Queen City (OH) Chapter of The Links, Incorporated Science, Technology, Engineering, the Arts, and Math Gloria A. Byrd Scholastic Achievement Award APPLICATION Application Deadline is Postmarked/Emailed by March 14, 2014 Application should be MAILED via United States Post Office (USPS) or EMAILED: Mailed to be Postmarked by March 14, 2014 to: Mrs. Dawn W. Thompson, Chair Scholarship Committee Queen City (OH) Chapter of The Links, Incorporated P.O. Box 126 West Chester, OH 45071-0126 Emailed by 11:59 PM on March 14, 2014 to: [email protected] Queen City (OH) Chapter of The Links, Incorporated Science, Technology, Engineering, the Arts, and Math Gloria A. Byrd Scholastic Achievement Award You may type or use a computer to complete the application. If you complete the application via computer then signatures must be scanned in and the document must be emailed to [email protected] by 11:59 PM, March 14, 2014. Thirdly, you may complete the application by printing the required information with a Black Ballpoint Pen. What We Seek To Accomplish: S.T.E.A.M. is S.T.E.M. + A Our goal is to support future leaders in creating and sustaining a culture of innovation through supporting education in Science, Technology, Engineering and Math (S.T.E.M.), and the overall S.T.E.A.M. framework. The S.T.E.A.M. framework allows holistic learning in a structure that integrates skills from all subjects, and promotes interactive, collaborative, problem solving learning. This is a boost for students who find a way to combine analytical and creative skills to become innovators, and thus future leaders. Because of this type of innovation, America birthed companies like Google, Pixar and Apple. This is supporting artist who may also enjoy a varying level of analytical interests, and analysts who may enjoy the arts (i.e. Einstein who played the violin), and all students who are seeking ways to be problem solvers and innovators for the “21 st century”. While S.T.E.M. careers (Science, Technology, Engineering and Math) do fall under S.T.E.A.M., S.T.E.A.M. broadens the conversation to include careers in the Arts, too. However, we are purposeful in our support of both S.T.E.M. and S.T.E.A.M., as we believe that our future leaders will need to come from all aspects of learning. In addition, we know that S.T.E.M. career opportunities are in high demand, yet fewer women and minorities are seeking these opportunities. Thus, we want to encourage scholars to seek overall S.T.E.A.M. careers, and not to abandon S.T.E.M. career opportunities because of lack of understanding or confidence in being able to excel in Science, Technology, Engineering or Math skills. *some content shared from public domain sources on S.T.E.M./S.T.E.A.M Possible S.T.E.A.M. Careers S.T.E.M. Careers S.T.E.M. + A Medical Doctor/Dentist/Nurse/Health Administrator Graphic Artist Nutritionist Film Director/Producer Medical Researcher/Consumer Researcher Screen Writer/TV or Film Writer Information Technology Specialist Marketing/Brand Management Computer Scientist/Computer Technician Arts or Music Professor/Teacher Engineer Humanities Director/Teacher Mathematician Attorney Science or Math Professor/Teacher Innovative Careers Not Yet Thought Of Accounting/Finance/Statistician/Actuary About Gloria A. Byrd Gloria A. Byrd was a vibrant community leader who served as the president of the Queen City Women’s Club, the predecessor organization of Queen City (OH) Chapter of The Links, Incorporated. Although she succumbed to breast cancer in 2003 at the age of 45, her leadership served as a catalyst for the formation of the chapter. In remembrance, the Chapter established (in 2005), college scholarships for academically-talented young women who reside in the Valley Area. Since its inception, thousands of dollars in financial support have been awarded to outstanding scholars. 2014 QC Links Scholarship Application 2 Qualifications This scholarship program is intended to assist with the financial needs of college-bound young women who are striving to meet the needs of their communities, while improving their academic skills and learning habits of good citizenship. To qualify for the Scholastic Achievement Award, an application must be submitted and the applicant must meet the following guidelines: High school graduating senior who resides in the Princeton (OH) , Northwest (OH), or Winton Woods (OH) School Districts Black/African American graduating female student Accepted (or a statement indicating the status of the application) into an institution of higher learning Demonstration of exemplary community leadership and service Achieved a cumulative GPA of 2.5 out of 4.0 or higher High school transcript with an official seal validated by school official or sent from official school transcript owner email/counselor. The official transcript must include both the weighted and unweighted GPA. It is okay if you only have an unweighted GPA, but we request both if they exist. Two letters of recommendation are required. One letter must be written by a school leader and the other letter MUST BE from a representative of a community or religious organization where you have volunteered. ALL letters must be signed by the writers. IMPORTANT NOTICE – In compliance with organizational standards, daughters or step-daughters of members of any chapter of The Links, Incorporated are not eligible to apply for this scholarship. List name of counselor and counselor’s email (or whomever is in charge of