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2016-2017 CPS Foundation Scholarships

SCHOLARSHIP APPLICATION

This application is available on the CHS Guidance website & www.foundationforcps.org

SCHOLARSHIP AMOUNT ELIGIBILITY ADDITIONAL REQUIREMENTS RESTRICTIONS TIMELINE

Anton Micek/Vincent

Mausbach Memorial

Scholarship

Total of $5,000.00/

There will be a total of three scholarships awarded and

funded a year in the amounts of $2,500, $1,500,

1,000.

None Typed application Confirmation of their civic service Students involvement in giving back to

their community during their high school years.

Essay-1000-1500 The importance of Faith, Family, Fellowship, Integrity, Stewardship and Gratitude in your life. (See Exhibit A)

No Restrictions Open: 11/14/16Closed: 2/3/17

Christopher Saalfeld

Memorial Scholarship

$1,500 None Typed Application Tuition at a Nebraska College or University

Major: Engineering or Music

Open: 11/14/16Closed: 2/3/17

Class of 1940 War

Memorial Scholarship

$2,000 None Typed Application Tuition at a 4 year university or college

Open: 11/14/16Closed: 2/3/17

Columbus United

Federal Credit Union

(CUFCU)

$500 Primary account in good standing at CUFCU

Typed Application Transcript 9-12 Letter of Acceptance

Family members of Credit Union employees and officials are not eligible to apply

Open: 11/14/16Closed: 2/3/17

Discoverer Athletic Hall

of Fame Scholarship

$500 2 year letter winner

2.5 GPA Female

Students

Typed application multisport student athlete Students athletes who are good citizens

and are active in the Columbus Community


Discoverer Athletic Hall

of Fame Scholarship

$500 2 year letter winner

2.5 GPA Male

Students

Typed application Multisport student athlete Student athletes who are good citizens

and are active in the Columbus Community


Duncan Elementary

PTO Scholarship

(varies depending on the number of

qualified applicants)

Attended Duncan Elementary School every year able

Typed Application None Open: 11/14/16Closed: 2/3/17

Edward A. Babka

Foundation Scholarship

$1,000 None Typed Application 2 Letters of Recommendation Transcripts 9-12 grades ACT/SAT Scores

None Open: 11/14/16Closed: 2/3/17

Edward M. NielsenJr. & Sr.

Memorial

$1,500 None Typed Application Tuition at University of Nebraska at Lincoln (UNL)

Open: 11/14/16Closed: 2/3/17

Application Deadline: February 3rd, 2017 of 24 Code: (for office use only)

This application is available on the CHS Guidance website and at www.foundationforcps.org

http://www.foundationforcps.org/

http://guidance-department.chs.columbus.schoolfusion.us/modules/groups/group_pages.phtml?gid=1460325&nid=112421&sessionid=88b601881a3276d68929692099f5829e





Scholarship ONLY Major: Business or

AgricultureJoyce Malena

Memorial Scholarships

for Female Students

$775 3.0 GPA Female

Students Currently

Employed

Typed Application Tuition at a 2 or 4 year institution of higher education with ANY major

Open: 11/14/16Closed: 2/3/17

Nielsen Family

Scholarship

$5,000 ≥3.5 GPA Typed Application College Funding Estimator Results

(educationquest.org) 2 Letters of Recommendation

(one of which is from a current/previous teacher)

Transcripts 9-12 grades ACT/SAT Scores Interview

(3 highest scoring applicants will be invited to a three-panel interview)

Tuition at a 4 year university

Open: 11/14/16Closed: 2/3/17

Pinnacle Bank $250 ≥ 2.70 GPA Typed Application None Open: 11/14/16Closed: 2/3/17

Pinnacle Bank CCC

$250 ≥ 2.70 GPA Typed Application Become a full time student of Central Community College Columbus after graduation

Open: 11/14/16Closed: 2/3/17

Speice Scholarship

$1,000 None Typed Application None Open: 11/14/16Closed: 2/3/17

Vance E. Leininger Memorial

Scholarship

$5,000 None Typed Application 2 letters of recommendation (one of

which is a current educator) Transcripts

$1,000 paid each year with remaining $1,000 after certification of satisfactory progress by earning law degree

Open: 11/14/16Closed: 2/3/17

Wilson-Covert Centennial

Scholarship

Two awards of $1,000

None Typed Application None Open: 11/14/16Closed: 2/3/17







This application is available on the CHS Guidance website as an Adobe pdf formand is available at www.foundationforcps.org as a Microsoft word form.

