NEBRASKA PUBLIC AGENCY INVESTMENT TRUST 2017-2018 ACADEMIC SCHOLARSHIP APPLICATION Scholarship Value: $500 APPLICATION REQUIREMENTS: 1. Applicant must be the daughter, son or under legal guardianship of an elected or appointed official or an employee of a Public Agency that is a participant of the Nebraska Public Agency Investment Trust. 2. Applicant must be a graduating high school senior. 3. Applicant must complete application in typewritten form. Either by completing the PDF fillable form online (document will need to be saved to your computer to print/email) or by typewriter. 4. Applicant must complete an essay on any subject matter relating to local, state or national government. a. Essay needs to be two hundred-fifty to five hundred words. b. Essay must be original work. c. Essay needs to include a title. d. Essay must be in typewritten form. 5. Applicant must attend a post-secondary institution within Nebraska during the next academic year. Return completed forms by Friday, January 1. 2. 3. 4. 6, 2017 Application (Sections A and D) Accomplishments | Personal Essay (Sections B) Government Essay (Sections C) Class Transcript By Mail: By Email as an attachment: NPAIT SCHOLARSHIP PO BOX 82529 LINCOLN NE 68501-2529 [email protected] Must be a PDF file or Microsoft Word Document Questions call Candi Sanders at 800-890-9757 or 402-323-1278 NPAIT 2017-2018 ACADEMIC SCHOLARSHIP APPLICATION PO Box 82529, Lincoln NE 68501-2529 SECTION A: General Applicant Information Name Address City, State and Zip Code Home Phone Number Email Address Father’s Name Father’s public agency affiliation or employer The public agency is where he is employed or serving as an elected or appointed official. Mother’s Name Mother’s public agency affiliation or employer The public agency is where she is employed or serving as an elected or appointed official. High School Currently Attending Address City, State and Zip Code Nebraska College/University you plan to attend Proposed Major SECTION B: Accomplishments - SEPARATE PAGE Activities/Organizations List any programs, activities, and public service in which you participated during high school. Include the full name, description, office held, and dates of participation. Honors/Awards List honors/awards you have received including the full name, description, and date. Work Experience List both paid and volunteer work experience, job duties performed, and dates worked. Personal Essay Write a short essay about yourself or some significant event in your life that will set you apart from other applicants. SECTION C: 1. Government Essay - SEPARATE PAGE/S 2. 3. Essay needs to be two hundred-fifty to five hundred words on any subject matter relating to local, state, or national government. Essay must be original work. Essay must include a title. 4. Essay must be in typewritten form. SECTION D: Class Rank Number in Class ACT/SAT Score GPA Printed Name Signature Title Date Completed by a High School Official – INCLUDE CLASS TRANSCRIPT
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