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application

side two
Please type all remaining responses on a separate sheet of paper and attach to this application.
To apply for both scholarships, please answer all questions. If selected, you would receive only one award.

l e a de r s f or t omorrow s c hol a r s hip que s t ion s:


(Questions with an asterisk must also be answered if applying for the Presidential Scholarship.) 2011–2012
› Why are you considering Kirkwood?*

› Describe high school leadership experiences during your junior and/or senior year of high school.

› Describe community involvement during your junior and/or senior year of high school.

› What will be the roles of tomorrow’s leaders, and how will you prepare to meet these challenges?*

Leaders
› How will you maintain your leadership at Kirkwood?

FOR TOMORROW

&Presidential
pre s ide n t i a l s c hol a r s hip que s t ion s:
(Please also answer the above questions containing an asterisk to apply for the Presidential Scholarship.)

› How have you maintained your academic success during your high school career?

› If selected, how will you get involved at Kirkwood? What will you bring to Kirkwood?

› Why should you be chosen to receive the Presidential Scholarship from Kirkwood? What separates
schol arship application
you from the rest of the applicants?

Optional: If you have a resumé, you may include it with the application materials.

*If selected for the Presidential Scholarship, you may be required to attend an interview.

_____________________________________________________ _______________________________

(Signature) (Date)

6301 Kirkwood Boulevard S.W. • PO Box 2068 • Cedar Rapids, Iowa 52406 • www.kirkwood.edu

AD 1009 w w w . k i r k w o o d . e d u
The Leaders application
side one
for Tomorrow $4,000
›Presidential: Check the scholarship you are applying for:
Scholarship  Presidential Scholarship  Leaders for Tomorrow Scholarship
The Leaders for Tomorrow + ›Leaders for Tomorrow: $2,000
Scholarship is for high school Note: You can apply for both of these scholarships, but you can be awarded only one and must answer all questions.
seniors with a 3.0 GPA or higher Award of one of these two scholarships does not preclude your eligibility for consideration for other scholarships.
(at the time of this application
deadline) who are in the top
application process
half of their class. Up to 60 The applicant must: Name:_______________________________________________________________________________________________
scholarships for $2,000 are
• Submit this scholarship application.
awarded to seniors who will be Parents’ Names:_______________________________________________________________________________________
full-time Kirkwood students in • Submit high school transcript with this application.
the fall following high school Present Address:_ _____________________________________________________________________________________
• Obtain two original reference letters supporting the scholarship qualifications
graduation and can demonstrate Street Address
strong leadership qualities. and accomplishments and submit them with the application to:
____________________________________________________________________________________________________
This scholarship is awarded
Kirkwood Admissions Services City State Zip Code
during students’ freshman year.
Kirkwood Community College PO Box 2068 Date of Birth:_________________________________________________________________________________________
At least one community and
two high school leadership Cedar Rapids, IA 52406
Telephone Number:___________________________________________________________________________________
experiences are required during Area Code
Examples of acceptable references include: instructors, counselors,
the junior and/or senior years
former and/or current employers, doctors and others in responsible Social Security Number: ____ ____ ____ - ____ ____ - ____ ____ ____ ____
of high school.
positions who can objectively attest to your qualities and
Awarded: $1,000 for fall, accomplishments. (Excludes relatives and close friends.) Do you give permission to the scholarship committee to examine your high school transcript?
$1,000 for spring.
• If you would like to be considered for both scholarships, please answer all questions.
 Yes  No
The Presidential • All essays must be answered in numerical order and must be typed double-spaced,
Scholarship 12 point Times New Roman font. What is your high school cumulative grade point average?___________________________________________________

High school seniors who have


ACT Score__________ Class Rank_____/_____
ACT test scores of 25 or higher and deadline
3.5 GPAs or higher are eligible
All applications must be postmarked or received in the Kirkwood Admissions In which Kirkwood program/major will you start in the fall?_________________________________________________
for Presidential Scholarships.
Up to 30 scholarships for $4,000 office by March 31, 2011.
Which high school will you graduate from?_______________________________________________________________
each are available to students
notification

› ‹
who meet this criteria and who
will be full-time Kirkwood students Graduation Date:_ ____________________________________________________________________________________
in the fall and spring following Kirkwood Admissions Services will notify recipients by April 22, 2011.
high school graduation. This List clubs, organizational activities and any special honors received in high school:
scholarship is awarded during
students’ freshman year. ____________________________________________________________________________________________________
Awarded: $2,000 for fall,
____________________________________________________________________________________________________
$2,000 for spring.
need more information? ____________________________________________________________________________________________________
Additional information about these scholarships or other Kirkwood scholarship
opportunities is available. ____________________________________________________________________________________________________

Call Admissions at 319-398-5517 or 800-363-2220. You can also check out our
Web site at www.kirkwood.edu/financialaid.
more on back

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