GOSHEN CENTRAL HIGH SCHOOL · Essay #9 21 Goshen Teachers Association Scholarship - $500 College bound student pursuing a career in education, demonstrated leadership, scholarship,

GOSHEN CENTRAL

HIGH SCHOOL

COMMON SCHOLARSHIP APPLICATION

Application Deadline – March 24, 2020 3:00 p.m.

No applications will be accepted after the deadline

(This application is intended for use by Goshen High School students ONLY. It will not be accepted

from students attending other schools.)

APPLICATION DIRECTIONS

1. Place a check mark in the yes/no column of the Scholarship Check List for each scholarship

for which you are applying.

2. Complete Part 1 of the application packet, including the future plans essay on the back.

(Leave the Name of the Scholarship blank, so you can make photocopies and add the name

later.) Your signature and parent signature at the bottom of the page is required.

3. If indicated, complete Part II (Financial Need Information) of the application packet.

Include signatures at the bottom of the page.

4. If indicated, complete Part III (Scholarship Essay). Write or type the essay/essays required

for each of the scholarships for which you are applying. (See COMMON APP column on

checklist for essay #.)

5. Make photocopies of Part I for each packet. Write the name of each scholarship for which

you are applying on Part I. Make photocopies of Parts II and III, if required. Attach Part

II (Financial Need Information) and Part III (Scholarship Essay) if required. Staple each

packet.

6. Place one copy of the Scholarship Checklist (all 3 pages) on top of your packets and bring to

the Guidance Office no later than March 24, 2020 3:00 p.m.. Please prepare packets before

bringing them to the Guidance Office and keep one copy for your records. We cannot make

copies in the Guidance Office.

*PLEASE BE SURE YOU MEET THE CRITERIA FOR EACH SCHOLARSHIP BEFORE

SUBMITTING YOUR APPLICATION.

NO APPLICATIONS WILL BE ACCEPTED AFTER THE DEADLINE.

PART I

(Mandatory for ALL Scholarships)

2020 COMMON SCHOLARSHIP APPLICATION

Name of Scholarship you are applying for: _________________________________________

Name____________________________________________ Phone Number_____________________

Address_____________________________________________________________________________

Father/Guardian__________________________________Occupation___________________________

Mother/Guardian_________________________________Occupation___________________________

List the names and grades of all your brothers and sisters:_____________________________________

___________________________________________________________________________________

Please list your extra-curricular activities; any Please list community service; include dates/hours of

additional pages may be attached service.

_____________________________________ __________________________________________

_____________________________________ __________________________________________

_____________________________________ __________________________________________

_____________________________________ __________________________________________

_____________________________________ __________________________________________

_____________________________________ __________________________________________

Please indicate the college that you are planning to attend (if you know at time of application, otherwise list

the colleges to which you have applied or plan to apply):____________________________________

____________________________________________________________________________________

Career goal:__________________________________________________________________________

YOUR COMPLETION OF THIS FORM IMPLIES PERMISSION TO INCLUDE YOUR HIGH

SCHOOL TRANSCRIPT.

___________________________________________ ___________________________________

SIGNATURE OF STUDENT SIGNATURE OF PARENT

(OVER)

PART I (continued)

FUTURE PLANS: Please write a brief essay (250 words) describing your educational or vocational plans,

why you feel worthy of receiving this scholarship, and how you would use this money if awarded to you.

(Please type or print clearly).

PART 2

FINANCIAL NEED INFORMATION

Name_________________________________________ Student ID#_________________________

Many local scholarships use “financial need” as one of their criterion for selection. Please complete the

following information requested below if you are applying for any scholarships that require a Part 2. Answer

all questions.

Total number of people currently living in household:_________________________________________

Please list the siblings in college and where they are attending:__________________________________

____________________________________________________________________________________

Estimated cost (tuition and room and board only) for colleges to which you have applied:____________

Have you received any grants or scholarships already? Yes___No___ If yes, list amount:____________

Please check off a total income range for your parent(s) before taxes:

Under $25,000/yr._____ $25,000-$50,000/yr._____ $50,000-$75,000/yr._____

$75,000-$100,000/yr.____ $100,000-$150,000/yr.____ $150,000-$200,000/yr.____ Over $200,000/yr

____

Have you submitted (or are you going to submit) the Free Application for Federal Student Aid? Yes___No___

Attach a copy of the financial aid package offered by your college (if available).

Total amount that you and your parents have saved for your college education:_____________________

What are your plans for the coming summer? _______________________________________________

Use the space below to explain any special circumstances that may affect your ability to pay the cost of

attending college next year.

