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PANTHER PRIDE FOUNDATION SCHOLARSHIP APPLICATION

2014-2015

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Address Click here to enter text. City Click here to enter text.
Birthdate Click here to enter text. Home Phone Click here to enter text.
☐Male ☐Female
Please check the scholarship(s) you are applying for:

☐Panther Pride Scholarship – 4-year college/university

☐Panther Pride Scholarship - 2-year college or vocational school

☐Sherrick Scholarship

☐Rosemary Faulkner Scholarship

☐Lions Club Scholarships

☐Farmers State Bank of Camp Point Scholarship additional essay required

☐Janssen Seed and Services Scholarships

☐Eva Balk Memorial Scholarships

☐Heubner #21 Scholarships (male & female) additional essay required

☐Cory Wilkey Scholarship additional essay required

☐Nielsen-Bohn Math/Science Scholarship additional essay required


☐Higley Memorial Scholarship

☐Reuschel Family Education Scholarship additional essay required



The following must be attached to this application:

Transcript of grades from Central High School

Letter of acceptance from college/university/vocational school

Letter of recommendation from one of the following: Principal, Counselor or Teacher

Personal letter listing reasons why you are applying and your plans for the future

Additional essays are required for Farmers State Bank Scholarship, Heubner #21 Scholarships, Cory Wilkey Scholarship, Nielsen-Bohn Math/Science Scholarship, and Reuschel Family Education Scholarship



Incomplete applications will not be considered

All applications must be completed and returned to Guidance Office by MARCH 13, 2015!



(Application Page 1)

Test Scores

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SAT Click here to enter text. Date Click here to enter text.

Employment experiences


Place of employment

Dates of Employment

Type of employment
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Academic Awards and Honors:


Academic Award or Honor

Date received

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Extra-curricular activities and/or school offices:


Extra-curricular activity and/or school office held

Year participated
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(Application Page 2)





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