An Endowed Fund in the Adams County Community Foundation (ACCF)

2014 / 2015 An endowed fund in the Adams County Community Foundation (ACCF) American Legion, Post #43 Scholarship Eligibility requirements * a resident of Adams County / graduating senior from Adams Central or North Adams High School * applicant is a Military Veteran’s descendent and/or an American Legion, Post #43, Auxiliary, or SAL descendent. Please submit one copy of this proof of military association separate from your application. (using this page) Number / Amount awarded in 2014: 2 (non-renewable) / $500.00 Who selects the scholarship recipient? The American Legion, Post #43 Scholarship Committee

To be eligible for the American Legion, Post #43 Scholarship, please submit this form (you have up to one week following the due date and submission of your ACCF Scholarship Application to turn-in this supplemental material). For purposes of this form, please note these abbreviations: AC: Adams Central / NA: North Adams

1. Your name: first /last: ______

2. High school (circle one): AC NA

3. College you plan to attend: ______

4. Planned major: ______

5. Person associated with the American Legion, Post #43 and general address (example): John Smith / Monroe, In

______

6. Number of years (& approx dates) this person has been associated with the American Legion, Post #43. (example): 15 years / 1990-2005

______

7. How you (the student) is associated with this person: (example): John Smith is my uncle (my father's brother)

______

Options: If you have proof of this person's involvement with Post #43, please copy and attach this proof. Proof of association that is considered eligible: American Legion (Decatur) Post #43 Association, or Sons of the American Legion (SAL), or American Legion Auxiliary

Examples of proof of American Legion Post #43 association, you may use:  A copy of the person's membership i.d. card, etc.  A copy of the person's obituary (indicating his/her membership with Post #43)

If you have different type of 'proof of association' and would like to ask if it could be used, please call the Adams County Community Foundation (ACCF) at 260.724-3939. Do not contact this place of business to ask them to provide proof of association or to verify your eligibility - this is the responsibility of the student.

end Appendix: page 5 2014 / 2015 An endowed fund in the Adams County Community Foundation (ACCF) American Legion, Post #468 Scholarship Eligibility requirements * a resident of Adams County / graduating senior from South Adams High School or Home School in the South Adams district * applicant is a Military Veteran’s descendent and/or an American Legion, Post #468, Auxiliary, or SAL descendent. Please submit one copy of this proof of military association separate from your application. (using this page) Number / Amount awarded in 2014: one $600 Who selects the scholarship recipient? The American Legion, Post #468 Scholarship Committee

To be eligible for the American Legion, Post #468 Scholarship, please submit this form (you have up to one week following the due date and submission of your ACCF Scholarship Application to turn-in this supplemental material). For purposes of this form, please note these abbreviations: SA: South Adams / HS: Home School

2. High school (circle one): SA HS (Home School)

5. Person associated with the American Legion, Post #468 and general address (example): John Smith / Monroe, In

______

6. Number of years (& approx dates) this person has been associated with the American Legion, Post #468. (example): 15 years / 1990-2005

______

7. How you (the student) is associated with this person: (example): John Smith is my uncle (my father's brother)

______

Options: If you have proof of this person's involvement with Post #468, please copy and attach this proof. Proof of association that is considered eligible: American Legion (Berne) Post #468 Association, or Sons of the American Legion (SAL), or American Legion Auxiliary

Examples of proof of American Legion Post #468 association, you may use:  A copy of the person's membership i.d. card, etc.  A copy of the person's obituary (indicating his/her membership with Post #468)

If you have different type of 'proof of association' and would like to ask if it could be used, please call the Adams County Community Foundation (ACCF) at 260.724-3939. Do not contact this place of business to ask them to provide proof of association or to verify your eligibility - this is the responsibility of the student.

end Appendix: page 1 2014 / 2015 An endowed fund in the Adams County Community Foundation (ACCF) Dixie Harvey-Arven Memorial Scholarship Eligibility requirements * a resident of Adams County / graduating senior from Adams Central or North Adams High School * applicant is a Military Veteran’s descendent Please submit one copy of this proof of military association separate from your application. (using this page) Number / Amount awarded in 2014: 1 (non-renewable) / $500.00 Who selects the scholarship recipient? The Dixie Harvey-Arven Scholarship Committee

To be eligible for the Dixie Harvey-Arven Memorial Scholarship, please submit this form (you have up to one week following the due date and submission of your ACCF Scholarship Application to turn-in this supplemental material). For purposes of this form, please note these abbreviations: AC: Adams Central / NA: North Adams

