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2012 Swanda Scholarship Application Antone & Julie Swanda Introduction: A scholarship in the amount of $2,000 will be provided to one Crook Co. high school senior planning to enroll in a course of study in the agricultural or animal science field at a University or vocational/technical school in Wyoming, North Dakota, or South Dakota. Scholarship proceeds will be paid directly to the school in the student’s name in equal amounts of $1000 per semester upon satisfactory proof of having met the minimum GPA. Scholarship award will be rotated between the following Crook Co. high schools based on the schedule below, but applications will be accepted from students at each high school to ensure the availability of an alternate applicant if necessary: • 2012 – Moorcroft High School • 2013 – Sundance High School • 2014 – Hulett High School

Criteria: • Applicant must have a 2.5 GPA and demonstrate financial need; • Upon enrollment in college or technical school, student must maintain full-time status by carrying a minimum of 12 credit hours; • Minimum 2.5 GPA must be maintained.

To Apply: Complete application on Page 2 and submit with the following: 1. Transcript of grades 2. A brief statement/description of: • Career goals and future plans. • Financial need including other scholarships awarded, plans for financial support including grants, family assistance, etc. • General information about yourself that would provide a more complete portrait of you (e.g., school and community activities, including employment, volunteer activities, and hobbies). 3. Submit two letters of recommendation (e.g., a teacher, counselor, or employer). The information contained in this application is for the purpose of obtaining funding from the Powder River Energy Corporation Foundation, Inc. The undersigned understands that the information provided herein will be used to determine grant funding. He/she also warrants that the information provided is true and complete, and that the Powder River Energy Corporation Foundation, Inc. may consider this statement as continuing to be true and correct until a written notice of a change is provided. The Powder River Energy Corporation Foundation, Inc. is authorized to make all inquiries deemed necessary to verify the accuracy of the statements made herein. ___________________________________________ Student Signature

_____________________________________ Date


2012 Swanda Scholarship Application Antone & Julie Swanda Student information: (Last) __________________________________________ (First) ____________________________________ (MI) ____ (Mailing

Address)

_________________________________________________________________________________

(Physical address, if different than mailing address) _________________________________________________________ (City, State, Zip) (Phone)

_____________________________________________________________________________________

__________________________________

(Email) __________________________________________________

Parent/Legal Guardian information: 1. (Last) _______________________ (First) _________________ (MI) _____ (Relationship to applicant) _________________ (Mailing Address) _____________________________________________________________________________________ (City, State, Zip) __________________________________________________ (Phone) ______________________________ 2. (Last) _______________________ (First) _________________ (MI) _____ (Relationship to applicant) _________________ (Mailing Address) _____________________________________________________________________________________ (City, State, Zip) __________________________________________________ (Phone) ______________________________

College/Technical

School

information:

(High School Name & Location) __________________________________________ GPA _______

ACT _______

SAT _______

(Graduation Date) _____________

Class Rank: _______

out of _______

(College/Technical School Name) __________________________________________ (Expected Start Date) __________ (City)_____________________________________________ (State) _______________________ (School Contact Name) _______________________________________

(Zip) _______________

(Contact Phone) _________________________

Please return application materials Postmarked by April 1, 2011 to: Powder River Energy Foundation Attn: Les Penning, Executive Director PO Box 930 Sundance, WY 82729

2012-swanda-sch-applicationfillable  

• Applicant must have a 2.5 GPA and demonstrate financial need; • Upon enrollment in college or technical school, student must maintain full...

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