Howard Hill Memorial Eagle Scout Scholarship Fund
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Howard Hill Memorial Eagle Scout Scholarship Fund Eagle Scout Scholarship Application For all Academic Years APPLICATION INSTRUCTIONS AND CHECKLIST 1. Scholarships are $1,000 per semester of enrollment up to a maximum of 12 semesters ($12,000) in an approved institution of higher learning to include but not limited to a state of Kentucky college, university, junior college, or technical school in pursuit of an undergraduate degree, a post graduate degree (up thru a Masters degree), or a technical certification 2. Scholarships are provided by donations of Eagle Scouts of BSA Troop 164 of Shelbyville, Kentucky, Shelby County, USA; friends of Troop 164 Eagle Scouts; and former scholarship recipients thru the Howard Hill Memorial Eagle Scout Scholarship Fund as administered by the Community Foundation of Louisville. 1. This application form will be made available to all Shelby County BSA troops thru their sponsoring organizations, their scoutmaster, and the Lincoln Heritage Council District Executive responsible for Shelby County. 3. A maximum of 2 scholarships may be awarded each year; one in honor or Troop 164 Eagle Scout Jason Wilder and another in honor of Troop 164 past Scoutmasters. 4. Each candidate for scholarship must submit this request for scholarship, whether new application or a renewed application, each year. 5. Each new candidate for scholarship must be a US Citizen; must have earned the rank of Eagle Scout while a member of a Shelby County Kentucky troop properly register with the Lincoln Heritage Council of the Boy Scouts of America; and be a member in good standing of that troop. 6. New applicants must submit this application by May 1 of their high school senior year and be enrolled in high school. 1. New applicants must also provide proof of application and and proof of acceptance at the institution of higher learning of their choice. 7. Renewing applicants must submit this application by May 31 or the institutions school year for consideration of award for the next fall semester. 1. Renewing applicants must also provide proof of continued enrollment in the institution of higher learning of their choice. 2. Renewing applicants must provide a transcript certifying their successful completion of the previous institutional year, award of undergraduate degree or technical certification. 8. This application must be filled out in its entirety leaving no blanks. If additional space is needed, please attach a separate sheet of paper for the continuation of the topic. 9. New applicants must provide a copy of their high school transcript and be graduating with a C or better cumulative grade point average. 10. New applicants must provide a copy of their Eagle Scout certification. 11. New applicants must submit at least two (2) letters of recommendation with this application from persons in the following areas of knowledge of the candidate (no more than one (1) letter from each area of knowledge): scouting, church, community, or school. 12. Each scholarship will be issued in the form of a Certificate of Award by the Howard Hill Memorial Eagle Scout Scholarship Fund, conditioned upon the enrollment of the individual as a full-time student in the program of choice within the calendar year the scholarship is awarded. The award will be paid as scholarship funds directly to the school in which the student is enrolled. “Verification of Student Enrollment” and “Special Instructions to the Institution of Higher Learning will be provided to the student to use in requesting funds. 13. The award may be used for tuition, books, student fees, laboratory fees. Room and board (if housed on campus). 14. The scholarship will not cover expenses or payments for an academic year prior to July 1 of the year in which the scholarship is awarded. 15. Applications may be submitted electronically as PDF documents attached to an e-mail addressed to [email protected] with the subject heading Eagle Scout Application 16. Applications may also be submitted as a paper poackage by mailing the entire packet in a binder to: Howard Hill Memorial Eagle Scout Scholarship Fund; c/o Richard Walker; 673 Hempridge Rd; Shelbyville, Ky 40065 17. Applications will not be returned to the applicant regardless of the outcome of the selection. Applications not selected will be destroyed by shredding for the purposes of keeping the applicants information confidential. Applications selected will be kept on file for a period of 5 years after the applicant has received the final award, then the application will be destroyed by shredding; however the applicants name will be kept on record for as long as the fund deems appropriate for the purposes of encouraging other applicants. Howard Hill Memorial Eagle Scout Scholarship Fund Eagle Scout Scholarship Application For all Academic Years Applicants Name ______________________________ Address ______________________________ City ____________________________ State _______________________ Zip __________________ Phone Number ___________________ Date of Birth ______________________________________ Date of Eagle Scout Award ____________________ Troop with which Awarded _______________ Number of Years with this Troop _______________ Number of Years as a Scout ______________ Number of Years in Cub Scouting ______ Arrow of Light recipient _______ Year of Award _____ High School Attending _____________________________________ Graduation Year __________ Class Ranking ________ Grade Point Average ________ SAT Score ________ ACT Score ______ Parent or Guardian Information: Fathers / Guardians Name ______________________ Employer ____________________________ Job Title of Position _________________________________________________________________ Mothers / Guardians Name ______________________ Employer ___________________________ Job Title or Position _________________________________________________________________ Number of Siblings at Home _________________ Number of Siblings in College ______________ Other Scholarships awarded (please list): Awarded By Amount Honors and Awards: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Extracurricular Leadership Activities (school, community, ROTC, clubs, etc) ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Community Service: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Briefly describe your Eagle Scout service project: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Describe your Leadership Role in the Troop and your leadership responsibilities with your service projects: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________