2015 Scholarship Application Leadership LaRue County Application Deadline: April 1, 2015 Submit To: Guidance Counselor’s Office OR mail to: PO Box 176, Hodgenville, KY 42748 The 2006-2007 Leadership LaRue County Class established a scholarship, which was first awarded in 2007. The scholarship will be awarded annually. The scholarship amount may vary each year, depending on funding. This year the Leadership LaRue Scholarship will be for $500.00. Criteria to Apply: Applicants must be LaRue County residents. Graduating seniors from LaRue County pubic or private schools or home schooled students may apply. Adults wishing to begin an educational program may also apply. Applicants must be enrolling as a full-time student in either the Kentucky Community and Technical College system or a four-year college or university in Kentucky. Consideration will be given to financial need and those applicants with community involvement in LaRue County. * The Scholarship Committee will not discriminate based on race, color, age, sex, religion, disability or national origin. All information provided will be kept strictly confidential. Scholarship Payment 1. All scholarship funds will be made payable to the institution of choice upon official notification of enrollment from the registrar. 2. The scholarship can be applied to tuition, housing, books or other college related fees. Please include the following: Essay: Please attach a 500 word essay on how you feel that you can contribute to LaRue County now and in the future? Please include details about your current and past community involvement and volunteer experiences. How will you continue your community involvement as you enter the next phase in your life? A copy of your High School Transcript. Two letters of recommendation; one from a school official/teacher and one from a member of the community or a non-relative who knows you well. Letters should describe your school/community involvement, personal characteristics and/or other factors supporting your candidacy. Name of Applicant: ___________________________________________________________________ Preferred Name: _____________________________________________________________________ Name of Parents: _____________________________________________________________________ Address: ____________________________________________________________________________ Phone Number: ______________ E-mail address: ______________________________________ Father’s Employer: ___________________________ Occupation: ____________________________ Mother’s Employer: ___________________________ Occupation: ____________________________ Total number of family members living at home: Number of dependents in your family including yourself ____ Ages _________________________ Do you have any siblings attending college? If so, how many and where do they attend. _____________________________________________________________________________________ _____________________________________________________________________________________ If employed, please provide the name of your employer _____________________________________ How many hours do you work per week? _________ Do you plan to work while attending college? ________ List any other financial considerations which should be noted ________________________________ _____________________________________________________________________________________ High School GPA: _____________ ACT Score: _____________ Please explain your educational plans. What school do you plan to attend? Explain your program choice and future career plans. _________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ How do you plan to pay for your college education? Please list all possible sources such as: savings, part-time employment, scholarships, financial aid, funding from parents, etc. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Please list any scholarships you have been awarded and the amount of each. Scholarship: _______________________________ Amount: __________ Scholarship: _______________________________ Amount: __________ Scholarship: _______________________________ Amount: __________ Scholarship: _______________________________ Amount: __________ Please list any and all colleges you have applied to and been accepted to attend. ___________________________________ __________________________________ ___________________________________ __________________________________ Please list any honors and awards you have received: _______________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Extracurricular Activities: (List clubs and organizations, years involved and any offices or positions held): _______________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ How many hours per week are you involved in community activities? __________________ Please list and describe Community Activities and Involvement and list your related accomplishments. ____________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ By signing below, I verify that all information provided to the scholarship committee is accurate. Signature of Applicant: __________________________________ Date: ____________
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