Tigard-Tualatin School District

Superintendent's Scholarship
Application

2011 - Year Fifteen

Recognizing Exemplary Leadership,

Community Service and
The Pursuit of a Degree in Education
 Tigard-Tualatin School District Superintendent's Scholarship

The Tigard-Tualatin Schools Foundation and the Tigard-Tualatin School District Board of
Directors created the Superintendent’s Scholarship. Funding has been generated through the out-
of-district proceeds of the Scrip program. The Superintendent's Scholarship, in the amount of
$1,000, recognizes and rewards one graduating senior at each high school who has a history of
exemplary leadership and service to school and community and who intends to pursue a degree
in education. The recipients will be announced at the senior awards assemblies held at each
school at the end of the year.

APPLICATION DUE DATE: Thursday, May 5, 2011

Tigard High Applications must be returned to: Career Center – Meg Miller
Tualatin High Application must be returned to: Counseling Office - DwynAnn Colgan

Scholarship Criteria
The scholarship criteria are outlined below. Corresponding questions appear on the attached application.

Academic
1. Applicants must be candidates for graduation from Tigard or Tualatin High School with an accumulative grade
point average of 3.0 or higher for all four years.
2. Applicants must demonstrate commitment to achieving a high personal level of academic performance.

Leadership and Community Service

1. Applicants must demonstrate involvement and participation in high school campus activities.
2. Applicants must demonstrate good citizenship, leadership and teamwork within the high school, community and
other environments.
3. Applicants must demonstrate a history of service to school and community.

Personal Goal
1. Applicants must have declared a major in Education from any four-year accredited college or university in the
state of Oregon.

Information
1. Scholarship applications are available in each high school Career/Counseling Center.
2. Each scholarship recipient will be awarded $1,000 that can be used for educational purposes at any four-year
accredited college or university in the state of Oregon.

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 Tigard-Tualatin School District Superintendent's Scholarship
Personal Information
APPLICANT:
Name: __________________________________________________ Birthdate: ___________________________

Address: _____________________________________________________________________________________
City, State, Zip: _______________________________________________________________________________
Phone: __________________________________________________

APPLICANT'S FAMILY:
Parents/Guardians:
Father's Name: _________________________________
Address: ______________________________________
Occupation: ___________________________________
Mother's Name: _______________________________
Address: _____________________________________
Occupation: __________________________________

Siblings:
Name Age
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Academic Information

1. School(s) attended during 9-12 grades: __________________________________________________________

2. Grade Point Average (GPA) after 7th Semester (mid-year senior): _____________________________________
3. Please attach a copy of your academic transcripts sealed by your high school Career Center Office.
4. Test Scores:
Test Score Date Taken
SAT Verbal
SAT Math
ACT
AP or IB

5. Oregon colleges or universities to which you have applied:

Date Accepted Preference

School Name City/State Yes / No /
Applied 1st/2nd/3rd/4th
Pending

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 Tigard-Tualatin School District Superintendent's Scholarship

Interest in Education as a Career

In the space provided, describe why you have selected education as a potential career.

Letters of Recommendation
Include letters of recommendation from the following: (1) a teacher, (2) community member or employer.

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 Tigard-Tualatin School District Superintendent's Scholarship
School and Community Service
Describe your service to others; provide specific examples of how you have helped your school, classmates,
community members, and people you don't know. Explain your motives for doing such service. Use the space
provided below.

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 Tigard-Tualatin School District Superintendent's Scholarship
Leadership and Community Service Philosophy
Describe your philosophy of leadership in the space provided.

Acknowledgement
I, _______________________________________, hereby acknowledge that all of the information submitted on
this application is true and correct, and that all writing and essays submitted are my own personal work.

If granted this scholarship, I will provide a written letter or report of my continued activities at the end of my first
year of study.

Signature: ________________________________________________ Date: ______________________

Due Date: Applications must be received by Thursday, May 5, 2011

Return or mail completed application to:

Tigard High Applications returned to: Tualatin High Applications returned to:
Meg Miller DwynAnn Colgan
Tigard High Student Career Center Tualatin High Counseling Office
9000 SW Durham Rd. 22300 SW Boones Ferry Rd.
Tigard, OR 97224 Tualatin, OR 97062