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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
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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)
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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: _______________________________ College(s) to which you have applied (list in preference): 1. _____________________________________ 2. _____________________________________ Anticipated Degree/Profession:
Yearly Cost: $ ____________ Yearly Cost: $ ____________ $ ____________
________________________________________________
IV. SCHOOL ACTIVITIES (may attach additional sheet or student resume) A. Athletic/Sports: _______________________________________________________ _____________________________________________________________________
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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:
_________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
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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
