This scholarship supersedes any prior scholarship of this organization.

I.                   Intent and Purposes:

It is the intention of the Randolph Township Volunteer Fire Department To establish at least one annual, one-year scholarship of not less than $1,000.00, to be awarded to the recipient in two payments of not less than $500.00 each. The purpose of the scholarship is to promote and assist worthy students. The payments shall be paid as follows: 1^st payment at the beginning of 1^st semester or quarter-2^nd payment at the beginning of 2^nd semester of quarter.

II.                Eligibility of Applications:

To be eligible to receive the scholarship award, the recipient must be a high school graduate or in the final semester of his or her high school curriculum. He or she must have attended Heyworth School District #4 at least the past three consecutive semesters and have been accepted by an institute of higher learning. Having fulfilled the above requirements, the applicant must submit a letter of intent and application to either the school guidance counselor in which he or she is attending or the secretary of the Randolph Township Fire Protection District by June 13.

III.             Screening of Applications:

All letters of application will be turned in to a committee at the school the applicant attends. This committee will be chosen by the school administration of their discretion. The committee’s duties will be to review the applications, making sure that each applicant has met the above eligibility in paragraph II above, and make recommendations according to scholastic ability and need. The school will provide confidential records required by the awarding committee. The qualifications are in the order:

            50%     Need

            25%     Scholastic

            25%     Good Citizenship

Children of Fire Department members have preferences if they meet present qualifications.

IV.              Duties of the Recipient:

Upon designation of a final recipient by the awarding committee as outlined in paragraph a VI and upon presentation of acceptable proof of enrollment of the fire department secretary, for each of the first semester of quarter and the second semester or quarter, the scholarship fund will present to the recipient a check for the respective semester or quarter.

V.                 Institute of Higher Learning:

An institute of higher learning shall constitute a University, Junior College, School of Nursing, or Trade School. In no way shall salaried, on-the-job training programs be construed to fit within the scope of this scholarship fund.

VI.              Awarding Committee:

It shall be the duty of the Randolph Township Fire Protection District Chief and the Fire Department secretary to assemble each year an awarding committee. This committee shall consist of three citizens of the fire district. This committee shall not be permanent body but shall be chosen annually. No member of any school district shall be a member of this committee. It shall be the duty of this committee to select a recipient, or two recipients from all the applications on the basis of the qualifications listed above, without regard to race, creed, sex, or religion.

VII.           Portions of scholarships:

Anytime an unused portion of a scholarship becomes available due to failure to meet requirements as established above or other reasons; the unused portion shall remit back to the scholarship fund.

Send to: Randolph Township Fire Protection District

103 S. Buchanan Street

Heyworth, Il. 61745-7506

Attn:  Randolph Township Fireman’s Scholarship Application

Due Date: June 13^th

I.                    STUDENT INFORMATION

Name____________________________________________

Address__________________________________________

City, State, Zip____________________________________

Phone Number____________________________________

M____ F____ Date of Birth (mo.day,yr.)_______/______/______

II.                 POST SECONDARY PLANS

School you plan to attend_________________________________

Anticipated Major/Minor_________________________________

III.               SCHOLARSHIP

Class Rank of_______in a class of_____with a GPA of_________

                                    ______________________________________________________

List Leadership roles:

                                    ______________________________________________________

List Special Honors:

                                    ______________________________________________________

Work Experience:

                                    ______________________________________________________

IV.       SHORT STATEMENT OF FINANCIAL NEED.  (You must be able to show evidence of financial need.  Use extra paper if necessary.)

                                    ______________________________________________________

                                    ______________________________________________________

                                    ______________________________________________________

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