BRANDON LADIES OF ELKS SCHOLARSHIP FOR THE DETERMINED AVERAGE STUDENT

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BRANDON LADIES OF ELKS SCHOLARSHIP FOR THE DETERMINED AVERAGE STUDENT To Be Eligible for consideration, applicant must: 1. Be a resident of the Greater Brandon area and currently attending Armwood, Brandon, Bloomingdale, Durant, Newsome, Spoto or Riverview High Schools, any Hillsborough County Magnet High School, or the equivalent parochial school system. 2. Have shown participation in school, church and community activities. 3. Have been accepted at an accredited institution of higher learning (i.e. Junior college, 4 year college, university or technical institute). 4. Have an academic standing of a B C grade point average. 5. Have shown consistently good attendance records. The judging procedure will be: A panel of impartial judges that will review all applications received BY MARCH 2, 2018. Judges are chosen by the Brandon Ladies of Elks and will make the final selection of awards. Selections of awards will be based on the merits listed. After selection is made, all applications will be returned to the Brandon Ladies of Elks Scholarship Chairman. All winning applicants and parents will be invited to the Annual Awards Banquet as guest of the Brandon Elks Lodge, where the recipients of the scholarships will be announced. IMPORTANT: Be sure your application packet is in the hands of the Brandon Ladies of Elks Chairperson prior to the established deadline date (MARCH 2, 2018). Incomplete packets or those received after this date will not be considered. Awards not claimed will be forfeited 16 months from the date presented at the Youth Awards Banquet

Information included in this packet will be kept in strict confidence. Applications will be judged on the following merits. Attitudes: Needs: Activities: Skills: Grades: Brochures: General worthiness and desire. Financial needs and resourcefulness Work record, school record and community service Associated with the applicants field of interest Evidence of good aptitude with respect to the chosen vocation High school grades, vocations institutional grades, standardized test scores, SAT scores Neatly completed precisely following all directions All brochures must be in a folder (please punch holes on the left side of the application and clip in folder). We do not want to lose any of your paperwork. Transcripts of grades, SAT scores, ACT scores or summary sheet must be included in this folder sealed with school seal. The Counselor Report must be in the folder in a sealed envelope. DEAD LINE: Applications must be received by March 2, 2018. Scholarship recipients will be announced at the Student Appreciation Banquet in May. Winning applicants and their parents will be invited as our guests.

Please Note: Any student who receives a scholarship award must contact the registrar at the college or institute where enrollment has been accepted for verification of enrollment. Verification must be forwarded to the Chairman of the Brandon Ladies of Elks Scholarship Committee. Award money will then be forwarded directly to the financial aid department of the institution in the name of the award recipient. Mail the completed packet to: Grace Weigand, Scholarship Chairman Brandon Ladies of Elks, Lodge #2383 800 Centennial Lodge Drive Brandon, Fl. 33510 If you have any questions, you can contact Mrs. Weigand at: (813) 685-6469 = Lodge (813) 654-6889 = Home

BRANDON LADIES OF ELKS SCHOLARSHIP APPLICATION FOR THE DETERMINED AVERAGE STUDENT NAME: HOME ADDRESS: HOME PHONE: LAST FIRST MIDDLE STREET CITY ZIP CELL PHONE: BIRTHDATE: / / Father s Name: Mother s Name: [ ] married [ ] single [ ] windowed [ ] divorced [ ] remarried [ ] separated [ ] married [ ] single [ ] windowed [ ] divorced [ ] remarried [ ] separated Siblings: Brothers: Sisters: Ages: Ages: Signature of Parent/Guardian HIGH SCHOOL ATTENDED: GRADE POINT AVERAGE: (weighted) Signature of Applicant (unweighted) I hereby apply for a Brandon Ladies of Elks Scholarship. My chosen field or vocation is I have been accepted to (Jr. College, University or Technical Institution) Please rank the order of the factors most likely to influence your college enrollment decision: [ ] Intended major [ ] Proximity to home [ ] Early acceptance [ ] Athletic programs [ ] Financial Aid [ ] Other Are you the beneficiary of any other scholarship award or prepaid college plan? If yes, Please describe. Are any members of your immediate family currently attending college? If yes, how many and at what level? PAGE 1 OF 5

LEADERSHIP AND EXTRA CURRICULAR ACTIVITIES Activity (club name) Grade Level Position held (mbr, officer) HONORS AND AWARDS Name of Award/Honor Nature of Award Grade you were in WORK EXPERIENCE List any jobs you have held. Start with the most recent and include work on a family farm or for a family business, even if you were not paid. Employer Type of work Total wkly hrs. COMMUNITY SERVICE Describe your volunteer services that have helped someone in the community. Don t forget things such as visiting the sick or elderly, mowing lawns, babysitting, tutoring, assisting the handicapped, etc. Please include the total number of hours. If you wish to give us any additional information, or would like to attach any exhibits, please feel free to do so. Be selective in the exhibits you choose to submit, the idea is quality over quantity. Do not submit originals. The exhibits will not be returned to you. PAGE 2 OF 5

A nominee for this award must have a recommendation from one (1) of his/her teachers. This letter can come from a middle school or high school faculty member. One additional recommendation must be from one of the following: a church, community, or club organization, or from an adult who has known the applicant for at least five (5) years. Family members are excluded. Recommendations should be sincere and succinct. This is a total of two (2) recommendation letters required. Please present a paragraph of 200 words or less citing personal reasons addressing motivation for applying for this scholarship. PAGE 3 OF 5

You must prepare an essay of no more than 500 words from one of the following topics. Please indicate your topic by checking the appropriate box. This essay must be dated and signed. Failure to do so will result in zero points on this section. [ ] Discuss an issue of personal, local or national concern and its importance to you. [ ] Who do you think is the voice of your generation, and what message does he/she express? Do you agree with the message? Why or why not? [ ] Using one of the leadership roles or extracurricular activities you prioritized as being important to you, describe what impact the experience had on you, what you contributed, what you learned about yourself, and how it has influenced your plans for the future. PAGE 4 OF 5

COUNSELOR REPORT Applicant: Complete the top portion of this page and give it to your counselor or appropriate school official. This section can be completed by your counselor before you are finished with the application. Student Name: LAST FIRST MIDDLE Counselor: Please include a copy of your school profile and answer the following questions, even if the information is included in the profile. If your school has a policy of not ranking students, provide information to help us identify promising applicants. *The Brandon Ladies of Elks will not return this form to the student. The applicant s grade point average (A=4.0) weighted The highest GPA in the graduating class? unweighted Is the GPA based on weighted grades? [ ] yes [ ] no Class rank: The applicant ranks in a class of How many students have this rank? Is the rank based on weighted grades? [ ] yes [ ] no Applicant s highest test scores: ACT Date(s) taken SAT Critical Reading Math Date Taken How would you describe this applicant s program compared with that of other students applying for scholarships? [ ] Below Average [ ] Average [ ] Above Average [ ] Rigorous [ ] Most Rigorous Has the applicant ever been suspended or dismissed from your school? I recommend this applicant for the Brandon Ladies of Elks Scholarship: [ ] Yes [ ] No If no, please explain Please secure the following items in a sealed envelope, signed across the seal, and give to the student to include in his/her application brochure: [ ] Completed Counselor Report Form [ ] School Profile (if available) Name (please print): Position: School Phone: School Email: Length of time acquainted with applicant: Signature Date: PAGE 5 OF 5