SMITH TIRE, LLC
SCHOLARSHIP
CONTACTS: TOM SMITH OR CHRISTINA RICKHEIM
641-439-2200

THIS SCHOLARSHIP HAS BEEN ESTABLISHED FOR THE PURPOSE OF PROMOTING POST HIGH SCHOOL EDUCATION.  SMITH TIRE WILL MAKE A SINGLE ANNUAL AWARD OF $500 TO ANY STUDENT GOING INTO A VO-TECH EDUCATIONAL FIELD (MECHANICAL, AGRICULTURAL, ECT…).  THE AWARD WILL BE ANNOUNCED AT THE PANORAMA AWARDS NIGHT.

CRITERIA FOR APPLICATION:
WE ARE LOOKING FOR AN APPLICANT WHO IS ABLE TO DEMONSTRATE A SENSE OF COMMUNITY, CITIZENSHIP, AND DESIRE TO FURTHER THEIR EDUCATION IN A VO-TECH AREA.  THE FOLLOWING ARE THE CRITERIA WE WILL USE TO MAKE A DECISION.

1.	A COPY OF YOUR TRANSCRIPT
2.	TWO CHARACTER LETTERS FROM EITHER:  SCHOOL TEACHER, EMPLOYER OR COMMUNITY MEMBER.  THE LETTER SHOULD INCLUDE HOW LONG THE PERSON HAS KNOWN THE APPLICANT AND IN WHAT CAPACITY.  THIS PERSON CANNOT BE A FAMILY MEMBER.
3.	ACCEPTANCE TO A POST-HIGH SCHOOL INSTITUTION.  THIS CAN BE A 2 YEAR COLLEGE, COMMUNITY COLLEGE, OR TRADE SCHOOL.
4.	RESPONSES TO THE QUESTIONS POSED ON THE APPLICATION.  ALL APPLICATIONS WILL BE REVIEWED BY SMITH ENGINE.
5.	PERSONAL INTERVIEW: MAY BE REQUESTED
6.	TYPE OR PRINT LEGIBLY IN BLACK INK

THE AWARD OF $500 WILL BE AWARDED DIRECTLY TO THE APPLICANT AFTER SUCCESFULLY COMPLETING YOUR FIRST SEMESTER.

SMITH TIRE LLC
SCHOLARSHIP APPLICATION

DATE OF APPLICATION: _____________________________

ADDRESS: __________________________________________

PHONE: ____________________________________________

PARENT/GUARDIAN: ________________________________

BROTHERS/SISTERS: _______________________________
			 _______________________________

NAME OF INSTITUTION IN WHICH YOU PLAN TO ENROLL: _________________________

WHAT IS YOUR PLANNED MAJOR? ________________________________________
LENGTH OF TIME COMPLETE THIS MAJOR? ___________________________
WHEN DO YOU PLAN TO BEGIN? ________________________________
HAVE YOU APPLIED TO THIS INSTITUTION? ________________
HAVE YOU BEEN ACCEPTED? __________________
WHAT IS YOUR CLASS RANK? ________ OUT OF ________

IF YOU ARE A GRADUATING SENIOR, PLEASE LIST THE EXTRA CURRICULAR ACTIVITIES YOU HAVE PARTICIPATED IN DURING HIGH SCHOOL AND THE NUBMER OF YEARS YOU HAVE BEEN INVOLVED IN THEM.

PLEASE LIST COMMUNITY AND/OR CHURCH ACTIVITIES YOU HAVE/ARE PARTICIPATED IN.  INCLUDE ANY JOB YOU HAVE HELD OR CURRENTLY HOLD.

PLEASE LIST ANY SCHOLARSHIPS, RECOGNITIONS, OR ACCOPLISHMENTS YOU HAVE ACHIEVED.