Epsilon Tau Pi Foundation Scholarship 2016 This scholarship was established to recognize incoming students for their accomplishments in scouting.

Requirements

All Applicants for ETPi Foundation Scholarship Must:

1. Have been granted the Eagle Scout rank or have 4. Provide a transcript of high school grades covering at verified that their application for Eagle Scout rank least six semesters (The transcript does not have to has been received at the BSA National Office be “Official”). Applicants may verify this by having their local council contact the Epsilon Tau Pi Foundation at 5. Have taken the SAT and/or the ACT. Submitted [email protected] or photocopy their scores must be a copy of an official test sheet, or on certificate. the high school transcript in Requirement 4, and must be submitted with the application. 2. Submit applications that are postmarked by June 30th. Use sufficient postage. Applicant may also 6. Have and continually demonstrated leadership ability send an electronic copy (word document and scans in Scouting, and have a strong record of participation of necessary material) Submissions of electronic in activities outside of Scouting.

copies must be received by June 30th to be 7. Provide a statement by the applicant clearly stating considered. why he believes he deserves an Epsilon Tau Pi

3. Be an incoming first year student entering (Please Foundation Scholarship (max. 500 words).

check one): 8. Provide one signed recommendation letter from ____The volunteer or professional Scout leader who knows ____The State University the applicant personally. This is the only ____Western Carolina University endorsement required. Please do not send ____West Virginia University endorsements from teachers, counselors, etc. ____Appalachian State University ____Georgia Southern University 9. Be available to possibly participate in an interview ____Augustana College with the scholarship committee. We will contact you ____Robert Morris University to schedule the interview if it is deemed necessary ____Missouri Western State University by the committee. in the year in which the ETPi Foundation Scholarship application is submitted.

Procedures

All Applicants for ETPi Foundation Scholarship Must:

 Complete the application personally.  Address complete applications to: Enclose only the items requested in the requirements  Epsilon Tau Pi Foundation (No biographies, resumes, or supplementary lists of ATTN: Scholarship activities). Items should not be attached to the 7061 Waterfront Lane application. Blacklick, OH 43004  Answer all questions on the application (“See attached” is not an acceptable answer).  Or submit electronically via email to:  Submit all attachments with the application form to [email protected] ensure that all items are available for review at the same time (Epsilon Tau Pi will not assume  Epsilon Tau Pi is not responsible for lost or responsibility for matching items that are mailed misdirected applications. separately).  Be advised that applications become the property of  Include on each attachment the applicant’s name. the selection committee and will not be returned to  Be advised that only those applications postmarked the applicant before June 30th will be considered.

Epsilon Tau Pi Foundation epsilontaupi.org 2016 Applicant’s Information (Please type or print in black ink.)

Name ______First Middle Last Home Address: ______

______

City ______State______Zip______

Home Telephone Number ______

Date of Birth______Date of High School Graduation______

Eagle Scout Board of Review Date______

Name(s) of Parent(s) or Guardian(s)______

Intended Major______School Activities

Name of High/Preparatory School: ______

Address:______

City ______State______Zip______

Principal’s Name______

GPA______Your Anticipated Ranking or Rank ______in your Class of ______Students.

SAT Score: Math ______Critical Reading ______Writing______

ACT Composite Score ______SCHOOL ACTIVITIES (Check all activities you have been involved in as part of high school.)

Sports Clubs and Other Activities ____National ____Baseball ____Band / Orchestra ____Student Council/Government ____Basketball ____BETA ____Tutoring/Peer Counseling ____Cross - Country ____Choir ____Yearbook / Magazine / ____Football ____Chess Newspaper ____Golf ____Computer ____Boy’s State ____Soccer ____Debating ____Fellowship of Christian Athletes ____Swimming / Diving ____Drama / Theater ____Future Business of America ____Tennis ____Foreign language ____Future Farmers of America ____Track ____History ____Students Against Drunk Driving ____Volleyball ____International ____Other (Please specify.) ____Wrestling ____Key ______Other (Please specify.) ____Math ____Science ______Model UN ______

Epsilon Tau Pi Foundation epsilontaupi.org 2016 OUTSIDE OF SCHOOL ACTIVITIES (Check all activities you have been involved in outside of high school.)

Church ____Civic (library, park, government ____Other (Please specify.) ____Acolyte Member officials, etc.) ______Altar ____Community Theater ____Choir ____Exchange Student Program Sports ____Deacons Quorum ____Food drives ____Baseball ____Teachers Quorum ____4-H ____Basketball ____Priests Quorum ____Hospital ____Football ____Sports ____Junior Achievement ____Martial arts ____Usher ____Kiwanis ____Soccer ____Youth Group ____Music ____Other (Please specify.) ____Other (Please specify.) ____Red Cross ______Rotary ____Salvation Army Military Service Clubs and Other Activities ____Tutoring Please list ____Blood drives ____ National Rifle Association ______

SCOUTING ACTIVITIES (Check all activities you have been involved in Scouting.)

Council Name ______City ______State______Positions Held ____OA Chapter Chief Merit badges ____Patrol Leader ____Other Scouting positions/awards (Please give total number earned.) ____Assistant Senior Patrol Leader (Please specify.) ____Merit Badges ____Senior Patrol Leader ______Bronze Palm ____Junior Assistant Scoutmaster ______Gold Palm ____ Assistant Scoutmaster ______Silver Palm ____Quartermaster ______High Adventure Outdoor ____Scribe ______experiences of five or more ____Librarian ______days and nights (Please specify.) ____Webmaster ______Den Chief ______Troop Guide National Awards Earned ______Venture Crew ____50-Miler Award ______Varsity Team Captain ____BSA Lifeguard ______Varsity Squad Leader ____Heroism Award ____Varsity Co-captain ____Historic Trails Award Staffing ____Local Camp Staff ____Honor Medal Have you served in a staff position for ____National Camp Staff ____Honor Medal with Crossed any of the following? ____Area Explorer Officer Palms ____Council camp or expeditions ____National Explorer Officer ____Hornaday Award ____Order of the Arrow ____Post Vice President ____Medal of Merit ____High-adventure base ____Post President ____OA Vigil Honor (Please specify.) ____OA Member ____Religious emblem ______OA Lodge Chief ____Sea Explorer Quartermaster ____National jamboree ____OA Section Chief ____Other (Please specify.) ____World jamboree ____OA National Officer ______

Authorization I here by authorize the Epsilon Tau Pi scholarship selection committee to request and obtain any further information the committee deems necessary.

On my honor as a Scout, all information and statements on this form are true and correct.

______Signature of applicant Date

I have read this application and it has my approval.

______Signature of parent/guardian Date

Epsilon Tau Pi Foundation epsilontaupi.org 2016

Checklist

____ Scholarship Application

____ High School Transcript

____ ACT / SAT Scores

____ Essay

____ Letter of Recommendation

____ Photocopy of Eagle Scout Certificate

Epsilon Tau Pi Foundation epsilontaupi.org 2016