HERBERT AND BERNACE KORTHUIS COMMUNICATION/DIGITAL MEDIA SCHOLARSHIP

Scholarship Purpose: This scholarship is to encourage students majoring in communication or digi-tal media productions to select Dordt University as the place to receive their Christian higher education degree.

Scholarship Eligibility: Incoming freshmen students who have been accepted in good academic stand-ing to Dordt University are encouraged to apply. All applicants must intend to major in communication or digital media productions.

TEL CHRISTIANS IN MEDIA SCHOLARSHIP

Scholarship Purpose: This scholarship encourages students with special potential in the communication or digital media production fields.

Scholarship Eligibility: Incoming freshmen students who have been accepted in good academic stand-ing to Dordt University are encouraged to apply. All applicants must intend to major in communication or digital media productions.

Application Procedure:1. Complete this application form.

2. Complete the Office of Admissions application process and be accepted for admission to DordtUniversity.

3. Ask a high school teacher or someone who can attest to your goals as a communication or digitalmedia production major to complete the attached reference form.

4. Application materials must be postmarked or sent by December 1 to one of the followingaddresses:

Mail to: Email: schowork@dordt.edu

Fax: 712.722.6035 — Attn: Scholarships Office

Scholarships Office Dordt University 700 7th St NESioux Center, IA 51250

Communication and Digital Media Production Scholarships

DORDT UNIVERSITY

COMMUNICATION AND DIGITAL MEDIA PRODUCTION SCHOLARSHIPS APPLICATION FORM

Name: ________________________________________________________________________________________________________________Last Name First Name Middle Initial

Address: _______________________________________________________________________________________________________________Street/Rural Route

______________________________________________________________________________________________________________ City State/Province Zip/Postal Code

Telephone: (________) ____________ - ______________________

Intended Major or Area of Study: _______________________________________________________________________________________

High School: ___________________________________________________________________________________________________________

Name of person writing your reference form: ____________________________________________________________________________

Write two brief paragraphs: First, describe the potential you have for a career in communication or digital media production. Second, explain how you would apply your Christian principles to this field.

Signature: _______________________________________________________________________________ Date: _______________________

Applicant’s Name _____________________________________

Applicant Instructions

1. Ask a teacher or someone who can evaluate your qualifications for a communication or digital mediaproduction scholarship to complete this reference form. Your reference writer should know you wellbut should not be a close relative. Along with the reference form, provide your writer with a stampedenvelope on which you have written the address listed below, so that the reference form can be sent di-rectly to the Financial Aid Office of Scholarships. Also inform the writer of the December 1postmark deadline date.

2. If you do not wish to examine this reference at any time, please sign the waiver of rights below. How-ever, if you do wish to examine this reference, the waiver of rights should not be signed.

Reference Writer Instructions

The above named applicant is applying for a communication or digital media production scholarship. Along with the applicant’s application form and essay, the scholarship committee will be reading a refer-ence written by you. Your recommendation will be very important to the scholarship committee as they make the final recipient decisions.1. Complete this communication or digital media production scholarship reference form for the

applicant.2. For applicants who have signed the above waiver of rights box, please send this form directly to the

Dordt University Financial Aid Office of Scholarships. If the applicant has not given you a stamped, addressed envelope, send the completed reference to one of the following addresses postmarked or sent by December 1. Mail to: Scholarships Office Email: schowork@dordt.edu

Fax: 712.722.6035 — Attn: Scholarships OfficeDordt University 700 7th St NE Sioux Center, IA 51250

Waiver of Applicant’s Rights:According to law, a student may waive his or her right to examine any document in his or her file. Failure to waive will not be prejudical to the student.

By signing this statement, I, the applicant, waive all rights of access to this document.

____________________________________________________ _____________________________Student’s Signature Date

Communication and Digital Media Production Scholarships Reference Form

DORDT UNIVERSITY

COMMUNICATION AND DIGITAL MEDIA PRODUCTIONSCHOLARSHIP REFERENCE FORM

Applicant’s Name: _______________________________________________________________________________________________For how long and in what capacity have you known the applicant? ___________________________________________________________________________________________________________________________________________________________________Please rate the applicant as candidly as possible. Circle the correct number.

1 – Excellent 4 – Poor2 – Good 5 – No Evidence3 – Average

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

1 2 3 4 5 1 2 3 4 5

1 2 3 4 5 1 2 3 4 5

1. Academic Initiativea. works beyond required goalsb. shows creativity and originalityc. assumes leadership and responsibility

2. Course Selectiona. takes course loads greater than what is requiredb. selects courses which display a greater level of difficultyc. selects courses which produce a well-rounded education

3. Integration and Knowledgea. ability to apply theoretical learningb. ability to integrate and conceptualize

4. Academic Potentiala. ability to perform at the university levelb. strives to improvec. displays conscientiousness 1 2 3 4 5

Write a recommendation of no more than 250 words, endorsing this applicant as a worthy recipient of a communica-tion or digital media production scholarship. You may wish to expand on the applicant’s academic strengths as listed above. Also consider explaining why the applicant is particularly qualified to excel as a Dordt University student who intends to major in communication or digital media production.

Signature: ___________________________________________________________________________ Date: _____________________

Excellent No Evidence