Noble County Community Foundation The Glen B. Taylor Memorial Scholarship
2009-2010 school year
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The Glen B. Taylor Memorial Scholarship was established by Mr. Taylor to honor his lifelong commitment to providing educational opportunities for the students of Noble County.      The scholarship is valid for any undergraduate or graduate school year of the student’s education at an accredited technical college, 4-year college, or university with a preference to non-Freshman year students. There is no specific curriculum the student must pursue and at this time the scholarship is not renewable. A total of two $500 scholarships will be given, one to a graduate of Caldwell HS and one to a Shenandoah HS graduate.      The scholarships will be paid at the end of the student’s current (or first) year of college with proof that the student has successfully completed his/her course of study or is enrolled for the following year of school.
PERSONAL INFORMATION
Name:
Address:
City:	State:   AlabamaAlaska ArkansasArizona CaliforniaColorado ConnecticutDelaware FloridaGeorgia HawaiiIowa IdahoIllinois IndianaKansas KentuckyLouisiana MassachusettsMaryland MaineMichigan MinnesotaMissouri MississippiMontana North CarolinaNorth Dakota NebraskaNew Hampshire New JerseyNew Mexico NevadaNew York OhioOklahoma OregonPennsylvania Rhode IslandSouth Carolina South DakotaTennessee TexasUtah VirginiaVermont WashingtonWisconsin West VirginiaWyoming    Zip:
High School Attended:      Year Graduated:
Telephone:      E-Mail Address:
FINANCIAL RESOURCES
Mother's Name:     Employer/Title
Father's Name:      Employer/Title
Where is your Primary Home (with whom do you live?):			Both Parents in same home Mother's Home   Father's Home Guardian              Independent*
*For purposes of this application, to be considered independent you must be at least 18 years of age and have been living in your own residence, at your own expense, apart from your parents and/or guardian for at least twelve consecutive months.
College Attending: Class Rank: (Freshman, Soph., Jr., Sr.)
Majoring in:
List all scholarships for which you have applied and their status (i.e. pending, awarded [amount], denied):
PERSONAL ACHIEVEMENT
Non-school activities including church and community involvement. Give years of membership and activities in which you have participated as a leader
ORGANIZATION   NO. OF YEARS   OFFICES HELD
List the activities participated in during your high school or college attendance, i.e. class officer, plays, athletics, music selecting the most prestigious.
ACTIVITY   NO. OF YEARS   REMARKS
List all other activities not heretofore mentioned which will more fully describe your past achievements including any work experience:
Write an essay not to exceed three hundred words addressing where you see yourself ten years from now and your goals for your life and education. words typed words left
NOTE BEFORE YOU CLICK SUBMIT: Once you click the submit button, a new page will will appear with an output of the application you just submitted. Please click on the Home page button. Once you are back here, click on the Taylor Scholarship Requirements button . A new page will appear. Please follow all directions closely.  Failure to provide any requested information will result in automatic disqualification. Then click on the Taylor Scholarship Signature button to bring up the signature page. Print that page and return it the address provided.