WASCOE SCHOLARSHIP APPLICATION - 2005

Eligible Candidate: Any senior who will be graduating from high school who averaged at least a "C" or better and who is a WASCOE member, a member's spouse, or a member's child or legal dependent.  The member must be a FSA employee who has paid their WASCOE dues for the two previous years or since becoming a FSA employee, which ever is less.

Items to include with the attached application:1) An official transcript of grades for the past three years, 2) a letter of recommendation from the high school guidance counselor, and 3) the essay, not to exceed one double-spaced, type written page.  The essay topic is: "Would Competition from Privately Owned Schools Improve Education?  Why or why not?"

Send the completed application package to arrive on or before February 18, 2005 to:

            Susan Blachowiak

            Green Lake County FSA

            630 E. South Street

            Green Lake, WI 54941

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Legal Name: _________________________            Signature: _______________________

Mailing Address: _________________________________            Phone: _______________

Social Security Number: __________________   Birth Date: _________      Age: _____

Male or Female: _______            Name of WASCOE Member: _________________________

How many years has the employee been a WASCOE member:___________________

Relationship to Member: _________________________________________________

Members place of Employment: ___________________________________________

List all schools attended since ninth grade: ___________________________________

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Date of Graduation: ___________________            Number Rank in Class: _____________

What college are you attending? ___________________________________________

Have you secured admission to the above college? ____________________________

Is this a two-year or four-year school? _____________________

Have you taken your ACT? _____________     If yes, what was your score: _________

Have you taken your SAT? _____________     If yes, what was your score: _________

Additional Information - Please attach separate pages listing the following:

·       Periods of employment, average time employed each week, positions held

·       List of activities and involvement through school years including scholastic, extra curricular (school related) and civic (non-school) related activities.  List honors received, offices held, committee work, etc.

·       Any additional personal characteristics to help determine your abilities, promise of success, or an explanation of extenuating circumstances.

By-Laws of WASCOE Scholarship Award

1)    Changes and amendments in the Awards Program must be approved by the WASCOE Board of Directors.

2)    All funds will be deposited with and disbursed by the WASCOE Treasurer.

3)    The scholarship must be used the school year immediately following its award.

4)    All funds received shall be disbursed for award purposes.

5)    Money will be disbursed after receipt of transcript from the first quarter or semester and confirmation of enrollment into the second quarter or semester.

6)    Previous scholarship winners are not eligible to reapply for the scholarship award.  However, previous applicants are encouraged to reapply.

Deadlines for Scholarship Program

February 20, 2005            Last Day to submit WASCOE and NASCOE applications

March 1-30, 2005            State Judging for WASCOE applications

March 1-30, 2005            Area Judging for NASCOE applications

April 15-May 30, 2005            National Judging for NASCOE applications

April 29 & 30, 2005            WASCOE Convention – Scholarship Presentations – Plaza Hotel, Eau Claire, WI

July 27-July 29, 2005            NASCOE Convention – Scholarship presented at national convention – Rapid City, SD