Sparta Scholarship Checklist

Name ______Sparta Scholarship Checklist Make only one packet for these scholarships and Make one packet for each of these scholarships check the boxes for the ones you are applying to: and check only one box per application packet: Barbershoppers American Legion Auxiliary * Class of 1939-1989 Brenengen Ford of Sparta * Class of 1969 W. Foster Brown Student Athlete, Dr. Jack * Class of 1981 Cataract Sportsman * Class of 1983 Class of 1940 Music * Greeno Memorial, Tim and Karen Class of 1978 * Haney Memorial, Winona J. Class of 1991 * Harrie Scholarship, Dale and Phyllis Erv’s Sparta Area Fire Protection District * Jackson Electric Cooperative Finstad Memorial, Jason D. * Jacobs Memorial, Neil R. * Grewal Memorial, Singh * Janusheske Memorial, John (Jack) * Kiwanis Club * Johnson Memorial, Roger A. Lady Butterfest Klein Memorial, William M. Lundy Memorial, Phyllis * Knights of Pythias/Beaver Creek Building Mayo Auxiliary Konze, “Best Day Ever” Joel * Piper Memorial, Prescott O. Krotzman Memorial Medical Tech, Janet Shiroda Memorial, George and Beverley * Masonic Lodge Sparta Boys Basketball Association * McCoy, US Army Major General Robert Sparta Boys Soccer Association * Nichols Memorial, Alexander L. Sparta Education Association * Pederson Golf Memorial, David H. Sparta Girls Soccer Association * Schendel Memorial, Ann and Harold Sparta Grid-Iron Booster Club * Tucker Memorial, Byron Sparta Lions Club * Tucker Memorial, Wendell Sparta Public Education Foundation * Western Technical College Sparta Rod & Gun Club* Tilling Thyme * Wall Memorial, Mark *

* = Letter of Recommendation required

Please print and submit to Student Services by 7:40 a.m. on February 10, 2017.

Sparta Scholarship Application

Address:

Phone: High School Academic Information ACT Composite Score (if applicable)

Future Education Plans School you plan on attending Have you applied? Yes No Have you been accepted? Yes No

Area of study (If unsure indicate “Undecided”)

Desired career upon college graduation

GPA (Cumulative) (use 3 decimal points, do not round)

Class Rank of

School Activities Activity # years Special awards, honors Offices Held involved

Community Involvement/Volunteer Activity and description Number # years Honors/ Awards of hours involved

Work Employer Position- job duties Hours per week Dates employed

Personal Statement Address the following in a typed, one page (no longer), 12 point font essay. Completeness of ideas, sentence construction, spelling and neatness are important. What would receiving a scholarship mean to you and why? What qualities and attributes do you have that make you a top candidate for a scholarship? You may also share any extenuating circumstances that may be an obstacle to your education (i.e. family situations, personal situations, financial, health), but this is optional.

Please read the statements below and sign/date:  I verify that the information provided on this application is accurate and my original work.  I acknowledge that I read and agree to the terms on the scholarship instruction page.  I understand that failure to follow the instructions may result in an invalid application.  I consent for the Sparta School District to verify my official GPA and class rank.

Student Signature ______Date ______

Please print and submit to the High School Student Services by 7:40 a.m. on February 10, 2017.