LIBERTY BANK Scholarship Application

							                           LIBERTY BANK Scholarship Application
 Name _________________________________________________________________

 Home Address __________________________________________

 Number of years you have attended El Dorado Springs R-II School                 __________

 Have you applied for admission to college? ____________________________________

 If yes, list college(s) to which you have applied and indicate acceptance ______________

 _____________________________________________________________________

Briefly summarize your school, church and community activities. List any organizations
of which you are a member and any office held_________________________________

 _____________________________________________________________________

 Give a brief statement of your goals _________________________________________

 _____________________________________________________________________

 _____________________________________________________________________

 Due to personal and family financial situation, will you qualify for federal student
 financial aid (ex. Pell Grant)? Explain ________________________________________

 _____________________________________________________________________

 _____________________________________________________________________

 Have you applied for or received any scholarships? _____________________________

 _____________________________________________________________________

 _____________________________________________________________________

 List high school class rank and composite grade point average at the end of 7 high school
 semesters. Rank ____________G.P.A_____________
** Applicant must be enrolling in a 2 or 4 year school to further education in academics or
technical training.
**The scholarship shall be paid directly to the school for tuition, fees, books, supplies or
equipment required for courses at the educational institution.
**This award is a non-renewable scholarship valued up to $1,000.

       Please Return to High School Counselor by April 15