Dear Applicant, Attached is the 2018 Homer Emblem Club #350 Scholarship Application. You should receive a total of six pages including this cover letter. This Scholarship is available to all 2018 graduates from any Lower Kenai Peninsula School South of Ninilchik, including Ninilchik, Homer, Seldovia, Nanwalek, Port Graham, Nikolaevsk, Vosnesenka and Kachemak Selo. COMPLETED APPLICATIONS MUST BE RECEIVED (NOT JUST POSTMARKED BUT RECEIVED) BY 4:00 PM, APRIL 6, 2018 NO EXCEPTIONS! Completed applications can be mailed to Homer Emblem Club #350, Scholarship Chairman, P.O. Box 614, Homer, AK 99603 or can be dropped off at Plymire- Shoultz Accounting Office at 206 E Pioneer Ave, Suite 2, Homer, AK 99603. If there are any questions or you need help in completing the application please contact Rama Flyum Sherry Parish Dee Dee Shoultz 399-8739 299-1964 235-8081
Type of Scholarship applying for: Homer Emblem Club #350 2018 SCHOLARSHIP APPLICATION (please type or print) University/College Vocational/Trade Flex School Personal Information: Applicant s Name Mailing address Phone Date of Birth Age Name of parents or guardians Father s occupation_ Mother s occupation_ Other members of family and ages Educational information: High Schools Attended Dates Attended Number of students in graduating class Class Rank GPA Page 1
What college, university or vocational/trade school are you planning on attending? Have you applied? Have you been accepted? Major or vocational/trade course of study When do you plan to enroll? Expected degree or certificate Summary of anticipated expenses for one year: Tuition and fees $ Room and board Textbooks and supplies Personal expenses Transportation Other (itemize) Total $ How do you expect to fund these expenses? Have you applied for and/or received any other scholarships, grants, student loans, etc? If yes, please give details
Page 2 Applicant s employment record: Company Address Supervisor Position Dates Extra Curricular Activities: Leadership Class Officer (example: Pres-4) Student Council (example: Rep-2) Awards and Honors Please list awards and honors and the high school year received: Athletics Lettered High School Sports: Varsity (V) or Junior Varsity (JV), please also list the high school year received and position held (ie: captain, manager, etc): Page 3
Band/Chorus/Drama Please list instrument, position held, roles played, etc, and the high school year: Youth Groups and Clubs (school and community) Please list group/organization name, positions held and the high school years: Volunteer Work and Community Service (example: Hospital, Senior Citizens, etc) Please list organization name, high school years, and positions: PLEASE ATTACH TO THE APPLICATION 1. Two (2) Letters of Recommendation, one from each: (a) A member of the teaching staff, (b) A person not connected with the school and not a family member, this could be your employer, pastor, youth group leader, etc. 2. Official High School Transcript that includes all 4 years of high school. 3. A 200-300 word narrative describing yourself, and may include the following items; goals, activities, hobbies, community involvement, positive high school experiences, philosophy, aspirations, etc. This narrative should also state your financial need of the scholarship award. 4. A wallet sized school photo of yourself. Page 4
Certification I,, hereby certify the information provided on this application for scholarship is true and accurate to the best of my knowledge. Applicant signature Date Parent/Guardian Signature Date Please submit the completed application with required attachments, no later than 4:00 PM April 6, 2018 (applications will not be considered after this time/date) to: Homer Emblem Club #350 P.O. Box 614 Homer, Alaska 99603 Attention: Rama Flyum, Scholarship Chairman Applications may be mailed to the above address (please make sure you mail in time to be RECEIVED by 4:00 PM April 6 th ), or drop off at Plymire-Shoultz Accounting Office, 206 E Pioneer Ave, Suite 2, Homer. Please make sure the envelope is marked Homer Emblem Club and Attention Rama Flyum. Page 5