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APPLICATION FORM

for

LEONARD AND JOSEPHINE WISSEL MEMORIAL SCHOLARSHIP
(Applications must be submitted to The Hickman Presbyterian Church (USA), 300 East 3^rd St., Hickman, NE 68372,  Attn. Board of Trustees, on or before April 1^st.  Additional scholarship information appears on the next page of this application).

 

 

Personal Information:

            Name_________________________________________ Date of Birth ________________

            Address __________________________________________________________________

            Phone Number(s) ___________________________________________________________

            Social Security Number (optional) ______________________________________________

 

Past Educational Information:

            Name of High School(s) attended _______________________________________________

                        Date of Graduation ________________________ High School GPA _____________

            If you received a General Education Degree please state when the GED was received and

                        from whom ___________________________________________________________

            Name of Institution of Higher Education last attended _______________________________

                        Dates Attended ___________________________  Date of Graduation ____________

                        Degree(s) Received ________________________ Higher Ed. GPA_______________

 

            NOTE:  The Grade Point Average must be 2.5 on a 4.0 scale, or its equivalent.

            If unknown or not applicable, please submit a statement of your prior academic

            accomplishments and achievements.

 

Church Information:

            Date you became a member of the Hickman Presbyterian Church (USA) ________________

            Are you currently an active member of the Church? ___________.

            On a separate sheet of paper, attached to this application, please provide the

following:
                        (1) Please state your Church affiliation and Church related activities for

                        the four years prior to submitting this application; and

                        (2) Please provide a paragraph of 200 words or less sharing your faith

                        journey and how you have been an advocate for Christ, including events,

                        people, activities and other examples that have helped shape you as a

                        Christian.

Future College/University/Institution of Higher Education Information:

            Name and Address of Institution of Higher Education you plan to attend during the next

                        academic/school year ___________________________________________________

            Describe the academic program in which you intend to enroll _________________________

Date ___________                                                   Signature of Applicant _____________________

Excerpts from the Policies and Procedures governing the awarding of the Leonard and Josephine Wissel Memorial Scholarships.  For additional information, please contact the Board of Trustees of the Hickman Presbyterian Church (U.S.A.).

2.      Recipients of the Leonard and Josephine Wissel Memorial Scholarship shall be:

(A)    persons who are, and have been for not less than one year prior to submitting their

application, active members of the Hickman Presbyterian Church (U.S.A); and

(B)    persons who have graduated from an accredited High School or have received the

equivalent  thereof (GED); and

(C)    persons who have achieved a grade point average of at least 2.5 on a 4.0 scale, or

its equivalent, from a high school or institution of higher education during the most

recent academic year completed by the applicant prior to the awarding of the

scholarship grant.  (Note:  It is intended to make scholarships available to both

“traditional” and “non-traditional” students and in this regard the Board of Trustees

shall be granted discretion in determining prior educational accomplishments as a

condition to the receipt of a scholarship grant).

3.      Applicants for said scholarship grants shall be planning to attend an accredited university,

College, community college, vocational technical school or other institution of higher

education and to enroll in an advanced educational program of at least one academic year in duration.

4.      Applicants shall have shown interest and involvement in church activities for 4 years prior

to submitting their application.  The applicant’s church attendance and involvement in church activities shall be considered but shall not be controlling in the awarding of scholarships.

5.      Applicants shall be required to complete an application form similar to the one attached

hereto and submit said form, ----along with a written statement of 200 words or less sharing the applicant’s faith journey and how the applicant has been an advocate for Christ, including events, people activities, and other examples that have helped shape the applicant as a Christian ---- to the Church on or before April 1^st for consideration by the Board of Trustees.