Application Guidelines

Please read carefully to fully understand guidelines and expectations.

Award Range: See Page 1 and 2.

Eligibility and Qualifications: 1. The applicant must be a Columbus Public Schools senior who will graduate at the end of the current

school year.2. The High School Guidance Office must receive the Scholarship Application on or before the

application deadline.3. The Scholarship Application must be signed by the applicant verifying the accuracy of the

information.4. The application must be submitted on the form provided in the space provided. It must be typed and

stapled. Do not place in a binder or folder.5. Additional eligibility requirements and qualifications - Please see Page 1 and 2.

References: Required as listed on Page 1 and 2. Please attach to completed application for submission.

Transcripts: Required as listed on Page 1 and 2. Attach to completed application for submission.

Application Deadline: Completed applications must be submitted to the CHS Guidance Office by 5:00 p.m. on Friday, February 3, 2017.

Notification of Recipients: Scholarship recipients will be notified at the CHS Honors Night in May. Recipients will receive a recipient information form, which must be completed and returned by June 16, 2017. Payments to post secondary education institutions will be made after July 14, 2017.

Checklist for Submitting Application:Is the application complete?Are the responses in complete sentences?Are spelling and grammar correct?Has the verification statement been signed?Have short answer responses been attached?Have the official 9-12 transcripts been attached? (Nielsen Family/Babka)Are the ACT/SAT scores attached? (Nielsen Family/Babka)Are letters of recommendation attached? (Nielsen Family/Babka)Are the College Funding Estimator results attached? (educationquest.org) (Nielsen Family)

Submission of Applications: Please return to the CHS Guidance Office.









General Applicant InformationNote: Your scholarship application will be number-coded for blind review. This page will be removed and maintained in the office. It is important that the information is accurate and legible. Responses must be typed.

Name:

Address:

Home Phone: Date of Birth:

Name of Parent/Guardian:

Siblings Living at Home:Name Age Grade Level

Parents’/Guardians’ Occupation(s):

I accept the guidelines of this scholarship application and understand that the decisions of the Scholarship Selection Committees are final. I understand that if I receive a scholarship from the Foundation, and I am unable to use that scholarship, for whatever reason, I must notify the Foundation so the scholarship may be awarded to the next eligible applicant. I certify that I have personally prepared this application for submission, the information provided is correct, and all requested information is provided.

Applicant Signature Date

Deliver completed application by 5:00 p.m. Friday, February 3, 2017 to the CHS Guidance Office.

Note: Review of applications is anonymous. This cover sheet will NOT be included as part of the actual selection process by the Scholarship Selection Committees. Consideration will be based entirely on this application.







SCHOLARSHIP CHECK

TO APPLYAnton Micek/Vincent Mausbach Memorial Scholarship

(See Exhibit A)Christopher Saalfeld Memorial Scholarship(Music/Engineering Major, Nebraska college/university)

Class of 1940 War Memorial Scholarship(4 year college/university)

Columbus United Federal Credit Union(Primary Account holder in good standing)

Discoverer Athletic Hall of Fame Scholarship(2 Year letter winner, 2.5 or higher GPA, Female)

Discoverer Athletic Hall of Fame Scholarship(2 Year letter winner, 2.5 or higher GPA, Male)Duncan Elementary PTO Scholarship(Attended Duncan Elementary every year able)

Edward A. Babka Foundation Scholarship

Edward M. Nielsen Jr. & Sr. Memorial Scholarship(Agriculture/Business, University of Nebraska at Lincoln)

Joyce Malena MemorialScholarship for Female Students

(3.0 GPA, 2 or 4 year university, female student, currently employed)

Nielsen Family Scholarship(≥3.5 GPA, 4 year university)

Pinnacle Bank Scholarship

Pinnacle Bank Scholarship(Attending Central Community College of Columbus full time)

Speice Scholarship

Vance E. Leininger Memorial Scholarship(4 Year undergraduate program preference for law degree)

Wilson-Covert Centennial Scholarship

This application is available on the CHS Guidance website as an Adobe pdf formand is available at www.foundationforcps.org as a Microsoft word form.









