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Austin E. Knowlton Honors Scholarship Application

Deadline for submission: April 14, 2014

Chatfield's Honor Scholarship is available to a graduating high school senior from each high school in Brown County. The scholarship is awarded based on consideration of academic ability, leadership potential, goal clarity, and community involvement. A final high school grade point average of 3.0 is required.

The scholarship may be applied to tuition and fee charges only. A commitment of attending Chatfield for two full time years and graduating is required. Full-year scholarship funds are normally divided equally between Fall and Spring semesters.

Incomplete applications will not be considered.

To qualify, all applicants must submit the following items:
-Chatfield College Application for Admission
-Proof of satisfactory completion of high school with a 3.0 grade average
-Completed scholarship application
-Completed Free Application for Federal Student Aid (FAFSA)

Answer all questions carefully and completely.

Applicant Information:

First Name

Middle Name

Last Name

Email address

Home Address Street

Home Address Apt#

Home Address City

Home Address State

Home Address Zip

Preferred Telephone

Name of High School w/City & State

Expected Enrollment at Chatfield

Fall (August)
Spring (January)
Summer (June)

Check your degree concentration

Liberal Arts
Child Development/Education
Human Services

Are you planning on completing a four-year degree (Bachelor's)?


Employment History and/or Volunteer Service (begine with most recent):

Company/Organization #1



Dates Attended

Company/Organization #2



Dates Attended

Company/Organization #3



Dates Attended

Company/Organization #4



Dates Attended

Essay Question:

Attach typewritten sheets for your answers for essay questions. Answers should be complete and well thought out, with 500 to 1000 words. We suggest you create a draft first and edit it as you would any academic essay.

1. What I would do with a college education to benefit my family and community?
Current Word Count: 0


Do not use members of your family. At least one should be an instructor, teacher, or supervisor who has taught or supervised you and knows you well.

Reference#1 Name

Reference#1 Email

Reference#1 Address

Reference#1 City/State/Zip

Reference#1 Phone

Reference#1 Relationship

Reference#2 Name

Reference#2 Email

Reference#2 Address

Reference#2 City/State/Zip

Reference#2 Phone

Reference#2 Relationship

Reference#3 Name

Reference#3 Email

Reference#3 Address

Reference#3 City/State/Zip

Reference#3 Phone

Reference#3 Relationship

Reference#4 Name

Reference#4 Email

Reference#4 Address

Reference#4 City/State/Zip

Reference#4 Phone

Reference#1 Relationship

I certify that the information contained in this application is true and correct. I understand that misrepresentation or omission of information may result in the denial of this application or subsequent dismissal from the college and loss of credit.

Signature of Applicant

8 + 1 = Answering this easy math problem helps us know that an actual person is submitting this information! (required)

Financial Aid at Chatfield Forms & Documents:
Coca-Cola Scholarship Application

Coca-Cola Scholarship Summary

Endowed Scholarship Application

FAFSA worksheet

Financial Aid Facts

Financial Aid Newsletter Issue 3

Knowlton Scholarship

Knowlton Scholarship Application