Skip to main content

Scholarships

High School Senior Scholarship Application

High School Senior Scholarship Application from Merrick Foundation, Inc.
Senior scholarships are available to graduating seniors who reside in Merrick County or attend a high school in Merrick County. Some exceptions apply, please contact us with any questions about eligibility before applying. 
Before beginning, please read through all the instructionsclick here
(Failure to follow these instructions may result in your application being disqualified.)

Personal Data
Are you a resident of Merrick County?:
First Name
Last Name
Country
Address Line 1
Address Line 2
City
State
Postal Code
If mailing address is a P.O. Box, please also list physical address.
First Name
Last Name
First Name
Last Name
Enter address only if different than your own.
Country
Address Line 1
Address Line 2
City
State
Postal Code
Educational Background/Program
Country
Address Line 1
City
State
Postal Code
Is this a 4-year or 2-year college?
Is this an online only program?
Has your application for enrollment been accepted?
Work Experience

List your past and present work experience:

Country
Address Line 1
City
State
Postal Code
Country
Address Line 1
City
State
Postal Code
Country
Address Line 1
City
State
Postal Code
References

Please include only two letters unless more are required to meet criteria of scholarships applied for.
List individuals from whom you have requested letters of recommendation (family members are not eligible).

 

First Name
Last Name
Country
Address Line 1
City
State
Postal Code
First Name
Last Name
Country
Address Line 1
City
State
Postal Code
First Name
Last Name
Country
Address Line 1
City
State
Postal Code
Please check the appropriate box(es) below to the scholarship(s) you are applying for. You may qualify for scholarships in more than one category:

(Review complete list of available scholarships and requirements FIRST by clicking here.)

MERRICK COUNTY RESIDENTS OR STUDENTS ATTENDING MERRICK COUNTY HIGH SCHOOLS
WESTERN MERRICK COUNTY AREA
AURORA
CENTRAL CITY
CENTURA
CHAPMAN
CLARKS
ELWOOD
HIGH PLAINS
NEBRASKA CHRISTIAN
PALMER
SILVER CREEK
TWIN RIVER
RESIDENTS OF FULLERTON, HORDVILLE, POLK, OR LAKE AREAS SOUTH OF CENTRAL CITY

(Scholarships with an (*) above are based on financial need. Please click here for Financial Need Information Form. 
If financial need information is not provided, you will not be considered for these scholarships. Remember to select the "back" button on your browser to return to this application once you have completed and printed the Financial Need form.)

High School Activities - Please select the years of participation
Academics:
Academic Competition
Art Club
Business Professionals of America/FBLA
Class Officer
Future Farmers of America
National Honor Society
Student Council
Yearbook
Athletics:
Basketball
Cheerleading
Cross Country
Dance Team
Football
Golf
Soccer
Softball
Track
Baseball
Wrestling
Volleyball
Drama/Music/Speech:
Band (Pep, Jazz, Concert)
Choir
Class Plays
Drama Club
School Musical
Speech Team
Swing Choir
Church/Religious and Community Activities:
Community and Volunteer Activities:

(ex. Summer Sports, Boy or Girl Scouts, Dance, Piano)

4-H
Essay

Type your essay in the box below. Responses should be numbered to correspond with each question. There is a 150 word limit for each question.
1: What are your professional and educational goals, and what is your plan to achieve them?
2: How have you demonstrated leadership in your community?

3: Tell us about a personal challenge you recently faced. What did you learn and how has this influenced your goals and perspectives?

 

Required essay for the following scholarships: (Note to Courtney - check which are high school/college/both & alphabetize scholarships)

- Elwin & Lucile Ferris Memorial Scholarship

- Hohnroth Family Scholarship

- Barney Bockerman Memorial Scholarship

- Robert & Lillian Krug Memorial Scholarship

- Merrick County Pork Producers Scholarship

There is a 150 word limit.

1: How has FFA and/or 4-H prepared you for the future?
 

Required essay for the following scholarships: (Note to Courtney - check which are high school/college/both & alphabetize scholarships)

- Dylan Van Pelt Memorial Scholarship

- Leonard & Doris Aerni Memorial Scholarship

There is a 150 word limit.

1: How have you demonstrated perseverance, high character, and high effort to overcome a mental or physical disability? (Ask Shauna - use the word overcome?)


No file selected
No file selected

Additional Information:

Email Disclosure: All information submitted in this application is complete and accurate to the best of my knowledge. I understand that by signing this disclosure, I am giving my permission for the Merrick Foundation to use the information at its discretion for publicity purposes.

For your records, it is recommend you print out the above application before hitting "Submit". 


If you have any questions about the application, our contact information is listed below:

Merrick Foundation, Inc.
1532 17th Avenue, Suite B, Central City, NE 68826
Phone: 308-946-3707
Email: merrickfoundationcfo@gmail.com

Our Impact

  • Community Grants Awarded

    $222716

  • Scholarships Awarded

    $140425

  • Students Impacted

    175

  • Total Funds Distributed

    $2495053

  • Funds Managed for Others

    $1725094

© 2019 Merrick Foundation

Powered by Firespring