Local and national college scholarships FMCTC

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Local and national college scholarships FMCTC College Scholarship Program 2018

Farmers Mutual Cooperative Telephone Company College Scholarship Program 2018 Farmers Mutual Cooperative Telephone Company (FMCTC) will award one $500 scholarship to a rural high school senior. In addition, all FMCTC scholarship applicants will automatically be entered for two national scholarships available through the Foundation for Rural Service (FRS) 1. $2000 FRS Scholarship. Preference is given to students who express an interest to return to a rural community following graduation. 2. $5000 FRS Stauralakis Family Scholarship. Preference is given to students who are majoring in math, science, engineering or medicine. The Foundation for Rural Service, (FRS) is a national, nonprofit organization that helps educate the public on the telecommunications industry and works to improve the quality of life throughout rural America. FRS is an affiliate of the National Telecommunications Cooperative Association, a trade organization of independent telephone companies across the country. FMCTC is a member of the National Telecommunications Cooperative Association. Eligibility Applicants must: Be a graduating high school senior Be a United States citizen Be a child dependant of a FMCTC member and reside in the member s home Be from a rural area Be accepted by an accredited two or four year college or university, or vocational-technical school. Have at least a C grade point average. Please note this is not a scholarship based on a 4.0 average, but is awarded to deserving students whose academic credentials fall within an average to above average range. Express an interest to work in a rural community following graduation. How to Apply Complete the scholarship application in full. Type (preferred) or print all requested information. Prepare a 300 word essay on one of the following topics: 1. Describe your most significant accomplishment and explain why you believe it to be your most outstanding. 2. Describe the community in which you live and indicate how it has influenced the person you are. 3. What industry or opportunity would entice you to return to a rural community after completing your education? Why? Have a high school teacher or counselor complete the Educator s Statement. Statements must be submitted in a sealed envelope from the author. Please ask the author to submit three copies of his/her letter, each in a sealed envelope. Submit one letter of recommendation from a local community leader (elected officials, local business representatives, NOT from educators). Recommendations must be submitted in a sealed envelope from the author. Please ask the author to submit three copies of his/her letter, each in a sealed envelope. Include your most recent grade transcript (All seven semesters must be represented.) Transcript does not have to be an official copy. If available, include test scores and/or class rank with the transcript Do not include any photographs with your application. Award Procedure: Winner will be selected by an independent, qualified committee. All entries must be received by Friday, February 2, 12 NOON. No late applications will be accepted. Scholarships will be awarded on a one time basis and will not be renewable. Local award will be paid upon proof of registration at an institute of higher education, and will be payable the second term. National scholarships will be issued by August 2018. Scholarship will be awarded without regard to race, ethnicity, national origin, religion, sex or disability. Incomplete applications will not be considered. Make sure to: Include your application form (3 copies) Attach your transcript (7 Semesters, 3 copies) Attach your 300-word essay (3 copies) Attach your Recommendation Forms in sealed envelopes Return your entry by February 2, 2018, 12 NOON Questions may be directed to Shelli Larson at 712-744-3131 or 712-755-2541.

College Scholarship Application 2018 Name Email Address Mailing Address City State Zip Telephone ( ) Gender Male Female Name of Parent(s) or Guardian(s) High School High School Telephone ( ) Grade Point Average (please provide your un-weighted GPA cumulative through your 7th semester) SAT Score (If Applicable) ACT Score (If Applicable) College, University or Vocational/Technical School You Plan to Attend College, University or Vocational/Technical School Admissions Office Telephone Number Have You Been Accepted? Yes No Anticipated Major/Area of Study (Students who are majoring in math, science, engineering or medical fields will automatically be given preference for the $5000 Staurulakis Family Scholarship offered through the Foundation for Rural Service.) Work Experience: List your work experience over the last four years, in chronological order, with your most recent job listed first. Attach additional page if necessary. Company Position/Job Description Employed From Employed To Average Hours Per Week School Activities: List all school activities in which you have participated in the last four years. (i.e. athletics, student government, clubs). Attach additional page if necessary. Activity Years (1,2,3,4) Average Hours Per Week Comments

