1

NATIONAL SCHOOL PLANT

MANAGEMENT ASSOCIATION

2015 SCHOLARSHIP PROGRAM

APPLICATION PACKET

The National School Plant Management Association seeks to assist students who are continuing their

education by offering scholarships to those pursuing an Associate or Bachelor degree.

Any graduating high school senior, college freshman, sophomore, or junior is eligible to apply for a

scholarship. A total of $4,000 has been budgeted through the Scholarship Trust Fund for up to four

individuals based on the selection criteria (financial need, academic achievement, co-curricular

participation, community service, and essay response). The individual scholarships range from $500 to

$1,500 depending on candidate interest, evaluation results, and upon recommendation from the

Scholarship Committee.

NSPMA Scholarship Program

c/o Kimberly Keener Scholarship Committee Chair

155 Robbinsville-Edinburg Road

Robbinsville, NJ 08691

2

2015 NSPMA SCHOLARSHIP PROGRAM APPLICATION Name ___________________________________ Date ___________________

Address ___________________________________ Phone __________________

___________________________________

E-mail address: ________________________________________________________

Father’s (Male Guardian) Name: ____________________ Occupation: ___________________

Place of employment (Workplace): _________________________________________________

Mother’s (Female Guardian) Name: __________________ Occupation: ___________________

Place of employment (Workplace): _________________________________________________

Do you have a family relation to an NSMPA Officer, Board Member, Member, or

Representative? ___YES ___NO

If YES, please provide the name and position:_________________________________________

Financial Need: - Please indicate your family’s adjusted gross income from their last filed tax return:

Under $15,000 ______ $35,000 to $45,000 ______

$15,000 to $20,000 ______ $45,000 to $60,000 ______

$20,000 to $25,000 ______ $60,000 to $75,000 ______

$25,000 to $30,000 ______ $75,000 to $90,000 ______

$30,000 to $35,000 ______ Over $90,000 ______

Total number of family members living at home: ______

Number of dependent children at home: ______ Ages: ___________________

Number of dependents attending college/post-secondary, including yourself: _______

Other financial considerations, which need to be noted:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

______________________________ _____________

Student Signature Date

______________________________

Parent/Guardian Signature (if under 18 years of age)

3

NSPMA 2015 SCHOLARSHIP PROGRAM APPLICATION

Please request your school principal, guidance counselor, college admission or registrar’s office

provide the information requested in Parts I and II.

APPLICANT’S NAME: __________________________________

High School Graduation Date (mm/yyyy): _____________________________

I. COLLEGE ENTRANCE EXAMINATION SCORE: (one must be completed)

ACT ___________ SAT ___________

(Copy of official scores must be included with application)

II. CUMULATIVE HIGH SCHOOL GRADE POINT AVERAGE: ____________

(GPA based on a 4.0 point system-inclusive of Fall 2014 grades. If other than a 4.0 GPA

point system is used, please indicate 4.0 equivalency or point system.)

CUMULATIVE COLLEGE GRADE POINT AVERAGE: _____________

(GPA based on a 4.0 point system-inclusive of Fall 2014 grades. If other than a 4.0 GPA

point system is used, please indicate 4.0 equivalency or point system.)

(Copy of official transcript from high school and college (if attended) must be

included with application)

Name of High School/College: ___________________________________________________

City: ______________________________ State: ___________________________________

______________________________________________ _______________________

Signature – Principal – Counselor – Admission Officer Date

III. COLLEGE CHOICE:

College to which you have been accepted or currently attend:

_______________________________ Yearly Cost: $ ____________

College(s) to which you have applied (list in preference): Yearly Cost:

1. _____________________________________ $ ____________

2. _____________________________________ $ ____________

Anticipated Degree/Profession: ________________________________________________

IV. SCHOOL ACTIVITIES (may attach additional sheet or student resume)

A. Athletic/Sports: _______________________________________________________

_____________________________________________________________________

4

NSPMA 2015 SCHOLARSHIP PROGRAM APPLICATION

B. Business/Leadership:

_____________________________________________________________________

_____________________________________________________________________

C. Arts/Music/Drama:

_____________________________________________________________________

_____________________________________________________________________

V. EXTRACURRICULAR ACTIVITIES:

A. Humanitarian/Social:

________________________________________________________________________

________________________________________________________________________

B. Religious:

________________________________________________________________________

________________________________________________________________________

C. Work Experience:

________________________________________________________________________

________________________________________________________________________

VI. ADDITIONAL HONORS, AWARDS, RECOGNITIONS:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

5

NSPMA 2015 SCHOLARSHIP PROGRAM APPLICATION VII. ESSAY In the space provided below (or submit as an attachment), please respond to

the following essay topic in a minimum of 300 words:

A clean, well maintained, and safe school environment makes a difference in a

student’s education. The sponsors of this scholarship program currently hold or are retired from school personnel positions in custodial,

maintenance, or operational services. We wish you the best in your educational and future endeavors.

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________ Application with attachments must be received by February 1, 2015.

Recipients will be announced at the NSPMA National Conference February 22-25, 2015. Submit to: NSPMA 2015 Scholarship Program

c/o Kimberly Keener, Scholarship Committee Chair

155 Robbinsville-Edinburg Road

Robbinsville, NJ 08691