____________________________________________________________________________________ SIGNATURE OF STUDENT SIGNATURE OF PARENT

PART 3

SCHOLARSHIP ESSAY

Scholarship

1 In a brief essay (one page) explain how you think your participation on an athletic team may

have helped you as an individual.

2 Please explain how a hobby or personal interest has helped you grow and gain personal insight.

3 Please write an essay explaining how your own perseverance has helped you reach success.

4 Explain how you have overcome some of the obstacles in your life and what has motivated

you to pursue the career you have chosen.

5 What are three adjectives that you would use to describe yourself and why? What are three

adjectives that others would use to describe you and why?

6 Please describe your family heritage and how this has enriched your life.

7 Please write an essay describing the disability you have overcome and your future plans.

8 Please write an essay explaining why you believe volunteerism and community service are

important. Choose one of your volunteer or community service activities and describe your

involvement.

9. Describe a literary work that you enjoyed, and how it has affected your life and/or thinking.

10. Explain how your involvement in music enriched your life and/or affected your education.

11. How has being involved in Little League influenced your life.

12. Explain how you will continue to use music to enrich your life and community in the future.

13. How did joining cross country influence your life as a high school student athlete? Please cite

specific examples. Explain how your physical, emotional and intellectual growth is attributed

to participation in cross country and how you plan to continue to expand upon those attributes

in college and beyond.

14. How has this experience impacted my life?

15. Please share your thoughts on how you would work towards improving medical care through

animal science or pediatric health.

NAME: ___________________________________________

Scholarship Checklist

Applications Due to Guidance Office

MARCH 24, 2020 3:00 p.m.

NO APPLICATIONS WILL BE ACCEPTED AFTER THE DEADLINE

SCHOLARSHIP CRITERIA COMMON APP.

YES OR NO

1 Bella Luna Family Restaurant Scholarship $1,000

Student who plans to pursue a major in the hotel/restaurant or culinary industry.

Parts I, III Essay #3

2 Business & Professional Women’s Club Scholarship

Graduating senior, female, attending a 2 or 4 year college, community service, financial need, academic ability.

Parts I, II, III Essay #4 or #8

3 Catholic Daughters of Americas, Court Genevieve Walsh #918 Scholarship in Memory of Greta Foley - $500

Student who is pursuing a degree in education with a focus on math or science.


4 Cross Country Scholarship

Graduating senior who has been a member of the high school Cross Country Team and plans to continue their education. Good attendance, work ethic and sportsmanship are considered.

Part I, III Essay #13

5 Hannah Crossley Memorial Scholarship - $500

Graduating senior who has overcome a significant personal or family challenge to be successful in high school.

Parts I, III Essay #4 or #7

6 Steven Bogart Memorial Scholarship - $1,000

Graduating senior who is dedicated, hardworking and is committed to becoming and engineer.

Part I

NAME: ___________________________________________________



MARCH 24, 2020 3:00 p.m.


7 Chief John Egbertson, Sr. Memorial Scholarship - $500

Must complete 1st semester of college with a “B” average; graduating seniors pursuing a degree program in Law Enforcement or Public Service (i.e. police, fire, EMS).

Parts I, II, III Essay #8

8 The Doc Brown Scholarship - $5,000

Student who has shown an interest and aptitude in math and science and is considering a career in a STEM field.

Parts I, II, III Any Essay from list or one already

written for college

admission

9 *Faded Scholarship - $500

Student who has demonstrated commitment to diversity and leadership, and has experienced financial hardship during their high school career.


10 Lori Fedor Memorial Scholarship - $500

Student involved in Goshen music program.


11 Cataract Engine & Hose Co. #1 Clarence Fraser Memorial Scholarship $1,000

Graduating senior planning to attend college and is an active (or honorary) member or relative of a member of the Cataract Engine and Hose Company No. 1, Inc.

Parts I *Supplemental

Application required - visit

Guidance Office for copy

NAME: __________________________________________



MARCH 24, 2020 3:00 p.m.


12 Lance Golubinski Scholarship - $1,000

Student who plans to pursue a degree in engineering, science or math. Minimum B average. Athletic ability, mechanical skills, good work ethic. Wrestlers are encouraged to apply.

Parts I, II

13 Goshen Administrators Association Service Scholarship - $500

Academic achievement, community service and school leadership (club or sports). This award is for a goal focused graduating senior.


14 *Goshen Chamber of Commerce Merit Award - $1,000

Commitment to the Goshen community; major in business, economics or financial related fields.


15 Goshen Coaches Touchdown Club - $500

Must be current Goshen student, senior football player who is college bound and playing a sport in college.

Parts I, II Essay #1

(specifically football)

16 Goshen Lions Club & Richard Ayres Memorial Book Award - $2,000

Graduating senior attending college and pursuing a career in the medical, health or human services field.