5. Person associated with the military and branch of service and general area address (example): Jane Smith / Marine Corps

______

6. Number of years (and approx dates) this person has been associated with the military. (example): 15 years / 1990-2005

______

7. How you (the student) is associated with this person: (example): Jane Smith is my aunt (my mother’s sister)

______

Options: If you have proof of this person's involvement with military service, please copy and attach this proof. Proof of associations eligible: active duty military – this may be current or past military association

Examples of proof of military involvement, you may use:  A copy of the person's proof of employment: pay stub (personal info removed), separation papers, i.d. card, military person in photo in uniform, etc.  A copy of the person's obituary (indicating his/her military involvement, highlighted)

If you have different type of 'proof of association' and would like to ask if it could be used, please call the Adams County Community Foundation (ACCF) at 260.724-3939. Do not contact this family, the committee, or any place of business to ask them to provide proof of association or to verify your eligibility - this is the responsibility of the student.

end 2014 / 2015 An endowed fund in the Adams County Community Foundation (ACCF) Decatur Volunteer Fire Depart. Scholarship Eligibility Requirements resident of Adams County / graduating senior from Adams Central or North Adams High School priority is given (but not limited to: a descendent or association with a community service personnel (examples, but not limited to: personnel of Fire Department, Police Department, Emergency / EMS Department) Student’s class attendance is reviewed Student’s financial status is reviewed Plans to attend an accredited college this fall Number / Amount awarded in 2014: 2 (non-renewable) / $500.00 Scholarship will be awarded based on: ACCF Application + required material submitted Who selects the scholarship recipient? Decatur Volunteer Fire Depart & ACCF Scholarship Committees

To be eligible for the Decatur Volunteer Fire Depart Scholarship, please submit this form (you have up to one week following the due date and submission of your ACCF Scholarship Application to turn-in this supplemental material). For purposes of this form, please note these abbreviations: AC: Adams Central /NA: North Adams

5. Person associated with a community service employment and general area address example: John Smith / Monroe, In

______

6. Number of years (and approx dates) this person has been associated with this community service job? example: 15 years / 1990-2005

______

7. How you (the student) is associated with this person: example: John Smith is my uncle (my father's brother)

______

Options: If you have proof of this person's involvement with a community service employment, please copy and attach this proof. Community Service jobs eligible: Fire Department, Police Department, EMS or EMT.

Examples of proof of employment you may use:  A copy of the person's proof of employment: pay stub (personal info removed), i.d. card or badge, etc.  A copy of the person's obituary (indicating his/her place of employment) or community service with a local Volunteer Fire Department

If you have different type of 'proof of association' and would like to ask if it could be used, please call the Adams County Community Foundation (ACCF) at 260.724-3939. Do not contact this family, the committee, or any place of business to ask them to provide proof of association or to verify your eligibility - this is the responsibility of the student. ~ end ~

2014 / 2015 An endowed fund in the Adams County Community Foundation (ACCF) Meshberger / LICA Scholarship Eligibility Requirements; Adams County resident / graduating senior from an Adams County High School (A.C. N.A. or S.A.) Plans to attend an accredited college this fall Financial need is reviewed Have an association with a Meshberger / LICA employee Please submit one copy of this proof of Meshberger / LICA association separate from your application (using this page) Number/Amount awarded in 2014: 6 (non-renewable awards) 2 AC: $2,000 ea. / 2 NA: $2,000 ea. / 2 SA: $2,000 ea. Who selects the scholarship recipient? Meshberger/LICA & ACCF Scholarship Committee

To be eligible for the Meshberger / LICA Scholarship, please submit this form (you have up to one week following the due date and submission of your ACCF Scholarship Application to turn-in this supplemental material). For purposes of this form, please note these abbreviations: AC: Adams Central / NA: North Adams / SA: South Adams

2. High school (circle one): AC NA SA

5. Person associated with Meshberger/LICA and general area address example: John Smith / Monroe, In

______

6. Number of years (and approx dates) this person worked at Meshberger/LICA example: 15 years / 1990-2005

______

7. How you (the student) is associated with this person: example: John Smith is my uncle (my father's brother)

______

Options: If you have proof of this person's involvement with Meshberger / LICA, please copy and attach this proof.

