Please describe your nancial need. Include any nancial aid you will receive and/or any circumstances that would
help the committee understand your nancial situation.
List your city, community and civic involvement activities. (No additional materials will be accepted.)
List your school involvement and academic honors and awards. (No additional materials will be accepted.)
In a separate document, write a concise essay in response to the following question. Please limit the length to two
A sign of a good leader is being able to guide yourself and others through both good and challenging times, demonstrating
high standards of responsibility, and showing commitment to community. Tell a story about a signicant community
responsibility you assumed or were given. How did this experience help you grow as a leader? How did the project impact
others? What did you gain?
Applicant checklist (Send completed application packet to city for consideration):
Completed application including essay
Must be in good academic standing
Must be eligible to graduate spring/summer 2021
Completed and signed release form
Letter of recommendation from a nonrelative (such as a
community leader, high school teacher, principal, or counselor).
This is separate from the letter of support from the city.
Statement of accuracy
I hereby arm that all of the information provided above is true and correct to the best of my knowledge.
I agree that the scholarship funds will be sent directly to the educational institution.
I agree that if I don’t use the funds awarded to me by May 31, 2022, they will be returned to the scholarship fund.
I understand that if chosen as a scholarship winner, I must provide evidence of enrollment/registration at an
accredited post-secondary institution of my choice before scholarship funds can be awarded.
Signature of scholarship applicant: Date:
Submit scholarship application to city for consideration.
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