Josephine M. Neumeier Scholarship Application

Personal Information

First Name

Last Name

Date of Birth

Address

City

State

Zip Code

Cell Phone

Parent/Guardian Name(s).

Parent/Guardian Phone

Academic Information

I am a graduating senior at:

GPA

Must be 2.25 or higher to be eligible to apply.

Class Rank

College, university, technical school you will be attending.

Proposed Major or Program

Length of Program

Academic and/or work experience related to this career path.

Extra-Curricular Activities, Community Service, Honors & Awards

High School Extra-Curricular Activities - include grade levels of participation and position.

Community Service and Volunteer Activites - include grade levels of participation, positions held, and number of volunteer hours.

Honors & Awards Received - include grade level.

Employment Information

List all jobs you have held; including place of employment, job title, immediate supervisor, and dates of employment.

Financial Need

I have/will be submitting a Free Application for Federal Student Aid (FAFSA).

Yes
No

Indicate your family's adjusted gross income from their most recent Federal Income Tax Return.

Indicate the number of people in your parents' household.

Including yourself, how many people in your parents' household will be college students in the fall?

Do you expect to receive, or have you received, any other aid or scholarships? If so, what is the total amount you will receive?

Required Attachments

High School Transcript

pdf files only

Essay (250-500 words): Describe your high school experience, and in particular how it has prepared you for the career path you have chosen. Describe your career path, how and why you have chosen it, and what are your short term and long term goals. How will this scholarship and the training or education it will provide, play a role in helping you achieve those goals.

pdf files only

Attendance Records

pdf files only

Two letters of recommendation from people who know you well, that can speak to your dedication to wanting to complete your chosen course of study and the pursuit of your future work career.

Letter of Recommendation

pdf files only

Letter of Recommendation

pdf files only

I, the student applicant, attest that to the best of my knowledge the information provided is accurate.

Today's Date

Applicant Signature

Parent/Guardian Signature

Contact Information