2015 Thomas L. Smith Memorial Scholarship
A scholarship shall be awarded for the first year of college tuition for either a graduating senior of a Catholic high school in the Diocese of Columbus or a senior high school student who is a parishioner in good standing at St. Peter or St. Mary parish in Chillicothe, OH. The student should have proven financial challenges, which may prevent them from attending college or university. The awardee should also demonstrate a strong work ethic by consistently achieving above average grades or have achieved above average grades through continual improvement.
• The application must be completed in full and received by April 24, 2015. • Application is limited to a student who is:
o A graduating senior from a Catholic high school in the Diocese of Columbus (one per school)
OR
o A graduating senior student from any high school who is an active, registered parishioner of St. Peter or St. Mary parish in Chillicothe, as approved with the pastor’s signature
Who will be enrolled as an entering full-time student at a university, college, junior college, business or technical school within one year of the date of the award.
• A one-year, non-renewable scholarship in the amount of $1,250.00 shall be awarded toward tuition, fees, or classroom supply expenses.
• The Catholic Foundation of the Diocese of Columbus shall pay the scholarship amount directly to the college or university where the student is enrolled, as confirmed by contact to the college or university.
• An official high school transcript, including a list of courses in which the applicant is currently enrolled, must be attached to the application.
• Two personal recommendations for the applicant by persons not related to the applicant must be submitted in addition to the application. Forms for the recommendations will be provided with the application. Completed recommendations should be mailed separately by the recommending person no later than April 24, 2015. • The recipient will be notified of this award by (date)
Thomas L. Smith Memorial
2015 Scholarship Application Form
Return by APRIL 24, 2015To: Dana Forsythe
Office of Catholic Schools 197 E. Gay Street
Columbus, OH 43215
(Click in each field to complete)
Student’s Name:
Gender: Male Female School Name: Principal’s Name: School Address: City/State/ZIP: School Phone: Student’s Address: City/State/ZIP:
Elementary School Attended: Parish Affiliation:
Father or Guardian’s Name: Mother or Guardian’s Name:
List persons who will do your recommendations:
Name: Address: Phone:
Name: Address: Phone:
Student’s Signature:
Parent or Guardian’s Signature: Pastor’s Signature
Thomas L. Smith Memorial Scholarship Application Form
Page Two
To be completed by student: On separate sheet(s). Please type.
1. How have you benefited from your Catholic school education, or if you are not a Catholic school student, how have you benefited from your education in the faith? 2. What school do you plan to attend next year?
3. What long and short range personal and professional goals have you set for yourself? How do you plan to accomplish these goals?
4. What awards and honors have you received?
5. Complete attached list of involvement in extra-curricular or service activities, employment, and parish activities or organizations.
2015 Thomas L. Smith Memorial Scholarship (Click in each field to complete)
School and Community: Extra-Curricular Activities
Type/Name of Activity 9th Grade 10th Grade 11th Grade 12th Grade Offices or Honors
Work Experience, Including Present Employment: From
Mo.&Yr. Mo.&Yr. To Employer Position Job Description
Parish Activities
2015 Thomas L. Smith Memorial Scholarship – Personal Recommendation Form
Applicant’s Name:
How long have you known the applicant? What is your relationship to the applicant?
Please make a statement regarding why you consider the applicant worthy of receiving consideration for this scholarship award. Feel free to include any information which you feel the selection committee might find useful.
Signature: Date:
2015 Thomas L. Smith Memorial Scholarship – Personal Recommendation Form
Applicant’s Name:
How long have you known the applicant? What is your relationship to the applicant?
Please make a statement regarding why you consider the applicant worthy of receiving consideration for this scholarship award. Feel free to include any information which you feel the selection committee might find useful.
Signature: Date:
