<p> JEANNE B. THOMA MEMORIAL SCHOLARSHIP</p><p>Jeanne Thoma was a devoted wife, mother, and educator. A graduate of the University of Iowa, she first came to Fairfield High School in 1929 to teach Math and English. In 1959, following the death of her husband, Jeanne returned to Fairfield High where she was a Guidance Counselor until her retirement in 1973. As a counselor, Jeanne encouraged students to pursue their education beyond high school and was instrumental in helping many students receive scholarship monies to attend college or trade school. In addition to being a founding board member for the FHS Wall of Honor, Jeanne was also very active in the Fairfield community. She was a member of Alpha Gamma Delta Sorority, Delta Kappa Gamma Educational Sorority, American Association of University Women, Child Abuse Board, The Greater Jefferson County Foundation Scholarship Committee, Fairfield Women’s Club, Lionels, PEO, Fairfield Golf & Country Club and First Presbyterian Church. This scholarship, in her memory, has been established to help a current Fairfield Community High School graduate attend a college, university, or trade school of their choice to obtain the necessary education to meet their career goals. For office use only</p><p>College POE Rec’d: ______Student POE Rec’d: ______CK #: ______Mailed: ______</p><p>Multi-winner with ______Jeanne B. Thoma Scholarship This $650 award is to be applied toward tuition expenses at a college, university, or trade school and will be paid directly to the appropriate institution. Both grade point average and need will be considered in awarding this scholarship. </p><p>Please complete the requested information as completely and accurately as possible. Type or print legibly. Application deadline is April 1, 2011. Please return completed application to the guidance office.</p><p>NAME: SOCIAL SECURITY #</p><p>ADDRESS CITY ZIP</p><p>PHONE (AREA CODE) DATE OF BIRTH</p><p>1. Father’s Name Occupation</p><p>2. Stepfather’s Name Occupation</p><p>3. Mother’s Name Occupation</p><p>4. Stepmother’s Name Occupation</p><p>5. Guardian’s Name(s) Occupation</p><p>Circle from above: I live with 1. 2. 3. 4. 5.</p><p>High School Record:</p><p>Cumulative GPA:______Class rank: ______of ______</p><p>(Attach high school transcript) </p><p>How many years have you attended Fairfield Community High School?</p><p>Grade(s) 9 10 11 12 (circle) Who will be paying the majority of your tuition? ____parents ____self _____other (loans, other scholarships)</p><p>How many children in your family? ______</p><p>Please list any School, Community, or Church activities in which you were involved during your years at FHS.</p><p>Activity Offices Held Awards</p><p>School</p><p>Community</p><p>Church FUTURE PLANS</p><p>What college/university/or trade school do you plan to attend and why did you choose this institution of higher education? Please include the address of the school.</p><p>What degree(s) do you hope to earn and what career do you hope to pursue with your degree?</p><p>In what way will this scholarship enable you to pursue your education beyond FHS?</p><p>Please provide any additional information that will enable the selection committee better understand your future goals and why you should be considered for this scholarship.</p>