your official transcript release*)/phone number at school. Counselor*:____________________________________________________________________ Counselor* email and phone number: _______________________________________________ List names and occupations of each reference. Name Occupation 1. ___________________________ _____________________________ 2. ___________________________ _____________________________ Four Item Checklist For Completion To be considered, candidates must submit a complete ______Official transcript with GPA in a sealed envelope OR application package as follows: emailed by counselor/ transcript owner (list name above) ____ Ten Page application with Cover Page, includes Declaration and Publication Release ____Two Letters of Recommendation (one from a Counselor, Principal, or Teacher and one from a Community Leader, list names ____One page typed essay above) *Counselor or Official Owner of Transcript Release 2014 QC Links Scholarship Application 3 PERSONAL DATA – ALL INFORMATION IS REQUIRED Name: Last First Middle Address: Number & Street City, State Zip Code Email Address: DOB: Click here to enter a date. Phone: Include Area Code We would like to know about any involvement you may have had with Queen City (OH) Chapter of The Links, Incorporated programs in your schools or community. Please answer the following questions: YES or NO Choose an item. Did you attend Lincoln Heights Elementary School? Did you participate in The Links The CSO Nouveau Chamber Players Choose an item. Learning, Linking, Leading (3-L) Program Choose an item. Camp H. O. P. E. Choose an item. Create-An-Opera Choose an item. Girls S.T.E.A.M. Academy Choose an item. ESSAY On a separate piece of paper, in 500 to 750 typewritten words, write by typing, in 12-font size, single-spaced paragraphs with double spacing between paragraphs, an essay on the topic of: S.T.E.M./S.T.E.A.M. (see below) Considering Queen City (OH) Chapter of The Links, Incorporated’s statement of “What We Seek To Accomplish” on page 2, please answer only one of the following A OR B based on your career plan (see S.T.E.M. vs. S.T.E.A.M. Career Examples on page 2): A. Planning A S.T.E.M. Career: State the S.T.E.M. Career you would like to pursue including your short and long term goals that will enable you to achieve your career goals, and share how your goals will benefit your community. Describe your biggest influencer(s)-person, place or thing- that inspired you to pursue a STEM Career. What would make STEM education more meaningful for you? How have experiences in the ARTS-music, language, performing, etc., helped your learning or you in any way? How will receiving a scholarship from the Queen City (OH) Chapter of The Links, Incorporated benefit you? B. Planning A S.T.E.A.M. Career: State your career interest and your short and long term goals that will enable you to achieve your career goals, and share how your goals will benefit the community. Why did you decide not to pursue a STEM career? When, what school year (middle, junior high, etc.)? Describe the experiences that you have had with STEM education. What would make STEM education more meaningful for you? How have experiences in the ARTS-music, language performing, etc., helped your learning or you in any way? How will receiving a scholarship from the Queen City (OH) Chapter of The Links, Incorporated benefit you? 2014 QC Links Scholarship Application 4 High School: Address: Dates Attended: FROM- Click here to enter a date. *Current GPA: out of Current WGPA: out of TO- Click here to enter a date. *Both GPA and WGPA must be at least 2.5 and above. I. ORGANIZATIONAL INVOLVEMENT, HONORS & SPECIAL INTERESTS 1. List the organizational memberships and offices you have held in the school. Organizations Office(s) Held 2. List the organizational memberships and offices you have held in your community. Organizations Office(s) Held 3. List the Honors & Awards you have received. 4. List your special interests. 2014 QC Links Scholarship Application 5 II. Work Experience: List any work experience (Include job title, employer & dates of employment) 1. Employer: Address: Job Title: Dates of Employment: Click here to enter a date. to Click here to enter a date. 2. Employer: Address: Job Title: Dates of Employment: Click here to enter a date. to Click here to enter a date. 3. Employer: Address: Job Title: Dates of Employment: Click here to enter a date. to Click here to enter a date. III. Proposed Educational Plans 1. IMPORTANT – In order of preference, please list the names and addresses of the schools to which you have applied, or will be attending for the period in which this financial assistance is requested. Fully complete the following information concerning your college enrollment plans. Please be sure to include all estimated costs to attend these institutions: SCHOOL 1 SCHOOL 2 SCHOOL 3 School Name School Address Status of Application -Accepted, Pending or Rejected Planned Field of Study Annual Cost Tuition Room & Board Other TOTAL Academic System: -Quarter, Semester, or Trimester Choose an item. Choose an item. Choose an item. $ $ $ $ $ $ $ $ $ $ $ $ Choose an item. Choose an item. Choose an item. 2014 QC Links Scholarship Application 6 $ IV. Financial Status: 1. Parent(s) or Guardian (s): Father/Guardian: Last First Age Mailing Address: Number & Street City,State Zip code Email Address: Occupation Job Title Mother/Guardian: Last First Mailing Address: City State Number & Street Age Zip