(OOD RTO CaO eR SERN TOR For good. For ever ‘The Community Foundation of Dickinson County, Inc. 2015 Scholarship Program The Ballantyne Family Memorial Scholarship One $500 scholarship Dave and Maxine Ballantyne raised their family and farmed in Dickinson County all of their married life. Their daughier, Sandra Ballantyne Canfield, and her husband Tom established this scholarship in loving memory of her parents, and her brother, Kenny Ballantyne who farmed in Dickinson County. Scholarship Overview: This scholarship is intended to assist graduating high school seniors from Abilene, Chapman or Hope High School who will attend college, junior college, or a vocational techni institution. ‘The recipient will have been involved in academic or athletic extracurricular activities and have exhibited good moral character. Preference may be given to applicants who are engaged in or have ties to farming andlor agriculture. Scholarship Requirements: 1. Applicant must be a graduating senior of Abilene, Chapman or Hope High School in Kansas. 2. Applicant must have earned at least a cumulative 2.5 GPA. 3. Preference may be given to applicants who are engaged in or have ties to farming and/or agriculture. 4, The following information shall be included in the application: (a) Statement of why you want to pursue post-high school education. (b) Copy of high school transcript. (©) Current résumé detailing academic and athletic activities. (d) Three recommendations (using the attached form). Provide one recommendation from a teacher; one recommendation from a community member, and one recommendation from a family member. Application Instructions: Complete application cover page and submit all required information in the order listed. Return completed application to The Community Foundation of Dickinson County, Ine. Applications must be postmarked no later than April 1, 2015.Communrry FOUNDATION Saar Seon For good. For ever: ‘The Community Foundation of Dickinson County, Inc. 2015 Scholarship Program The Ballantyne Family Memorial Scholarship Application Cover Page Name _ - : Address 2 : 7 City/Zip - Phone Email - Year of High Schoo! Graduation: __Name of high school: Name of school you plan to attend: Expected major: _ ‘Attach the following items with this cover page in the order listed: 1. Statement of why you want to pursue post-high school education. 2. Copy of current high school transcript. 3. Current résumé detailing academic and athletic activities. 4, Three recommendations using the attached form. Provide one recommendation from a teacher; one recommendation from a community member, and one recommendation from a family member. Preference may be given to applicants who are engaged in or have ties to farming and/or agriculture. Applications must be postmarked no later than April 1, 2015 and returned to: ‘The Community Foundation of Dickinson County, Inc. P.O. Box 735, 213 N. Broadway Street Abilene, KS 67410 Incomplete applications and applications received after the deadline cannot be considered.RECOMMENDATION for (Siudent’s Name Here) ‘The above named student is applying for the Ballantyne Family Memorial Scholarship with ‘The Community Foundation of Dickinson County, Inc. In order to help us complete this application, please rate the student on each of the following characteristics by circling the number you feel is appropriate in each category. ‘Thank you, Remember to compare the student to other students. Exhibited Low 123 4 5 678 9 High Morals Citizenship _Uncooperative 1 2 3 4 5 6 7 8 9 Cooperative, Positive, Follows Rules Initiative Needs Prodding 1 2 3 4 5 6 7 8 9 DoesMore Than Assigned Concem for Lite 123 4 5 678 9 Vey Others Concemed Leadership Follower 1023 4 5 6 7 8 9 Exceptional Leader Responsibility Not Very 1 23 4 5 67 8 9 Highly Responsible Responsible Social Immature 1°23 4 5 67 8 9 Outstanding Maturity Personal NotConcemed 1 2 3 4 5 6 7 8 9 Always Appearance Concemed Financial No Help eS G7 S) 20 Toul Help Need Needed Needed Estimate of | Low 123 4 5 678 9 High Future Success Additional Remarks: In what capacity are you associated with the student? ‘Name (printed) Phone Number: ignature: Student: Attach completed reference form to the Scholarship Application. Application Deadline April 1, 2015