<p> Roger Thomas Scholarship Application Offered By: Kiwanis Club of Ravenna Deadline: April 1st </p><p>ROGER THOMAS MEMORIAL SCHOLARSHIP</p><p>The Roger Thomas Memorial Scholarship is offered through the Kiwanis Club of Ravenna to a qualified Portage County High School senior or graduate in the hope that it will be used wisely.</p><p>CRITERIA AND GUIDELINES </p><p>1. Applicant must be a student in good standing with or a graduate of any Portage County High School and must be a current or past 4-H member.</p><p>2. The Roger Thomas scholarship consists of $500 to be made payable to the recipient. Evidence of enrollment in and acceptance by any school of higher learning, to include four year, two year, or trade school shall be provided prior to payment.</p><p>3. Selection will be based on the attached application and selection of recipient will be made by the agriculture committee of the Kiwanis Club of Ravenna.</p><p>4. Applicant will make himself/herself available for an interview by the Review Committee if requested.</p><p>5. Application shall be complete and submitted no later than April 1st, of the year which the application is made. Submit completed applications to: Scholarship Application, c/o Ashley Mowen, OSU Extension Portage County, 705 Oakwood St., Suite 103, Ravenna, OH 44266</p><p>INFORMATION REQUIRED AS PART OF YOUR APPLICATION </p><p>Completely fill out the attached Roger Thomas Scholarship Application, including all required signatures. Include one letter of recommendation from a high school or college academic advisor or counselor. Please type or neatly print with black ink when filling out the following application. You may recreate the following scholarship application using a computer. However, you must use a legible font and minimum font size of at least 12 point. Roger Thomas Scholarship Application</p><p>Name of Applicant ______Address ______City or Town ______Zip Code ______Phone Number ______Date of Birth ______Age Sex M F High School attending or graduated from ______Date of high school graduation ______Name of college/university or post secondary school you plan to attend or are attending ______If attending college, have you been accepted? _____ Yes _____ No</p><p>Participation in Leadership or Other Experiences (30%) ______Extracurricular Activities and Community Service (20%) ______Scholastic Achievements and Letter of Recommendation (20%) ______Future Plans and Potential Success (10%) ______Financial Need/Special Circumstances (20%) ______Work Experience (please provide a short description) ______</p><p>Parent/Guardian Name(s) Yearly Income Yearly Contribution 1. ______2. ______</p><p>Dependent on Attending Names of sisters/brothers living at home Family Income College 1. ______2. ______3. ______4. ______5. ______</p><p>Applicant Signature ______Date ______</p><p>D:\Docs\2018-04-28\03d5ff965a2eb4769726d7b6e83786ad.doc</p>