Scholarship Application – PSBA Institute

Application Checklist

Prior to beginning your scholarship application, please confirm that you have the following documents and information:

Applicant is enrolled in a PSBA-member school district and meets the three-year attendance requirement
Applicant is enrolling in a two- or – four-year college or university upon graduation

Unofficial high school transcript

300- to 400-word essay

Cover letter addressed directly to the Scholarship Committee

Resume

Two letters of recommendation

Joint nomination letter from the school board president and district superintendent

Completed application form

I have these materials and am ready to begin the application.

Confirm

Please indicate below the name of the scholarship that you are applying for with this application.

Frerichs Scholarship
Marcus Scholarship
H. H. Quimby Scholarship
Swope Scholarship

Applicant Name

Street Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Date of Birth

Parent 1/Guardian 1

Relationship to Applicant

Name

Address (if different than student)

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Parent 2/Guardian 2 (optional)

Relationship to Applicant

Name

Address (if different than student)

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Please check all that apply:

My school district is a PSBA member in good standing.
I am UPLOADING a joint nomination letter from my school board president and district superintendent.
My district is EMAILING a joint nomination letter from my school board president and district superintendent to scholarship@psbatrust.org.
I am UPLOADING separate nomination letters from my school board president and district superintendent with this application.
My district is EMAILING separate nomination letters from my school board president and district superintendent to scholarship@psbatrust.org.

School District

High School

Street Address

Address Line 1

Address Line 2

City

State

Zip Code

District Contact

Contact Phone

Contact Email

Graduation Date

Cumulative Class Rank

Cumulative GPA

Total H.S. Class Size

The school-related information provided above is accurate and true to the best of my knowledge.

Confirm

Please provide your high school counselor's contact information for verification if necessary.

Please indicate the names of colleges and univiersities you have applied to and acceptance status.

School and Major

Acceptance Status

Yes
Yes, and I've committed to this school/university.
No
Pending

Please list school and community activities, years of participation and leadership positions held. At the end of this application, please upload all documents listed.

School Activities

Community Activities

Awards and Honors

Essay

Drag & Drop Files, Choose Files to Upload

Cover letter

Drag & Drop Files, Choose Files to Upload

Resume

Drag & Drop Files, Choose Files to Upload

My unofficial high school transcript will be provided in the following manner:

An email from my district
Uploaded with this application

my high Size

Letters (2) of recommendation

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

These letters of recommendation should be in addition to the letters from your district's superintendent and board president.

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