Bud Kemper

Return to the office By April 1

Floyd (Bud) M. Kemper

Memorial Scholarship Fund

For West Sioux High School Graduating Seniors

This scholarship is hereby established and provided for by the Floyd M. Kemper Memorial Scholarship fund. It is to be awarded annually to a West Sioux Community School senior student graduating before June 15 of the current year.

The amount of the scholarship is ($500) five hundred dollars to be paid to the institution at the beginning of the second semester, after the first semester has been successfully completed in the case of a four or more year course, or after one half of the training has been completed, in the case of a trade school or courses which are less than four years of duration.

In order that your qualifications may be considered by the committee, please fill out as completely as you can the questions listed here and return to the Guidance Counselor at West Sioux High School.

Name_____________________________________________________________________________

(last) (first)

Address_____________________________________________________________________________

(street) (city)

Age______________Date of Birth_____________________________Place______________________

Parents Name_______________________________________________________________________

Number of Brothers and Sisters_________________

If you work part time, where and when:_____________________________________________________

____________________________________________________________________________________

Name and address of institution(s) where you have been accepted:

____________________________________________________________________________________

Professional endeavor for which you plan to study:

____________________________________________________________________________________

Accelerated classes in which you have participated:

____________________________________________________________________________________

Grade Point Average_____________________________ Class Rank____________________________

Honors or other evidence of scholarship ability:

1._________________________________________ 2._______________________________________

3._________________________________________ 4._______________________________________

Activities participated in during high school (all athletics, student government, etc.) Give year(s) of activity.

Activity Position Held

1.__________________________________________________________________________________

2.__________________________________________________________________________________

3.__________________________________________________________________________________

4.__________________________________________________________________________________

5.__________________________________________________________________________________

6.__________________________________________________________________________________

7.__________________________________________________________________________________

8.__________________________________________________________________________________

9.__________________________________________________________________________________

Community activities (church, scouting, 4-H, etc.) Give the year(s) of the activity.

activity Position Held