<p> Name ______Sparta Scholarship Checklist Make only one packet for these scholarships and Make one packet for each of these scholarships check the boxes for the ones you are applying to: and check only one box per application packet: Barbershoppers American Legion Auxiliary * Class of 1939-1989 Brenengen Ford of Sparta * Class of 1969 W. Foster Brown Student Athlete, Dr. Jack * Class of 1981 Cataract Sportsman * Class of 1983 Class of 1940 Music * Greeno Memorial, Tim and Karen Class of 1978 * Haney Memorial, Winona J. Class of 1991 * Harrie Scholarship, Dale and Phyllis Erv’s Sparta Area Fire Protection District * Jackson Electric Cooperative Finstad Memorial, Jason D. * Jacobs Memorial, Neil R. * Grewal Memorial, Singh * Janusheske Memorial, John (Jack) * Kiwanis Club * Johnson Memorial, Roger A. Lady Butterfest Klein Memorial, William M. Lundy Memorial, Phyllis * Knights of Pythias/Beaver Creek Building Mayo Auxiliary Konze, “Best Day Ever” Joel * Piper Memorial, Prescott O. Krotzman Memorial Medical Tech, Janet Shiroda Memorial, George and Beverley * Masonic Lodge Sparta Boys Basketball Association * McCoy, US Army Major General Robert Sparta Boys Soccer Association * Nichols Memorial, Alexander L. Sparta Education Association * Pederson Golf Memorial, David H. Sparta Girls Soccer Association * Schendel Memorial, Ann and Harold Sparta Grid-Iron Booster Club * Tucker Memorial, Byron Sparta Lions Club * Tucker Memorial, Wendell Sparta Public Education Foundation * Western Technical College Sparta Rod & Gun Club* Tilling Thyme * Wall Memorial, Mark *</p><p>* = Letter of Recommendation required</p><p>Please print and submit to Student Services by 7:40 a.m. on February 10, 2017.</p><p>Sparta Scholarship Application</p><p>Name: </p><p>Address: </p><p>Phone: High School Academic Information ACT Composite Score (if applicable) </p><p>Future Education Plans School you plan on attending Have you applied? Yes No Have you been accepted? Yes No </p><p>Area of study (If unsure indicate “Undecided”) </p><p>Desired career upon college graduation </p><p>GPA (Cumulative) (use 3 decimal points, do not round) </p><p>Class Rank of </p><p>School Activities Activity # years Special awards, honors Offices Held involved</p><p>2</p><p>Community Involvement/Volunteer Activity and description Number # years Honors/ Awards of hours involved</p><p>Work Employer Position- job duties Hours per week Dates employed</p><p>Personal Statement Address the following in a typed, one page (no longer), 12 point font essay. Completeness of ideas, sentence construction, spelling and neatness are important. What would receiving a scholarship mean to you and why? What qualities and attributes do you have that make you a top candidate for a scholarship? You may also share any extenuating circumstances that may be an obstacle to your education (i.e. family situations, personal situations, financial, health), but this is optional.</p><p>Please read the statements below and sign/date:  I verify that the information provided on this application is accurate and my original work.  I acknowledge that I read and agree to the terms on the scholarship instruction page.  I understand that failure to follow the instructions may result in an invalid application.  I consent for the Sparta School District to verify my official GPA and class rank.</p><p>Student Signature ______Date ______</p><p>Please print and submit to the High School Student Services by 7:40 a.m. on February 10, 2017.</p><p>3</p>