The Jim and Betty Robidou Scholarship Application

The Jim and Betty Robidou Scholarship was established to provide an educational opportunity to a Council Grove High School senior pursuing a college degree.

One qualified applicant will be awarded a scholarship for financial assistance for the upcoming fall semester.

Qualifications: Interested candidates must meet the following criteria to qualify for this award:

- Graduating high school senior of Council Grove High School.

- Applicant must be entering a full-time college program or currently enrolled in a full-time college program no less than 12 credit hours.

*Application must be submitted by April 15th at 11:59 pm CST.

General Information
Full Name*

PrefixFirst NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Cumulative GPA*
Current Official Transcript*

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Education Information
Current High School Name*
College Attending in Fall*
Actual or Intended Major/Minor*
College Attended (if applicable) *

Activities and Awards
Please list any community service activities, hobbies, volunteer work, jobs, outside interested or extracurricular activities*
List your academic honors, awards and membership activities while in high and/or college:*

Career
What is your professional goal after college graduation?

Financial Need
What means are you using to fund your college education? (i.e. student aid, scholarships, student loans, job, etc.)

Personal Statement
What unique circumstances make you an ideal scholarship candidate compared to other applicants?
Statement*

0/500

Submission
STATEMENT OF ACCURACY
I hereby affirm that all the above-stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture and story may be taken and used for any purpose deemed necessary
to promote the Jim and Betty Robidou Scholarship.
Signature (Please type your name)*
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