Memorial Scholarship
Essay: List your educational and vocational goals.
J. Paul and Eleanor McIntosh Scholarship
Essay: Tell what impact this scholarship would have on your future. Where do you plan to attend college and
what are your future goals/plans?
Miller Science Scholarship
Essay: Write an essay in 100 words or less answering the question “What is the most important color of M&Ms,
and why?” (Essay should address the question, show thought and creativity, use proper grammar and complete sentences,
and if possible avoid “flash in the pan” current issues.)
Are you seeking a degree in one of the criteria defined areas of study?
Yes
No
Norfolk Public Schools Foundation Scholarship Endowment
Essay: How did your experience as a student in Norfolk Public Schools prepare you for your post-secondary
education or training?
Northern Hills Elementary School PTO Scholarship
Essay: What are your educational plans and what will be your major college study? Why should you be awarded
this scholarship? How did your years at Northern Hills prepare you for a lifetime of learning?
Are you a former student of Northern Hills Elementary School?
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Yes
No
Student ID#:
Harley Rector Memorial Scholarship
Essay: What are your plans for the future? Also, please tell us about your involvement in school and community
and why you like to be involved.
Are you seeking a degree in Education?
Yes
No
This is not a primary criteria, but in the event of a tie it will serve as secondary criteria.
Karl Stefan Memorial Scholarship
Essay: How have you exhibited strong character, citizenship, and involvement in activities? What are your
educational and vocational goals?
Ted & Linda (Lanman) Toay Memorial Scholarship
This scholarship is awarded to one male and one female.
What is your gender?
Female
Male
Ralph, Florence, Jennie, & Edna Walker Memorial Scholarship
Essay: Please list your education plans and career goals.
Doug Witte/ELL Tribute Scholarship
Essay: How have you benefitted from the English Language Learner (ELL) program and how do you feel it will
help you in the future? What are your educational plans and what will be your course of study?
The following scholarships do not require an application. A recipient will be selected based on the assigned criteria.
Cindy Froehlich Memorial Scholarship
Ralph T. & Florence Walker Athletic Scholarship
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