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LOCAL SCHOLARSHIPS
LOCAL SCHOLARSHIPS
CHIPPEWA HIGH SCHOOL
The following scholarships are available to seniors graduating from Chippewa High School
on a yearly basis. In order to qualify, students must meet the stated criteria and apply for
the scholarship, returning the application to the Guidance Office by February 29, 2016.
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Lions Club Scholarship Students must have applied and been accepted at
a four year college. Students must demonstrate academic excellence and
community involvement. An application is required.
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Ruth Smith Music Scholarship Students must have applied and been
accepted at a four year college and express an interest in the field of music.
An application is required.
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Robert and Sarah Smith Scholarship - Students must have applied and
been accepted at a two or four year college. Students must demonstrate
academic excellence and community involvement. Also, the student must
be an active member of the LEO club. An application is required. This
scholarship is a one-time award of $1000.00.
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Three Point Club Scholarship Students must have applied and been
accepted at a four year accredited college or university or be in enrolled in a
Technical Program. Students must have played in the Chippewa Basketball
program for at least 3 years, including their senior year. You must show
team spirit and leadership, while maintaining a minimum 3.0 GPA or higher.
This scholarship is a one-time award of $500.00 and is awarded to one
female and one male. NOTE: An additional paper at the end of this packet
is required to be completed for this scholarship. Applicants must also
submit an application and an essay on what your basketball experience has
taught you about teamwork.
23.
Ann D. Homer Black Memorial $500.00 Scholarship When the time comes for me to leave (this life), Illhope that Ive
contributed something worthwhile to the boys and girls Ive known during my
teaching years.
Established in June 2013, in honor of Ann Blacks many years of dedicated
service to the school and especially to her fourth grade students. This
scholarship is intended for graduates of Chippewa High School who are
pursuing a postsecondary degree in elementary education. The applicants
should have a cumulative GPA of 3.0, and submit a one page essay in which
(1) Identifies personal qualities that applicant possesses that will help make
you a fondly remembered elementary school teacher and (2) a description of
something worthwhile that you hope to contribute to the boys and girls you
will come to know during your teaching years. This essay needs to be specific.
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Wadsworth-Rittman Hospital Medical Staff Memorial Scholarship There are two scholarships available. One will be awarded to a Rittman High
School senior and one to a Chippewa High School senior who has a
minimum 3.20 GPA, on a 4.00 scale, and is enrolled or will be enrolling as a
full-time student at a four-year educational institution, pursuing a field of
study in the medical, nursing, or health services professions.
NAME ________________________________
Amount per
Scholarship
Number
Awarded
Total Amount
Example:
0.
Company ABC
$500.00
$500.00
$500.00
2. American Legion
4,000.00
4,000.00
1,000.00
1,000.00
2,000.00
8,000.00
1,500.00
1,500.00
500.00
500.00
1
1
500.00
500.00
500.00
1,000.00
500.00
500.00
2
1
500.00
1,000.00
4,000.00
4,000.00
1,000.00
1,000.00
500.00
500.00
500.00
500.00
1
2
500.00
1,000.00
800.00
800.00
750.00
3000.00
500.00
500.00
1
1
500.00
1,000.00
6. Doyle Chisnell
7. Doylestown Area Business Assoc.
500.00
500.00
500.00
2
1
1,000.00
500.00
500.00
500.00
500.00
500.00
500.00
1,000.00
1,000.00
3,000.00
3,000.00
NAME ________________________________
First
M. I.
Parent/Guardian ___________________________________________________
I agree to allow this application, along with my transcript, to be
reviewed by the scholarship committees.
_______________________________________
__________________
Signature of Student
Date of Application
_______________________________________
__________________
Signature of Parent/Guardian
Date of Application
Do you have a parent or grandparent who is serving or has served in one of the branches of the
armed forces?
Yes
No
If yes, please indicate -
Yes
No
2. _______________________________________
Yes
No
3. _______________________________________
Yes
No
4. _______________________________________
Yes
No
5. _______________________________________
Yes
No
Yes
No
List activities during grades 9-12 and X the appropriate grade level(s).
