Scholarship Application Form

The Kansas B.A.S.S. Nation Frank Stong Memorial Scholarship

Application Deadline - JANUARY 29th
Instructions
1. Read the Scholarship Application Information carefully to determine eligibility.
2. Make sure all portions of the application are complete.
3. List of Extracurricular Activities, Essay, and Two Letters of Reference must be included.
4. Submitt application and all required enclosures.

Scholarship Application Information
The Scholarship application is open to all youth members or adult members of the Kansas B.A.S.S. Nation, and to their family members. Incomplete or late applications may not be considered. Kansas B.A.S.S. Nation is not responsible for: any late, lost, misrouted, or otherwise damaged entries, including any failure of electronic hardware, software, or the Internet, as well as any losses or damages caused by events beyond its control. The award(s) will be made annually as funds are available. The award winner(s) will be selected by a special committee approved by the Kansas B.A.S.S. Nation. The decision of the Kansas B.A.S.S. Nation will be final. All scholarship entries become the exclusive property of the Kansas B.A.S.S. Nation. Awards are made without regard to race, age, color, gender, disability. sexual orientation, religious belief, or national origin. Only those selected to receive a scholarship are notified. Scholarship funds will be paid directly to the recipient within one month of receiving proof of paid full time enrollment (generally considered at least 12 credit hours) in a College, Community College, University, Vo-Tech, or Trade school.

IF YOU HAVE QUESTIONS PLEASE CONTACT BRAD VANRIETTE AT bevanriette@gmail.com
Read and Understand the instructions.*

Yes, I have
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
K.B.N. member(s) to whom you are related:

0/300
Have you been awarded this Scholarship previously?

YesNo
School(s) you currently attend:

0/300
Most recent cumulative GPA:
(4.0 scale)
Year of Graduation or GED:
Name of College or Vo-Tech Preference:
Major Area of Study:
Please indicate what is your major are of study
By signing this form, I hereby grant the Kansas B.A.S.S. Nation the unconditional right to use myname, photograph, and essay in connection with press releases and/or publications. I also certify thatI have read and followed the Instructions , and read and understand the Scholarship Application Information. If the applicant is a minor, a parent or guardian must sign and date the application.
Signature of Applicant*

Clear
Signature of Parent of Guardian if applicable

Clear
High School activities, community activities, volunteer work, honors, offices held:
II. List of Extracurricular Activities:
List SCHOOL related activities/awards (i.e Honor Society, Honor Roll, Clubs, Sports, Student Council, etc.).

0/500
List COMMUNITY related activities/awards (i.e. 4-H, Scouts, Civic groups/clubs, Church groups/clubs, volunteer work, etc.).

0/500
List LEADERSHIP positions held in School and/or Community related activities (i.e. Group/club Officer, Team Captain, Scouting Patrol Leader, etc.).

0/500
List all KANSAS B.A.S.S. NATION involvement..(i.e. All Adult and/or Youth Club memberships, Club or State Officer, Committee member, All Adult and/or Youth Tournament participation, etc.).

0/500
III. Essay

Write an essay titled “Conservation; vital to the future of the Kansas B.A.S.S. Nation.”
Essay:

0/1000
IV. Letters of Reference:
Enclose two letters of reference from, for example, teachers, counselors, community leaders, clergy, etc. Do not include letters from relatives.*

Browse Files

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Enclose two letters of reference from, for example, teachers, counselors, community leaders, clergy, etc. Do not include letters from relatives.*

Browse Files

Cancelof
V. Application Checklist :
Should be Empty:

The Kansas B.A.S.S. Nation Frank Stong Memorial Scholarship

I. Personal Data:

II. List of Extracurricular Activities:

III. Essay

IV. Letters of Reference:

V. Application Checklist :