City,State Zip code Email Address: Occupation Job Title 2. List all children dependent upon parental support: Name Age School Grade 3. Annual Total FAMILY INCOME. Please () indicate your total family income range: ☐$15,000 and below ☐$41,000 - $60,000 ☐$16,000 - $25,000 ☐$61,000 - $80,000 ☐$26,000 – $40,000 ☐$81,000 - $100,000 ☐$101,000 and above 2014 QC Links Scholarship Application 7 4. Please explain your “Financial Need” in the space below (i.e. Do you have any special circumstances that would prohibit you from receiving financial assistance from other sources?) V. Other Scholarship/Financial Awards Please list any other scholarship or financial award(s) that you have applied for, are pending or have received. Scholarship Term of Scholarship Award (1-yr., 4-yr., renewable, etc.) Total Amount of Award Received YES/NO 1. $ Choose an item. 2. $ Choose an item. 3. $ Choose an item. 4. $ Choose an item. VI. Official Transcript ☐ MAILED OR ☐ EMAILED FROM COUNSELOR/TRANSCRIPT OWNER (Please check one) Please attach an official transcript affixed with an official school seal of your grades in an envelope or emailed from the counselor/transcript owner, or the application is incomplete. Opened transcripts or those not sent from the counselor/transcript owner WILL NOT be accepted. Important Information: APPLICATION DEADLINE All application materials (completed and signed application and transcript) must be postmarked or emailed by March 14, 2014 . Applications received after the deadline date will not be evaluated! Mail Option: Note, all official transcripts will need to be mailed with the full application. If you plan to Email your application, but mail your transcript, then you will need to mail the transcript separately to the address below, too: Mrs. Dawn W. Thompson, Chair, Scholarship Committee Queen City (OH) Chapter of The Links, Incorporated Scholarship Committee P.O. Box 126 West Chester, OH 45071-0126 Email Option: If you plan to email your application and have your counselor/transcipt owner email your transcript (similar to Common Application methods), then you send completed application and your counselor/transript owner must send official transcript to [email protected]. You may copy this application if additional forms are needed. Applications and Questions also may be directed to Mrs. Thompson at [email protected]. 2014 QC Links Scholarship Application 8 SCHOLARSHIP INTERVIEW Applicants who qualify will be contacted by the Scholarship Committee and informed of interview date, time, and location which will be held tentatively in March/April, taking into account school Spring Breaks. Declaration I hereby declare that all of the above statements are true. I have also included with this application the necessary official transcript in a sealed envelope or have arranged for my transcript to be sent to the committee separately through the official transcript owner/counselor from my school through email from the transcript owner’s/counselor’s email address. I am willing to appear for a personal interview and to forward any additional information as necessary. I agree to accept the decision of the Scholarship Committee of Queen City (OH) Chapter of The Links, Incorporated. I also understand that I will have the opportunity to volunteer up to five (5) hours of my personal time to work with Queen City (OH) Chapter of The Links, Incorporated with community service activities. I agree to make myself available to volunteer only when I am not attending classes (i.e. holidays or spring breaks or summer recess). I agree to consider giving my time willingly to these important efforts to help improve my community and to work with members of Queen City (OH) Chapter of The Links, Incorporated. Date Click here to enter a date. Signed (Print Name) (Print Child’s Name) (Parent/Guardian Signature) (Address) (City) (State) (Zip Code) (Email) Queen City (OH) Chapter of The Links, Incorporated reserves the right to use the recipient’s name, photo, and information for publicity and advertising purposes of the organization. All submitted material becomes the property of Queen City (OH) Chapter of The Links, Incorporated and will not be returned. 2014 QC Links Scholarship Application 9 INFORMATION FOR PUBLICATION RELEASE FORM I, the undersigned, hereby grant The Links, Incorporated the irrevocable and unrestricted right to use and publish biographical materials, photographs, quotations, and other relevant materials on and about me, or in which I may be included. These materials may be published in Links publications, electronic reproductions (websites), and/or promotional materials or for any other purpose and in any manner or medium. In addition, I grant my permission to The Links, Incorporated to alter the same without restriction; and to copyright the same in their publications. I hereby release the photographer and The Links, Incorporated from all claims and liability relating to said photographs and other materials. This agreement shall be binding upon and insure to the benefit of the parties, their successors, assigns and personal representatives. Signed this day of (Date) , (Month) (Year) (Print Name) (Print Child’s Name) (Parent/Guardian Signature) (Address) (City) (State) (Zip Code) (Email) The Links, Incorporated 1200 Massachusetts Avenue, N.W. Washington, D.C. 20005 Tel: (202) 842 - 8686 Fax: (202) 842 – 4020 2014 QC Links Scholarship Application 10
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