Return by April 1

WSEF Earl Slife, Sr. - Memorial Scholarship

The amount of the scholarship is $1000.00 to be paid to the institution at the beginning of the second semester after the first semester has been successfully completed. The student must contact the Foundation's Treasurer with the starting date of the second semester along with the name of the secondary school they are attending.

NAME____________________________________________________________________________

ADDRESS_________________________________________________________________________

(Street) (City) (State) (Zip)

List activities participated in during high school (all arts & drama programs, athletics, student government, etc..) Give the year(s) of the activity.

Activity Position Held Years Activity Position Held Years

1.________________________________________ 7.______________________________________

2.________________________________________ 8.______________________________________

3.________________________________________ 9.______________________________________

4.________________________________________ 10._____________________________________

5.________________________________________ 11._____________________________________

6.________________________________________ 12._____________________________________

List community activities (church, scouting, 4-H, etc.) Give the year(s) of the activity. You may also include any jobs held during these years.

Activity Position Held Years Activity Position Held Years

1.________________________________________ 7._______________________________________

2.________________________________________ 8._______________________________________

3.________________________________________ 9._______________________________________

4.________________________________________ 10.______________________________________

5.________________________________________ 11.______________________________________

6.________________________________________ 12.______________________________________

List the institution you have made application to and check whether you have been accepted for admission or not yet notified.

1._________________________________________________________________________________

2._________________________________________________________________________________

3._________________________________________________________________________________

With permission from the individual, please list two school personnel and two community references who are well acquainted with your activities.

School References

1. Name _________________________________________________________________________

Mailing Address __________________________________________________________________

2. Name _________________________________________________________________________

Mailing Address __________________________________________________________________

Community References

1. Name _________________________________________________________________________

Mailing Address __________________________________________________________________

2. Name _________________________________________________________________________

Mailing Address __________________________________________________________________

On separate sheet of paper, please address in narrative form the following questions:

1. What are your reasons for continuing your education?

2. Which profession or vocation are you wishing to pursue and why have you chosen this area?

3. Upon graduation from a secondary school, how will you continue your talents to the community or to society?

4. Describe the qualities of the individual you would select to receive this scholarship (other that yourself.)