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 verified that their application for Eagle Scout rank has been received at the BSA National Office Applicants may verify this by having their local council contact the Epsilon Tau Pi Foundation at [email protected] or photocopy their certificate.
4. Provide a transcript of high school grades covering at least six semesters (The transcript does not have to be “Official”).
5. Have taken the SAT and/or the ACT. Submitted scores must be a copy of an official test sheet, or on 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 send an electronic copy (word document and scans of necessary material) Submissions of electronic copies must be received by June 30th to be considered.
6. Have and continually demonstrated leadership ability in Scouting, and have a strong record of participation in activities outside of Scouting.
7. Provide a statement by the applicant clearly stating why he believes he deserves an Epsilon Tau Pi Foundation Scholarship (max. 500 words).
3. Be an incoming first year student entering (Please
check one):
8. Provide one signed recommendation letter from
volunteer or professional Scout leader who knows the applicant personally. This is the only
____The University of Dayton ____The Ohio State University ____Western Carolina University ____West Virginia University ____Appalachian State University ____Georgia Southern University ____Augustana College endorsement required. Please do not send endorsements from teachers, counselors, etc.
9. Be available to possibly participate in an interview with the scholarship committee. We will contact you to schedule the interview if it is deemed necessary by the committee.
____Robert Morris University ____Missouri Western State University 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 (No biographies, resumes, or supplementary lists of activities). Items should not be attached to the application. Answer all questions on the application (“See attached” is not an acceptable answer). Submit all attachments with the application form to ensure that all items are available for review at the same time (Epsilon Tau Pi will not assume responsibility for matching items that are mailed separately).
Epsilon Tau Pi Foundation ATTN: Scholarship 7061 Waterfront Lane Blacklick, OH 43004
Or submit electronically via email to: [email protected]
Epsilon Tau Pi is not responsible for lost or misdirected applications. Be advised that applications become the property of the selection committee and will not be returned to the applicant
Include on each attachment the applicant’s name. Be advised that only those applications postmarked 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
____Band / Orchestra ____BETA ____Choir ____Chess
____National Honor Society ____Student Council/Government ____Tutoring/Peer Counseling ____Yearbook / Magazine /
Newspaper
____Baseball ____Basketball ____Cross - Country ____Football ____Golf ____Soccer ____Swimming / Diving ____Tennis ____Track ____Volleyball ____Wrestling ____Other (Please specify.)
____Computer ____Debating ____Drama / Theater ____Foreign language ____History ____International ____Key ____Math
____Boy’s State ____Fellowship of Christian Athletes ____Future Business of America ____Future Farmers of America ____Students Against Drunk Driving ____Other (Please specify.)
_________________________________ _________________________________ _________________________________
____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 ____Altar ____Choir ____Deacons Quorum ____Teachers Quorum ____Priests Quorum ____Sports officials, etc.)
____Community Theater ____Exchange Student Program ____Food drives ____4-H ____Hospital ____Junior Achievement ____Kiwanis
_________________________
Sports
____Baseball ____Basketball ____Football ____Martial arts
- ____Soccer
- ____Usher
____Youth Group ____Other (Please specify.) _____________________
____Music ____Red Cross ____Rotary
____Other (Please specify.) _________________________
____Salvation Army ____Tutoring
Military Service
Please list
Clubs and Other Activities
- ____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 specify.)
(Please give total number earned.) ____Merit Badges ____Bronze Palm ____Gold Palm ____Silver Palm ____ High Adventure Outdoor experiences of five or more days and nights (Please specify.)
_________________________ _________________________ _________________________ _________________________ _________________________
____Assistant Senior Patrol Leader ____Senior Patrol Leader ____Junior Assistant Scoutmaster ____ Assistant Scoutmaster ____Quartermaster ____Scribe ____Librarian ____Webmaster ____Den Chief
_________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________
____Troop Guide ____Venture Crew
National Awards Earned
____50-Miler Award ____BSA Lifeguard ____Heroism Award ____Historic Trails Award ____Honor Medal ____Honor Medal with Crossed
Palms
____Hornaday Award ____Medal of Merit
____Varsity Team Captain ____Varsity Squad Leader ____Varsity Co-captain ____Local Camp Staff ____National Camp Staff ____Area Explorer Officer ____National Explorer Officer ____Post Vice President ____Post President
Staffing
Have you served in a staff position for any of the following? ____Council camp or expeditions ____Order of the Arrow ____High-adventure base
- (Please specify.)
- ____OA Vigil Honor
- ____OA Member
- ____Religious emblem
____Sea Explorer Quartermaster ____Other (Please specify.) _________________________
_________________________ ____National jamboree ____World jamboree
____OA Lodge Chief ____OA Section Chief ____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