Sathoff (F)

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Mo Sathoff Memorial Scholarship

a component of the Community Foundation of Southern Wisconsin, Inc.

Scholarship GuidelinesThis scholarship was established in remembrance of Maurice A. “Mo” Sathoff who served as principal of MonroeHigh School for 27 years. It is to provide for post high school educational opportunities for young people fromMonroe, Wisconsin.This scholarship is to be granted upon proof of enrollment to an accredited college/university or technical school of the student's choice. Formal application is to be through the Monroe High School Guidance Office.

ELIGIBILITY:

Student should be in the top 20% of class ranking and preference may be given for financial need but is not arestriction.

APPLICATION PROCEDURE:

1. Complete the application. (Incomplete applications will not be considered)2. Attach your high school transcripts.3. Complete and attach the scholarship application financial form.

MO SATHOFF MEMORIAL SCHOLARSHIP APPLICATION

Name ________________________________________________________________________ Home Phone:__________________(last) (first) (middle) E-mail:

___________________

Home Address ___________________________________________________________________ Soc. Sec. ___________________(street) (city) (zip)Primary Parent/Guardian's Name _______________________________ Daytime Phone:___________________________________Primary Parent/Guardian's Address ___________________________________________ Employer:__________________________Second Parent/Guardian's Name ________________________________ Daytime Phone: __________________________________Second Parent/Guardian's Address ___________________________________________ Employer: _________________________No. of Children in Family __________ No. of Children Living at Home ________ In College next year ______________________High School Attending (ed) ________________________________________________ Yr. of Graduation ____________________College/University you plan to attend next year. (Should you change your school choice or decide not to go on to school, please notifyus). APPLIED FOR NAME OF CAMPUS CITY, STATE APPLIED? ACCEPTED? FINANCIAL AID?____________________________________________________________________________________________________________What are the estimated costs for your next year at school? (Tuitions, Fees, Books) ____________ (Room & Board) _____________How do you plan to finance this total? _________________________________________________________________________________________________________________________________________________________________________________________What is your proposed major field or interest area? __________________________________________________________________What type of job do you plan to pursue upon completion of college? ____________________________________________________List your out-of-school activities (such as YMCA, 4-H, etc.). ______________________________________________________________________________________________________________________________________________________________________List any high school activities and any special honors or awards you have received._________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________List work experiences and dates. _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Parent approval of application being used by scholarship committees and releasedto news media:______________________________________________________________(Parent/Guardian's Signature)

Community Foundation of Southern Wisconsin, Inc

Scholarship Application Financial Form

Student’s Name:________________________________________________________________1. Total 200

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household income: ___Less than $20,000 ___$20,000 to $50,000___$50,000 to $80,000 ___$80,000 to $100,000___Over $100,0002. Total number in family living in same household (including yourself):___________________3. Are there any unusual family expenses? If so, explain:___________________________________________________________________________________________________________4. How will you finance your post high school education? (Check all that apply)Parents________ Summer Job__________ Part-Time work while in school________Student Loans__________ Other (specify)____________________________________5. Amount saved for further education?_____________________________________________6. Amount you can expect from parents/other sources per year?:_________________________7. List other scholarships received:____________________________________________________________________________________________________________________________8. Would you be financially able to attend college without the aid of this type of scholarship?__________ If no, explain:______________________________________________________________________________________***********Certification: All of the information on this form is true and complete to the best of my knowledge.STUDENT’S SIGNATURE_________________________________________________FATHER’S OR GUARDIAN’S SIGNATURE__________________________________MOTHER’S OR GUARDIAN’S SIGNATURE_________________________________DATE:____________________

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