Examples of proof of employment you may use:  A copy of the person's proof of employment: pay stub (personal info removed), i.d. card, etc.  A copy of the person's obituary (indicating his/her place of employment - highlighted)

If you have different type of 'proof of association' and would like to ask if it could be used, please call the Adams County Community Foundation (ACCF) at 260.724-3939. Do not contact this place of business to ask them to provide proof of association or to verify your eligibility - this is the responsibility of the student. ~ end ~

2014 / 2015 A fund in the Adams County Community Foundation (ACCF) Smith Brothers Furniture of Berne Eligibility Requirements; Graduating senior from an accredited high school (A.C., N.A., S.A., Other) Plans to attend an accredited college this fall Financial need is reviewed Have an association with a Smith Brothers Furniture of Berne employee See description of all ACCF scholarships to obtain essay topic and instructions

Please submit one copy of this proof of Smith Brothers association separate from your application (using this page)

Number/Amount awarded in 2014: 2 (non-renewable) awards / 1 AC: $1,000 / 1 SA: $1,000 ea. Who selects the scholarship recipient? Confirmation of Association, final selection by the ACCF

To be eligible for the Smith Brothers Furniture of Berne Scholarship, please submit this form (you have up to one week following the due date and submission of your ACCF Scholarship Application to turn-in this supplemental material: Feb 13). For purposes of this form, please note these abbreviations: AC: Adams Central / NA: North Adams / SA: South Adams / Other: (please specify)

1. Your name: first / last: ______

2. High school (circle one): AC NA SA Other: ______

5. Person associated with Smith Brothers Furniture and general area address example: John Smith / Monroe, In

______

6. Number of years (and approx.. dates) this person worked at Smith Brothers Furniture ex: 15 years /1990-2005

______

7. How you (the student) is associated with this person: ex: John Smith is my uncle (my father's brother)

______

Options: If you have proof of this person's involvement with Smith Brothers Furniture, please copy and attach this proof.

Examples of proof of employment you may use:  A copy of the person's proof of employment: pay stub (personal info removed), i.d. card, etc.  A copy of the person's obituary (indicating his/her place of employment - highlighted)

Questions: If you have different type of 'proof of association' and would like to ask if it could be used, please call the Adams County Community Foundation (ACCF) at 260.724-3939 or email: [email protected]. You may email to request the ACCF application and /or this proof of association.

Do not contact Smith Brothers Furniture to ask them to provide proof of association or to verify eligibility - this is the responsibility of the student.

Thank you for sharing this information with students who may qualify but are not award of these scholarship opportunities. FYI – this is posted at the Smith Brothers offices in Berne:

Re: Scholarship opportunity January 2015 To: All Smith Brothers Furniture of Berne Employees

Subject: Smith Brothers / Nick Taylor Scholarship

In 2012 the Smith Brothers family was deeply moved by the news that former employee, Nick Taylor, was killed while serving the United States in Afghanistan. Nick was a member of the Indiana National Guard, planning to attend college upon his return from active duty. In honor of Nick and the extended Taylor family, Smith Brothers has established the Smith Brothers/Nick Taylor Scholarship.

In 2014, Smith Brothers Furniture awarded scholarships to local students with association to Smith Brothers Furniture: These were: Scholars H.S. College major Collin Affolder, SA Bethel College Accounting Erica Bluhm AC Huntington University Elementary Education

Announcement for 2014-2015 seniors: This scholarship is for graduating high school students who will be attending a post-secondary college in the fall. Multiple scholarships will be awarded in the amount of (up to) $1,000 each. Students of Smith Brothers employees will be given priority in awarding these scholarships. In the event that no children of Smith Brothers employees meet eligibility requirements for this scholarship, the order of preference will be 1) South Adams students 2) Adams County students.

This scholarship is based on students who exhibit good citizenship, are active volunteers in the community they reside, show participation and leadership in organizations they are involved in, such as school activities, church, 4-H, FFA, school clubs, sports, etc. A minimum of grade point average (GPA) of 2.0 on a 4.0 scale is required.

Smith Brothers is partnering with the Adams County Community Foundation (ACCF) on the administration of this scholarship. They will be handling scholarship application, distribution, collection, evaluation and notification of awards. This will allow an unbiased view of applications.

Scholarship applications are now available in the Smith Brothers Human Resources Office or you can request an electronic copy by emailing [email protected] or [email protected] .

Applications must be completed and submitted to the ACCF offices by Thursday, Feb 5, 2015 by 4PM. This due date coincides with the due date of all ACCF Scholarship applications. Students who wish to be considered will need to submit Proof of Association with Smith Brothers Furniture. (added: Feb 12, 2015 Note: An essay is required with this scholarship process.

If you have any questions regarding this scholarship, please see Mike Bonin.

Sincerely,

Steve Lehman Mike Bonin