Exhibit A

This memorial scholarship is named after Anton Micek and Vincent Mausbach, two longtime Columbus residents who were hard working farmers that understood the importance of establishing sound values and principles in life. They raised their families around solid foundations and set examples for their children and grandchildren to follow.

This scholarship program is designed to draw the applicant’s attention to the importance of having a solid foundation in life. A foundation built on key principles. These principles or “pillars” serve to form a solid base from which to build upon throughout life. The six “pillars” that serve as the foundation for this scholarship program are: Faith, Family, Fellowship, Integrity, Stewardship and Gratitude. The selection process for these scholarships will be based on two criteria: 1) The candidate’s involvement in giving back to their community during their high school years and, 2) a 1000-1500 essay on this topic - The Importance of Faith, Family, Fellowship, Integrity, Stewardship and Gratitude in your life. All graduating seniors are eligible to apply for these scholarships. The young men and women awarded scholarships must supply proof they will be attending accredited colleges, universities, or vocational training programs in the coming academic year. Activities and Service:In the application section tell us about your extracurricular and community service activities during high school. What have you done to make a difference in your school, community and in the lives of others? Outline your involvement in youth organizations, social outreach ministries (e.g. Leadership in Church youth groups, and other community activities Habitat for Humanity, Student Mentoring, Community Charitable works, Scouting activities ..etc.).







Essay Prompts:

Faith: (Minimum 200 Words)The purpose of this question is for you to think about and then explain the impact your faith has had on your life and how you have shared and applied that faith in your life. Why is your faith important to you?







Fellowship: (Minimum 200 Words)Our ability to work with our fellow men/women in harmony is another important foundation in our lives. What does fellowship mean to you and how have you practiced it in your life? What positive impact have you had on other people in your life? How do you plan to continue promoting good fellowship in your college years and beyond?







Integrity: (Minimum 200 Words)Living a life with integrity is a cornerstone for building a solid foundation. What does integrity mean to you? Why does living a life with integrity create challenges? Give an example in your high school career in which you showed integrity in a difficult situation. What did you learn from that experience?







Stewardship: (Minimum 200 Words)In this question, think about the activities in which you have participated. How do these activities show that you are a good steward of your gifts and how have you used your gifts in service of others? Explain how the activities you listed in the application have provided a service to your community and/or have made a difference in the lives of others. What life lessons have you learned through your service activities?







Gratitude: (Minimum 200 Words)Showing gratitude or being thankful is another important pillar in building a solid foundation. There are many areas in our lives where we should show gratitude. Outline what you are thankful for in your life and explain why you are grateful. Why do you think showing gratitude is a good habit to nurture? Explain why your attitude goes a long way toward living a life with gratitude.







Part I. Academic Information

Class Rank: GPA:

SAT Verbal Score: SAT Math Score ACT Composite Score:

Please list your second semester classes.

Schools Attended (9 th – 12 th grade) Name of School:

Dates Attended: to Does the school offer honors courses? Yes NoDid you participate? Yes NoDoes the school offer advanced placement classes? Yes NoDid you participate? Yes No

Name of School: Dates Attended: to Does the school offer honors courses? Yes No

Did you participate? Yes NoDoes the school offer advanced placement classes? Yes NoDid you participate? Yes No

Name of School: Dates Attended: to

Does the school offer honors courses? Yes NoDid you participate? Yes NoDoes the school offer advanced placement classes? Yes NoDid you participate? Yes No

Part II. Participation & Leadership in School & CommunityWork Experience

Please list all jobs you have held while in high school. Include baby-sitting, work on a family farm, or for a family business, even if you were not paid. Please list the total hours worked for each job.