Major Student Activities: sports, band, high school plays, cheerleading
(Activities requiring substantial effort beyond classroom)
Major Student Activities
10
11
12
Student Leadership Activities: class officers, student council, show choir, clubs
(Activities requiring some effort beyond classroom)
Student Leadership Activities
10
11
12
Community Service & Volunteer Activities: Suggested but not limited to SADD, food drive,
LEO club, STAR, Habitat for Humanity
(Activities requiring some effort beyond the classroom)
Community Service Activities
10
11
12
Academic Achievements: Honor Roll and Merit Roll, Student of the Month, National Honor
Society, etc.
Academic Achievements
10
11
12
Other Achievements
10
11
12
ALSO **Write and attach a short essay explaining why community service is important.**
*Every packet that is completed and returned will have an updated transcript
attached to the packet before sending to the scholarship committees you have chosen
1. Applicant must have played football from Peewee through High School.
- If the player moved into Chippewa School System we will permit
documentation showing the applicant played. Team photos, yearbook
photos, certificates, letter from the coach or league will be acceptable.
- Third - Fourth Grade = two points
- Fifth Sixth Grade = two points
- Seventh Eighth Grade = two points
- Four years in High School = four points
TOTAL POINTS = TEN POINTS
2. If there is a tie in points from the first guideline we will then use the
applicants G.P.A. Whatever the actual G.P.A. is will be added to the
pervious ten points. The applicant with the highest number of points will be
chosen.
3. If a tie still remains after the first and second guideline the applicants ACT
score will be used. Whatever the actual ACT score is will be added to the
total from Guideline one ten points) and guideline two (actual G.P.A.) total
points. The applicant with the highest number of points will be chosen.
4. If a tie still remains we will then look at Other Activities the applicant has
participated in. These activities can be in or out of school activities. Some
examples would be Choir, Band, Leo Club, Student Council, Boy Scouts,
and Church organization. We will add one point for each activity. The
applicant with the highest number of points will be chosen.
5. All monies will be paid directly to the student as long as they are attending a
recognized college, university or technical school. The funds can be used for
tuition or for books.
$500.00 Scholarship
There are two scholarships available. One will be awarded to a Chippewa High School senior
boys basketball player and one to a Chippewa High School senior girls basketball player.
Students must have applied and been accepted at a four year accredited college or university or
be enrolled in a Technical Program. These students must have played in the Chippewa
Basketball program for at least 3 years, including their senior year. You must show team spirit
and leadership, while maintaining a minimum 3.0 GPA or higher. These scholarships are a onetime award of $500.00, one for each basketball program. If you are interested in this
scholarship a full-complete application is required (from the guidance department), plus an
essay on what your Basketball experience has taught you about teamwork.
Have you been notified, or do you anticipate notification, of any scholarships or financial aid
award for the coming academic year? Please list and include the amount of each.
1. ___________________________________________
$____________________
2. ___________________________________________
$____________________
State the number of years that you have been a Chippewa Basketball player: ____________
Please return all items to the Chippewa Guidance Office
Email: ____________________________________
Applicant Information
FINANCIALINFORMATION:
1. Names of Parents/Guardians__________________________________________________________
2. Fathers employer and position________________________________________________________
3. Mothers employer and position________________________________________________________
4. Students employer and position_______________________________Hours per Week___________
5. Adjusted gross annual family income: IRSForm 1040 (line 37) ______________; IRSForm 1040A
(line 21) ______________; IRSForm 1040EZ (line 4) ______________
6. Number and ages of other dependent children ____________________________________________
7. Number of other family members currently attending college________________________________
8. Estimated market value of parents assets (including cash, investments, savings/checking accounts,
money market accounts, real estate) ____________________________________________________
9. Estimated market value of students assets_______________________________________________
10. Are there any special circumstances, other than family income, that should be considered in
evaluating your application (family debts, loss of income, illness, etc.)? If so, please explain _______
_________________________________________________________________________________
11. Have you been notified, or do you anticipate notification, of any scholarships or financial aid awards
for the coming academic year?Please list and include the amount.____________________________
_________________________________________________________________________________
SIGNATURES:
We hereby certify that all information in this application is accurate.
_______________________________________
_______________________________________
Signature of Student
Signature of Parent/Guardian
Return complete application and attached documents to your Guidance Counselor at: