GSTF - Apply for or Renew a Scholarship

Apply for or Renew a Scholarship
Applicant Introduction
Please provide us with the following information to begin your application

I am a Senior at Seymour High SchoolI am a Senior at a Jackson County High School (other than Seymour High School)I am a Senior residing in Bartholomew CountyI am a Senior from an Indiana County High School (outside of Jackson County)I am a non-high school student seeking a scholarship (adult learner)I would like to renew my application for all my current scholarships
By completing this application you will be applying for these Funds and Scholarships available to Seymour High School Seniors

Joseph & Luella Abell ScholarshipLouis G. & Nellie E. Bauer FundLillian & Sherman H. Berry Bus. ScholarshipLauren Bayon Brown ScholarshipJoe & Arletta Cobb ScholarshipJanette Johnson Deal Mem. ScholarshipBen Everhart Memorial ScholarshipCharles Forrest Foster ScholarshipIvan Frische ScholarshipMary Hatfield Glasson ScholarshipHamilton Township Alumni ScholarshipPaul S. Hanner ScholarshipRenee Hildreth Mem. ScholarshipAnah C. & Willard Klakamp ScholarshipNellie Kloeker ScholarshipGilbert Kovener ScholarshipMAKE A DIFFERENCE ScholarshipMAKE A DIFFERENCE CAREER ScholarshipLydia Mellencamp ScholarshipRobert Pollard Mem. ScholarshipBarney & Marguerite Scott Ath. ScholarshipJohn F. & Mary Eliz. Shiel FundAmanda Stahl ScholarshipCyril O. & Ora E. Story ScholarshipBrad Thompson Mem. ScholarshipJames T. Thompson ScholarshipPatricia Woodard Tidd ScholarshipDallas Tyler ScholarshipMaude S. Welch Nurse ScholarshipBlair Trask Memorial Broadcasting Scholarship FundThe Richard Stickles Memorial Scholarship FundJohn A. Marshall Memorial Scholarship FundSteve D. Lanam Memorial Scholarship FundGreg Prange Scholarship FundPlus Additional Scholarships
By completing this application you will be applying for a renewal of all of these Scholarships

Joseph & Luella Abell ScholarshipLouis G. & Nellie E. Bauer FundLillian & Sherman H. Berry Bus. ScholarshipJoe & Arletta Cobb ScholarshipIvan Frische ScholarshipMary Hatfield Glasson ScholarshipPaul S. Hanner ScholarshipAnah C. & Willard Klakamp ScholarshipNellie Kloeker ScholarshipGilbert Kovener ScholarshipMAKE A DIFFERENCE ScholarshipLydia Mellencamp ScholarshipCyril O. & Ora E. Story ScholarshipDallas Tyler ScholarshipMaude S. Welch Nurse ScholarshipMark & Elizabeth Owen
By completing this application you will be applying for these scholarship Application available for Non-High Students

Joseph & Luella Abell ScholarshipNellie Kloeker ScholarshipJohn A. Marshall Memorial Scholarship FundMAKE A DIFFERENCE Career ScholarshipRobert Pollard ScholarshipMaude S. Welch Nurse ScholarshipGarry & Mary Lou Estes ScholarshipBlair Trask Memorial Broadcasting Scholarship FundSteve D. Lanam Memorial Scholarship Fund
By completing this application you will be applying for this scholarship available to High School Students in Bartholomew County

Garry & Mary Lou Estes ScholarshipBlair Trask Memorial Broadcasting Scholarship FundJohn A. Marshall Memorial Scholarship Fund
By completing this application you will be applying for a scholarship available to High School Students in Jackson County (not attending Seymour High School)

Blair Trask Memorial Broadcasting Scholarship FundJoseph & Luella Abell Scholarship FundKelso & Orpha Briner ScholarshipLauren Bayon Brown ScholarshipJoe & Arletta Cobb ScholarshipJohn A. Marshall Memorial Scholarship FundIvan Frische ScholarshipHamilton Township Alumni ScholarshipRenee Hildreth Memorial ScholarshipNellie Kloeker ScholarshipGilbert Kovener ScholarshipMAKE A DIFFERENCE ScholarshipMAKE A DIFFERENCE Career ScholarshipRobert D. “Bob” Pollard Memorial ScholarshipAmanda Stahl ScholarshipJames T. Thompson ScholarshipDallas Tyler ScholarshipMaude S. Welch Nurses ScholarshipSteve D. Lanam Memorial Scholarship Fund
By completing this application you will be applying for a scholarship available to High School Students in an Indiana County (other than Jackson & Bartholomew)

Blair Trask Memorial Broadcasting Scholarship FundJohn A. Marshall Memorial Scholarship Fund
We have a scholarships available for Seniors in several Indiana counties. Please select your county of residence or select "other"

BrownClarkCrawfordDuboisFloydHarrisonJeffersonJenningsLawrenceMartinMonroeOrangeScottWashingtonOther
Please specify your county of residence
NEW APPLICATION FOR STUDENTS
Please upload a personal letter to fully explain why you need financial assistance to attend college, what the scholarship(s) would mean to you, whether you are contributing financially to your education, what your educational and career goals are, and what factors have influenced your education and career decision.

Accepted file type pdf, doc, docx, jpg, jpeg, png - Max file size 10mb
Cancelof
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Township
School District
Applicant's Social Security Number
Date of Birth

MonthDayYear
Date
Your Gender

FemaleMale
Education Information
Name of Current School
Scheduled Graduation Date
Please enter the month and the year (mm/yyyy)
Cumulative Grade Point Average (GPA) based on a 4.0 Scale (Not Weighted)
Please omit the spring semester of your Senior year in high school.
Please upload a copy of your High School Transcript

Accepted file types pdf, doc, docx, jpg, jpeg, png Max file size - 10mb
Cancelof
My rank in my class is #(enter a number) out of (total number of) students.
Please provide your SAT College entrance examination scores:

Verbal (enter score) Math (enter score)

Written(enter score) Total (enter score)
Please provide your ACT College entrance examination scores:

English(enter score) Math(enter score)

Reading (enter score) Science (enter score)

Composite (enter score)
Are you a 21st Century scholar?

YesNo
Did you receive a letter(s) in a sport?

YesNo
Please provide the sport and the year for which you received a letter.
Did your parents, siblings or grandparents complete a four year college degree?

YesNo
Future Education
Future School/College/University of Choice
Have you been accepted to this School/College/University

YesNo
Planned Major
Career Interests
What are your plans after graduation?
Family Financial Information
What is your family's adjusted gross income from last year's tax return.
Please attach a copy of the first page of last year's tax return.

Accepted file types - pdf, doc, docx, jpg, jpeg, png - Max file size 10mb
Cancelof
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
Number of dependents in your parent's family, including yourself.
Number of Children (under 18)
Children's Ages
Number attending college next year
What financial sources (scholarships, grants, funds from parents or other family members, etc.) do you have available for your higher education? Please list and give amounts.
How do you plan to fund your higher education?
If you have already been notified that you will receive other scholarships, please give amounts.
Other financial considerations
Extracurricular Activities
Show years of involvement and any offices held
Honors and Awards
Work Activities
Are you currently employed?

YesNo
Please provide details on your employment
How many hours do you work each week?
Describe your other work activities (such as family business, family farm, etc)
START A RENEWAL APPLICATION
Please upload a personal letter to fully explain why you need financial assistance to attend college, what the scholarship(s) would mean to you, whether you are contributing financially to your education, what your educational and career goals are, and what factors have influenced your education and career decision.

Accepted file type pdf, doc, docx, jpg, jpeg, png - Max file size 10mb
Cancelof
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Social Security Number
Application for scholarship renewal is for which year of college?

SophmoreJuniorSenior
Number of hours per semester?
College / School you are attending
Planned Major
What are your plans after graduation?
Cumulative Grade Point Average (GPA) based on a 4.0 Scale (Not Weighted)
Please omit the spring semester of your Senior year in high school.
Please upload a copy of your GPA transcript below

Cancelof
Financial Information for Renewal Applications
If you have been notified that you will receive other scholarships, please provide names, amounts and frequency
Other financial considerations
Work Activities for Renewal Applications
Are you currently employed?

YesNo
Please describe your current employment
MAKE A DIFFERENCE SCHOLARSHIP FUNDS

For students who meet the criteria of the MAKE A DIFFERENCE Career Scholarship and the MAKE A DIFFERENCE Scholarship you must complete the following information.
Please attach two letters of recommendation for the MAKE A DIFFERENCE Scholarships.

Cancelof
What degree or certification are you seeking?
If you have not already been accepted into the program you've chosen, do you meet the eligibility requirements?

YesNo
When do you expect to apply to the program?
What is your anticipated start date?
What is the estimated time to complete the program?
Will it be necessary for you to reside away from home?

YesNo
Please describe room and board arrangements and costs, if known
Do you expect to be employed while you complete this program?

YesNo
How much financial aid do you anticipate needing in the first year of the program?
If there are other factors to be considered for a grant, please explain below
NEW APPLICATION FOR NON-HIGH SCHOOL STUDENTS
Please upload a personal letter to fully explain why you need financial assistance to attend college, what the scholarship(s) would mean to you, whether you are contributing financially to your education, what your educational and career goals are, and what factors have influenced your education and career decision.

Accepted file type pdf, doc, docx, jpg, jpeg, png - Max file size 10mb
Cancelof
Name

First NameMiddle NameLast Name
Please attach a copy of the first page of last year's tax return.

Accepted file types - pdf, doc, docx, jpg, jpeg, png - Max file size 10mb
Cancelof
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Social Security Number
Date of Birth

MonthDayYear
Date
Gender

FemaleMale
Your Education
Name of High School Attended
High School Graduation Date

MonthDayYear
Date
GED Certificate Date

MonthDayYear
Date
School or College Choice
Have you been accepted to this School or College?

YesNo
What grade or level of degree are you seeking?
Planned Major
Career Interests
What are your plans after Graduation?
Financial Information for Non-Students
What is your family's adjusted gross income from last year's tax return?
Number of dependents in your family, including yourself
What financial sources (scholarships, grants, funds from parents or other family members, etc.) do you have available for your higher education? Please list and give amounts.
How do you plan to fund your higher education?
If you have already been notified that you will receive other scholarships, please give amounts.
Other financial considerations
Work Activities for Non-Students
Are you currently employed?

YesNo
Please describe your current employment
Describe your other work activities (such as a family business, family farm, etc
NEW APPLICATION FOR STUDENTS IN BARTHOLOMEW COUNTY
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Township
School District
Applicant's Social Security Number
Date of Birth

MonthDayYear
Date
Your Gender

FemaleMale
Current Education Information
Name of Current School
Scheduled Graduation Date
Please enter the month and the year (mm/yyyy)
GED Certificate Date

MonthDayYear
Date
Cumulative Grade Point Average (GPA) based on a 4.0 Scale (Not Weighted)
Please omit the spring semester of your Senior year in high school.
Please upload a copy of your High School Transcript

Accepted file types pdf, doc, docx, jpg, jpeg, png Max file size - 10mb
Cancelof
My rank in my class is #(enter a number) out of (total number of) students.
Please provide your SAT College entrance examination scores:

Verbal (enter score) Math (enter score)

Written(enter score) Total (enter score)
Please provide your ACT College entrance examination scores:

English(enter score) Math(enter score)

Reading (enter score) Science (enter score)

Composite (enter score)
Are you a 21st Century scholar?

YesNo
Did your parents, siblings or grandparents complete a four year college degree?

YesNo
Future Education
Future School/College/University of Choice
Have you been accepted to this School/College/University

YesNo
Planned Major
Career Interests
What are your plans after graduation?
Family Financial Information
What is your family's adjusted gross income from last year's tax return?
Please attach a copy of the first page of last year's tax return.

Accepted file types - pdf, doc, docx, jpg, jpeg, png - Max file size 10mb
Cancelof
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
Number of dependents in your parent's family, including yourself.
What financial sources (scholarships, grants, funds from parents or other family members, etc.) do you have available for your higher education? Please list and give amounts.
How do you plan to fund your higher education?
If you have already been notified that you will receive other scholarships, please give amounts.
Other financial considerations
Extracurricular Activities
Show years of involvement and any offices held
Honors and Awards
Community or other Activities
Work Activities
Are you currently employed?

YesNo
Please provide details on your employment
How many hours do you work each week?
Describe your other work activities (such as family business, family farm, etc)
JOHN A. MARSHALL MEMORIAL SCHOLARSHIP FUND

For students who meet the criteria of the John A. Marshall Memorial Scholarship you must complete the following information.
Please upload three letters of recommendation (one from a band director, teacher, and Columbus City Band member)

Accepted file types: pdf, doc, docx, jpg, jpeg, png, gif / Max file Size 10mb
Cancelof
Please upload a short essay about your involvement with community bands.

Accepted file types: pdf, doc, docx, jpg, jpeg, png, gif / Max file Size 10mb
Cancelof
Do you have at least one year of participation with Columbus City Band?

YesNo
Have you participated in at least four concerts with the Columbus City Band?

YesNo
Please provide date and locations of your concert performances.
SIGNATURES

TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA SUBMITTED IN THE APPLICATION IS TRUE AND CORRECT.

Periodically, the media will cover activities at the Greater Seymour Trust Fund. By signing below, you are giving the media and the Greater Seymour Trust Fund permission to your name, or your child's name and/or picture in the publicity.
Applicant Signature

Clear
Parent/Guardian Signature

Clear
Date of Application

MonthDayYear
Date
Should be Empty:

Apply for or Renew a Scholarship

Applicant Introduction

NEW APPLICATION FOR STUDENTS

Education Information

Future Education

Family Financial Information

Extracurricular Activities

Work Activities

START A RENEWAL APPLICATION

Financial Information for Renewal Applications

Work Activities for Renewal Applications

MAKE A DIFFERENCE SCHOLARSHIP FUNDS

NEW APPLICATION FOR NON-HIGH SCHOOL STUDENTS

Your Education

Financial Information for Non-Students

Work Activities for Non-Students

NEW APPLICATION FOR STUDENTS IN BARTHOLOMEW COUNTY

Current Education Information

Future Education

Family Financial Information

Extracurricular Activities

Work Activities

JOHN A. MARSHALL MEMORIAL SCHOLARSHIP FUND

SIGNATURES