17 Goshen Little League - $1,500 Graduating senior must have participated in Goshen Little League for any amount of time.


18 Goshen Rotary Club Scholarship $1,000/year (Renewal Possible)

Demonstrated service to school and community; academic achievement; 89+ GPA. Athletics, community service, financial need.


NAME: __________________________________________



MARCH 24, 2020 3:00 p.m.


19 Goshen Rotary Club (Sonny Fox) Scholarship - $2,000

Academic achievement; must be an athlete; financial need.


20 Richard Gillette Memorial Scholarship - $5,000

Currently taking Honors English; must be taking student loans. *Must submit recommendation from an English teacher.

Parts I, II, III; Essay #9

21 Goshen Teachers Association Scholarship - $500

College bound student pursuing a career in education, demonstrated leadership, scholarship, service; has overcome adversity, financial need (not mandatory).

Parts I, & II

22 Thomas V. Guarino Family Foundation Scholarship - $2,000/yr renewable up to 4 years = $8,000

Academic excellence (GPA 85); extra-curricular activities; financial need; community and school service.

Parts I, II, III Essay #1, #2 or

#5

23 Mediacom Communications Corporation - $1,000

Entrepreneurial spirit demonstrated through part time employment, clubs, leadership skills, perseverance; GPA greater than 85.

Part I Supplemental



24 *Nancy Nowak Memorial Scholarship -$250

Graduating senior who has demonstrated growth through challenges faced in life.


NAME: __________________________________________



MARCH 24, 2020 3:00 p.m.


25 Lucas O’Connor Scholarship -

$1,000 A student who participated in Science Olympiad for a minimum of 3 years during high school and plans on pursuing a field in the sciences.

Parts I and II, III Essay #15

26 Quest Financial Services Scholarship - $1,000

Extra-curricular activities, demonstrates willingness to support local community endeavors; and demonstrates leadership skills.

Part I

27 Frank J. Romano Foundation Scholarship - $1,000

Plans to pursue a career in public service. Academic achievement, good citizenship, leadership, community service, extra-curricular activities.


28 Meghan Sager Memorial Scholarship – $1,000

College bound female student with 85+ GPA who has participated in any of the following; sports, music activities, student government or girl scouts; has consistently displayed a high degree of kindness and concern for their fellow classmates and community.

Parts I, III Essay #1, #3 #4,

#8 or #10

29 Charlene Klieverik Memorial Scholarship

Current senior participant in Goshen Science Olympiad

Part I Supplemental



NAME: __________________________________________



MARCH 24, 2020 3:00 p.m.


30 Anita Salte Memorial Scholarship - $500

Student or parent is a member of the Goshen Volunteer Ambulance Corp. and has demonstrated school and community service; student is pursuing a degree program in human services, health field. Financial need considered.


31 Cataract Engine & Hose Co. #1 Merel Scheidell Memorial Scholarship - $1,000

Graduating senior planning to attend college and is an active (or honorary) member or relative of a member of the Cataract Engine and Hose Company No. 1, Inc.

Parts I *Supplemental



32 Student Senate Scholarships Must have been on the Student Senate Council.

Parts I, II, III Essay #1 (essay should expand on leadership;

service to school and

perseverance)

33 Jane Unhjem Memorial Scholarship - $1,000

Candidates should have been involved in the GHS Music program. * Must include a Music Activities Resume listing all musical activities.

Part I, III Essay #10 & #12

NAME: __________________________________________



MARCH 24, 2020 3:00 p.m.


34 Village of Goshen Scholarship - $2,000

Based on financial need. Must complete Income Guidelines Form which will be provided to those who apply (available in April) Must also submit Income Tax Forms.


35 Mujtabah Lodhi Scholarship - $500

Based on financial need. Parts I, II

36 Joshua Stamm Memorial Scholarship - $1,500

Graduating senior who has made sincere effort to excel academically despite a mental and/or physical obstacle/ disability. Student must demonstrate a positive attitude for life and the qualities which make him or her a positive role model for other students such as determination, caring, compassion, and independent spirit.


37 Jerilynne Pinsker Memorial Scholarship - $325

Student is a survivor of cancer or long term illness; or has a parent who is a survivor.


38 Lance Hill Memorial Award - $2,500

Student who emulates the characteristics of Lance Hill – courage, leadership, character. Though not the best, Lance was also an excellent athlete, scholar and musician.

Part I

* Scholarship availability TBD, awaiting final approval from scholarship donor/organizer.

Documents

GOSHEN CENTRAL HIGH SCHOOL · Essay #9 21 Goshen Teachers Association Scholarship - $500 College bound student pursuing a career in education, demonstrated leadership, scholarship,