Employer Total Hours

Dates of Employment

Kind of Work

Total Hours Worked:







Volunteer Work & Community ServicePlease list all volunteer work or community service you performed without pay during high school.

Name of Organization

Total Hours

Dates of Participation

Kind of Work

Total Hours Worked:

Honors & AwardsPlease list all scholastic, extracurricular, and civic honors and awards during grades 9 through 12. Check the grade in which the award was won and include a description of the nature of the award. Do not abbreviate the name of the award.

Name of Award Grades Received 9 10 11 12

Nature of the Award

Positions of LeadershipPlease state the name of the organization and the position held. Check the grade(s) during which the position was held. Start with the most recent (e.g., class officer, president, 12; basketball team, captain, 12, etc.)

Name of Organization Position Held Grades(s) 9 10 11 12







Activities & OrganizationsInclude all scholastic, extracurricular and civic organizations in which you participated during high school. Please also include those that you listed under “Positions of Leadership”. State the name of the organization and check the grades during which you participated. Begin with the most recent.

Name of Organization Grades(s) 9 10 11 12

EssaysPlease complete the following three essays for the Speice, Wilson-Covert, Vance E. Leininger Memorial, Discoverer Athletic Hall of Fame, and Class of 1940 scholarships.

A. Briefly describe what you do in the organization to which you belong.







Please complete the following essay for the Speice, Wilson-Covert, Class of 1940, Vance E. Leininger Memorial, Discover Athletic Hall of Fame, and Pinnacle Bank scholarships.

B. In what ways have you taken on a leadership role in your school and in the community?

Please complete the following essay for the Speice, Wilson-Covert , Vance E. Leininger Memorial, Discoverer Athletic Hall of Fame, and Class of 1940 scholarships.

C. What have you done to improve your community?







Please complete the following essay for the Joyce Malena Memorial Scholarship for Female Students and Vance E. Leininger Memorial scholarships.

A. Briefly describe a job you have held while attending CHS. What did you learn from this employment, and how will you carry it forward into your college studies and life in general?







Please complete the following essay for the Columbus United Federal Credit Union, and Pinnacle Bank Scholarships.

A. In 500 words or less, describe what the expression “the value of a dollar” means to you.







Please complete the following essay for the Nielsen Family, Vance E. Leininger Memorial, Discover Athletic Hall of Fame, and Pinnacle Bank scholarship.

A. In 200 words or less, describe the community and/or school activity that has had the greatest influence and has meant the most to you.







Part III. Educational InfluencesA. Answer one of the following questions for the Nielsen Family, and Vance E. Leininger scholarship.

Please indicate your choice by checking the box next to the questions and limit your response to 350 words or less.

Describe any obstacles/challenges you have addressed throughout your high school career. What would you describe as your most important lesson in life? Explain how it has changed

your life. Explain the influence your family has had on your life.







Part IV. Financial NeedHave you been awarded any scholarships? Yes NoIf yes, please list the scholarships you have received, including the amount of the award. Have you applied for any scholarships, the recipients of which have not been announced yet? Yes NoIf yes, please list the scholarships you have applied for, but which have not been announced, including the amount of the award. Do you intend to apply for other financial aid? Yes NoIf yes, please describe the financial aid you will apply for.

How do you plan to finance your education and living expenses while in college? Please complete the tables below to calculate the estimated cost of your first year of college and the estimated financial support you will have during that time. Use these estimates to determine your remaining financial need.

Expenses Estimated Cost Financial Support Estimated Amount

Tuition and Fees Savings Books and Supplies Grants and Scholarships Living Expenses Family Support Other Loans

Total Total Remaining Financial Need

Do you have any other family or financial responsibilities that should be considered when reviewing your application? If so, please explain.







Part V. Educational PlansBriefly describe your personal and career goals.

In the table below, list your college and university choices in order of preference.

Name of College/UniversityApplied(Y/N)

Accepted (Y/N)

Anticipated Major: Anticipated Minor:





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