2019 Test 2019 Scholarship Application Step 1 of 5 20% Name* First Middle Last High School Name*Student Email* Enter Email Confirm Email (Please be sure it is one you check often.)Student Mobile Phone*Alternate PhoneStudent GenderMaleFemaleStudent GPA*Are you Pell Eligible* Yes No Post-secondary Options CoachCoach's Name First Last Coach's PhoneFamily InformationParent/Guardian #1* First Last Daytime Phone for Parent/Guardian #1*Parent/Guardian #2 First Last Daytime Phone for Parent/Guardian #2Education PlansIf knownSiblingsList the names and ages of brothers and sisters living at home and/or attending college. Please enter the word "yes" in the field for any brother or sister attending college.NameAgeIn College? ScholarshipsI wish to be considered for the following scholarship(s). (Check all that apply):Scholarships* Legacy Scholarship Program & Adams County Scholarship Fund Program John G. Byrd Scholarship Legacy Transition Scholarship Alan T. Hull Memorial Scholarship Business Services Scholarship Rising Star Investment Scholarship Back on Track Scholarship "Building America's Future" Scholarship The Frank Family "Energy and the Environment" Scholarship Crescent Point Energy Scholarship Marco Olivas Memorial Scholarship Air Force Junior ROTC Scholarship Mapleton Music Educators Scholarship Legacy Technical Scholarship Please carefully review the eligibility and application requirements for each scholarship as their requirements differ. All applicants must submit the common application requirements (only one set of the common application requirements is required, even if you are applying for more than one scholarship). Applicants must also submit additional scholarship-specific requirements as indicated in the scholarship descriptions.Financial StatementThe scholarship review committee favors financial statements which demonstrate a comprehensive plan to pay for postsecondary education. If you have not committed to a specific postsecondary institution, please submit a SAMPLE financial plan for one of the schools that you applied to. If any of the questions below do not apply to you, please write "n/a".Name of your first choice university/college/program*Name of your second choice university/college/program*Name of your third choice university/college/program(optional)Estimated annual cost of attendance (first choice program) (i.e.: books, housing, fees, etc.)Scholarships and Government LoansPlease list any scholarships, government loans (including the Pell Grant) or other federal/state aid for which you may be eligible and the amounts of each:Name of scholarship/loanAmount in dollarsPlanning to Apply, Applied, or Received? (please choose your response and type from the list above) Special CircumstancesPlease describe any special circumstances affecting finances that would help us in assessing your needs:Payment plan*Please provide a brief description of how you/your family plan to pay for the above program/tuition costs.Are you planning to work?*YesNoI Don't KnowEstimated annual student contribution from work or savings*If you plan to work during the above program, please estimate your total expected financial contribution per year toward the above costs:Signature*By typing your FULL NAME in the box you are agreeing your electronic signature is the legal equivalent of your manual signature and that all statements made in this application are true to the best of your knowledge.Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 UploadsDo not upload until you are ready to submit your application. Uploads will NOT be saved if you save your application and continue it later.Photo Upload*Accepted file types: jpg, gif, png.We accept .jpg, .gif and .png file formats with a maximum file size of 5MB. Do not upload until you are ready to submit your application.Resume Upload*Accepted file types: pdf.ONLY PDF FILES ARE ACCEPTED. All files should be 10MB or less. Do not upload until you are ready to submit your application.Transcript(s) upload* Drop files here or Accepted file types: pdf. ONLY PDF FILES ARE ACCEPTED. All files should be 10MB or less. Do not upload until you are ready to submit your application.Personal Statement*Accepted file types: pdf.Please upload the personal statement (appx. one page) that you submitted with your college applications. ONLY PDF FILES ARE ACCEPTED.Academic Letter of Recommendation Table - Form AOne Recommendation - Form A (available for download online and included in this packet) completed by a Post-Secondary Options Coach (PSOC) or teacher. This form should comment on your ACADEMIC skills or achievements. You will hand this form to your teacher of choice. They will then submit the filled out form directly to your PSOC for submission. You will not need to upload it here, but please verify that the teacher or PSOC has turned it in.Personal Letter of Recommendation (Optional)This is not mandatory. This will be used for 1 bonus point. One letter of recommendation (no specific form required) from an individual who knows you OUTSIDE the context of the classroom. Letters from teachers commenting on your classroom performance will not be accepted. Letters from teachers who know you in the context of a club or sport and whose letters focus on your attribute OUTSIDE of the classroom ARE acceptable. Letters from teachers who know you in the context of a sport or club should focus on your NON-ACADEMIC attributes or skills - this should not be a second academic letter of recommendation. Please ask the recommending individual to submit this directly to your PSOC. You will not need to upload it here, but please verify that the person has sent it in if you opted to have this letter done. Legacy Scholarship Program Essay*Submit a one-page essay (appx. one page if typed in a Word document, single spaced, 12 pt font) with the following elements: 1) Describe why you qualify for a Legacy scholarship. 2) Describe how you will overcome academic, social, and/or financial hurdles in your postsecondary education and persevere to complete your program.John G. Byrd Scholarship EssaySubmit a one-page essay (appx. one page if typed in a Word document, single spaced, 12 pt font) with the following elements: 1) How has athletics affected/changed your life? 2) How will this scholarship help you achieve your goals?Legacy Transition ScholarshipCopy and paste your video embed code for the Legacy Transition Scholarship, if applicable. Students must be in the transition program or have an IEP.Alan T. Hull Memorial ScholarshipSubmit a one-page essay (approx. one page if typed in a word document, single spaced, 12 pt font) with the following elements: 1) Describe why you feel you have earned this scholarship and 2) What skill you hope do you hope to gain with the use of this scholarship? Business Services Scholarship EssaySubmit a one-page essay (approx. one page if typed in a Word document, single spaced, 12 pt font) with the following elements: 1) Why are you seeking a business degree and what will you do with it once it is earned?Rising Star Investment Scholarship EssaySubmit a two-page essay (appx. two pages if typed in a Word document, single spaced, 12 pt font) with the following elements: 1) Provide a transcript reflection: discuss a positive change in your GPA. 2) Describe factors that contributed to your past struggles and what specific behaviors you have changed to be experiencing success now. 3) Provide evidence that you have invested in your academic success and future.Back on Track Scholarship EssaySubmit a one page (maximum) written statement describing why you are interested in pursuing a career in mental health, social work or law enforcement and your vision for your future and how this scholarship will assist you in getting there. "Building America's Future" Scholarship EssaySubmit a one-page essay (appx. one page if typed in a Word document, single spaced, 12 pt font) focused on how you selected your chosen postsecondary program and how it will support your career goals.Frank Family "Energy and the Environment" Scholarship EssaySubmit a one-page essay (appx. one page if typed in a Word document, single spaced, 12 pt font) with one of the following elements: Discuss the importance of energy efficiency for a sustainable world or what avenue of STEM study you are most passionate about and why? Crescent Point Energy Scholarship EssaySubmit a one-page essay (appx. one page if typed in a Word document, single spaced, 12 pt font) with the following elements: 1) Discuss your interest in engineering, geology, or business and how receiving this scholarship will impact your plans for the future.Marco Olivas Memorial Scholarship EssaySubmit a maximum 2 page written statement (appx. 2 pages when written in Word, single spaced, 12 pt font) describing how you have faced and coped with adversity, what you learned, and your vision for your future.Air Force Junior Reserve Officers Training Corps (AFJROTC) Scholarship EssaySubmit a maximum 2 page written statement (appx. 2 pages when written in Word, single spaced, 12 pt font) describing how the AFJROTC program has affected/changed your life and how this scholarship will help you achieve your goals."Mapleton Music Educators Scholarship" given by the Ciancio Family EssaySubmit a one-page essay (appx. one page if typed in a Word document, single spaced, 12 pt font) with the following elements: 1) Discuss how your participation in performing arts has impacted or changed your life and how you see yourself involved in music in the future.Legacy Technical Scholarship EssaySubmit a one-page essay (appx. one page if typed in a Word document, single spaced, 12 pt font) with the following elements: 1) Discuss the technical degree / certificate you wish to pursue and why.CertificationI certify that I have read and meet the eligibility requirements of the scholarship or scholarships for which I am applying and that the information provided in this application, including supplemental materials, is complete and correct to the best of my knowledge. I understand that this application becomes the property of the Mapleton Education Foundation. I further understand that my name/photo may be published if I am selected as a scholarship recipient. (Please contact the Foundation at (303) 853-1033 if you have questions or concerns regarding publication of name/photo.)PhoneThis field is for validation purposes and should be left unchanged.