This form is to be used for scholarships offered through the Caring Community Foundation for graduating seniors. Please refer to the list of scholarships available for your school and course of study and then mark the scholarships you are applying for. Scholarship amounts may vary, the amounts listed are a guideline. Please fill out the form as completely as possible. Check with your high school counselor for due dates.
Blue Valley Randolph
Jennifer K. Moore Nursing (BSN) Scholarship $500 Renewable
Centralia and Frankfort
CHCS Healthcare Scholarship $500
Walter Byers Scholarship $1000
Holton High and Jackson Heights
CHCS Healthcare Scholarship $500
Walter Byers Scholarship $1000
Onaga
CHCS Healthcare Scholarship $500
Ron R. Lee and Richard J. Rosenfield Scholar-Athlete Scholarship $1000
The CHD#1 Auxiliary Scholarship $500 Renewable
Bruce Wayne Stallard Scholarship $1200 Renewable
Jennifer K. Moore Nursing (BSN) Scholarship $500 Renewable
Onaga Alumni Scholarship $500
Walter Byers Scholarship $1000
Onaga FFA Alumni Scholarship
Rock Creek
CHCS Healthcare Scholarship $500
The CHD#1 Auxiliary Scholarship $500 Renewable
Jennifer K. Moore Nursing (BSN) Scholarship $500 Renewable
Walter Byers Scholarship $1000
Westmoreland (Brill) Scholarship $500
Krouse Family Agricultural Scholarship $500
Wayne Dunafon Memorial Scholarship $500
St. Marys
St. Marys Alumni Scholarship $500
CHCS Healthcare Scholarship $500
Walter Byers Scholarship $1000
Max and Sue Bayer Scholarship $500
Contact Information
Parent / Guardian Information
School Information
ACT (composite) or SAT Verbal/Math
GPA
Class Rank
Number in Class
Name of School
Family Information
List family members, their relationship to applicant and ages of the minors. Please indicate any that are also in a post secondary program. Address financial needs.
School Activities
List the athletic activities, clubs and organizations you have been involved in over the past 4 years. Also note any offices held and what years. (e.g. Kays-9th, 10th, 11th, secretary in 11th).
Special Honors/Awards
List any awards or special recognition here (e.g. a 1 rating in band senior year.)
Community Service
List any service done in the local community outside of school hours. May have been in conjunction with a school organization.
Other Interests
List areas of special interest, hobbies or talents.
Work Experience
List any regular jobs and approximate time of employment. (e.g., worked 15 hours/week at Smith's Gas Station for 3 summer months of 2019). Then list general non-regular jobs and approximate length of work. (e.g. babysitting for neighbors for 2 years.)
After Graduation Plans
List the technical school, community college, college or university you plan to attend. List several if undecided.
Intended area of study. List in order of current preference.
Recommendations
Include two (2) letters of recommendation with this application, or deliver to your school counselor. Letters from relatives are not acceptable and not more than one letter should be from a faculty member. Please name your recommendations and their relationship to you below.
Essay
(200-300 words) What qualities do you possess that would make you the best recipient of this scholarship? Please attach your essay below.
Understanding of and Agreement to Scholarship Terms
Document Upload
You should receive a confirmation email within 24 hours of submitting your application. If you do not receive this confirmation, please contact Susie Kufahl at skufahl@ccfks.org