College Scholarship Application 2018 Community and Volunteer Activities: List all nonpaid community activities in which you have participated in the last four years (i.e. volunteer efforts, church work). Attach additional page if necessary. Activity (i.e. Soup Kitchen) Years (1.2.3.4) Average Hours Per Week Comments Awards and Honors: List all awards and honors received in the last four years (including academic awards or honors). Attach additional page if necessary. Year Award of Honor (i.e. Eagle Scout Badge, National Merit Scholar) Comments (Describe the Honor Why given) Special Circumstances: Describe any additional information you feel the Selection Committee should consider in the selection process (i.e. family need, hardships overcome). Please provide this information in an attachment to this application please type (preferred) or print your response in blue or black ink. Do not answer this question if you feel there are no special circumstances or important facts to relay. Submit essay as attachment: Essay should be approximately 300 words, typed (preferred) or printed, 12-point font, double spaced with one-inch margins. Please address one of the following statements or questions: 1. Describe your most significant accomplishment and explain why you believe it to be your most outstanding. 2. Describe the community in which you live and indicate how it has influenced the person you are. 3. What industry or opportunity would entice you to return to a rural community after completing your education, and why? Applicant Certification I hereby certify that all of the information provided in this application is complete and true to the best of my knowledge. I hereby grant permission to FMCTC and the Foundation for Rural Service to contact my references and/or school if necessary, and to use my name and likeness in promotional materials in the event that I am selected to receive a scholarship award. Signature of Applicant Date NTCA Member Sponsor Certification (Office Use Only) I hereby commit Farmers Mutual Cooperative Telephone Company to provide the $500 scholarship match required in the event that our sponsored applicant is selected a winner in the FRS scholarship program. Said commitment is for this applicant only and does not commit the company to any ongoing participation in, or support of, this program or the Foundation for Rural Service. Signature of FMCTC Manager or Board President Date Printed Name of Sponsoring Manager of Board President Telephone Number of NTCA Member Company ( ) City State NTCA Region Make Sure Your Application is Complete: Completed application form, 3 copies Transcript (7 semesters), 3 copies 300-word essay, 3 copies Educator s Statement (3 copies, sealed) Letter of Recommendation (3 copies, sealed) MUST HAVE ALL ITEMS ON CHECKLIST TO BE CONSIDERED Please submit all materials together.

Educator s Statement THIS PAGE IS TO BE COMPLETED BY ONE OF YOUR TEACHERS OR YOUR HIGH SCHOOL GUIDANCE COUNSELOR To Be Submitted by Student with Completed Application in Sealed Envelope. *Teacher/Counselor: Please fill out and place form in a sealed envelope before returning to student. Please submit a total of 3 forms, each in a sealed envelope. Applicant s Name Date High School Teacher/Counselor s Name Position Please describe whatever you think is important about this student, including a description of academic and personal characteristics. We are particularly interested in a candidate s intellectual promise, motivation, relative maturity, commitments to service, integrity, special talents and enthusiasm, overcoming hardship (if applicable) and initiative. We welcome any information that will help distinguish this student from others. Please submit your comments below attach additional page if necessary. Personality & Character Evaluation Compared with other high school seniors, how would you rate this student in the following areas? Positive Attitude Enthusiasm & Support of the School Respect for Others Leadership Qualities Academic Achievement Sense of Responsibility High Principles and Values Average Good Very Good Excellent (Top 10%) One of the best that I have ever encountered Signature of Evaluator

Mail your completed application and materials to: Selection Committee FMCTC 801 19 th Street Harlan, Iowa 51537 All applications must be submitted to FMCTC by 12 NOON February 2, 2018. Questions can be directed to Shelli Larson at (w)712-744-3131 or (h)712-755-2541