High School Scholarship Application Form

ENTRY FORM KADPF SCHOLARSHIP PROGRAM

The Kansas Association of Directors of Plant Facilities Scholarship is a scholarship for $3,500. The winner will receive $1,750 the second semester of their freshman year and the remaining $1,750 the first semester of their sophomore year. Payments will be made directly to the college.
To qualify for the KADPF scholarship, applicants must:
- Graduate from Kansas High School
- Parent/Guardian must be actively employed in Food service, Buildings and Grounds or Transpertation in a Kansas school institution
- Will be attending a Kansas college or Kansas Technical school
BASIC INFORMATION
Choose your school
If your high school is not listed, type here:
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone*
Please enter a valid phone number.
Student's Full / Legal Name*

First NameLast Name
Student ID: ( Collage ID Only if known )
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number*
Student E-mail*
example@example.com
List name of Parent or Guardian employed in a buildings & grounds, food service or transportation position in a K-12 or secondary education institution, place of employment and phone number. The KADPF scholarship committee reserves the right to verify employment of the scholarship applicant’s parent or guardian.
Parent employed as:*
Parents name*

First NameLast Name
Parents email*
example@example.com
Work address ( Must be employed by a K-12 or Higher education institution, primary employment must be in Buildings and Grounds, Transportation or Food service )*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone or cell*
MUST BE SUBMITTED NO LATER THAN February 15th, year of application

Academics

This part to be completed by the applicant’s principal or counselor
ACT or SAT Score*
GPA*
I am applying for*
Please upload a copy of your most recent transcript along with your Junior year classes and grades and Senior classes and grades, Honors classes, Act or SAT score, GPA Counselors must sign these documents before uploading.*

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Schools to which you are applying

KANSAS COLLEGE, UNIVERSITY OR TECHNICAL SCHOOL the student plans to attend
1st School choice *
2nd School choice
Major(s) You Are Considering

In order of preference, list the major(s) you are considering (Very important for scholarship eligibility).
Major 1*
Major 2
Objective Criteria
Financial Need – In the space provided, please indicate your family’s adjustedgross income from tax return for year prior to application year.*
Total number of family member living at home:*
Number of dependents in your parents' family, including yourself:
Other financial considerations which need to be noted:

SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. If you worked, list the company, hours per week and length of time. Attach an additional sheet or resume if necessary.
Extracurricular Activities – Organizations and Clubs (Show years of involvementand indicate any office held.)*
Honors and Awards*
Community or Other Activities*
Work Activities - Are you now currently employed?

YesNo
If yes, what type of work and how many hours per week?
Describe you other work activities (such as family farm, helping at home, family business, etc):*
In the space provided below, please describe in 75 words or less, in your ownwords and handwriting, why you want to be a recipient of the KADPFScholarship Program, the course of study or major field of interest you plan tofollow, your proposed occupation or profession, and any other abilities you havethat were not previously mentioned in this form.*
Student Signature*

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Submission Time

MonthDayYear
Date
Hour MinutesAM/PM Option
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ENTRY FORM KADPF SCHOLARSHIP PROGRAM

BASIC INFORMATION

MUST BE SUBMITTED NO LATER THAN February 15th, year of application

Academics

Schools to which you are applying

Major(s) You Are Considering

Objective Criteria

SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC: