Scholarship Application for Past Campers

Camp Scholarship Application

The Camp-Shannon Leigh Gaffney Scholarship Fund is proud to accept applications for our scholarship awards. We will be awarding three $1,000 scholarships to assist in the educational pursuits of past campers.

This fund was established in memory of Shannon Leigh Gaffney. Shannon was a camper and counselor for eight summers at Hermann Sons Life Camp. Although taken from her family and friends too soon, her memory and enthusiasm for Camp lives on through this scholarship program.

To apply, you must be a graduating senior, a past Hermann Sons Life camper, a current Hermann Sons Life member with premiums and local lodge dues paid current and meet application fulfillment requirements.

Please complete the application in its entirety. Any application information or additional requirements omitted could disqualify the applicant. The full application and all of the required uploads must be submitted by March 1.

The award will include $1,000 for the fall semester immediately following high school graduation. The award recipient must notify Hermann Sons Life Camp and submit proof of fall semester enrollment as a full-time student (12 semester hours minimum) at an accredited university/college or approved trade school to qualify for the scholarship. A check will then be issued to the institute of higher learning within 30 days and may be used toward the payment of tuition and fees required for enrollment at an educational organization and for required books, supplies and equipment. The scholarship board reserves the right to offer extensions for illness or other unforeseen circumstances.

If you have questions about the application or guidelines, please contact us. We wish you luck in applying for this scholarship.

The official name of this Fund is the Hermann Sons Youth Camp Scholarship Fund, Inc.

Hermann Sons Life Certificate Number *

This number can be found on your life insurance policy.

Last Name *

First Name *

Middle Name

Date of Birth *

Month

Day

Year

Mailing Address *

City *

State

Zip Code *

Home Phone

Cell Phone *

Name of Parent 1 *

Parent E-Mail Address *

Name of Parent 2

Parent 2 Phone Number

Number of Brothers and Sisters

Ages of Brothers and Sisters

Your Current High School *

College/Vocational School You Plan to Attend *

Your Intended Major or Field of Study *

Your Intended Career *

Your Anticipated Expenses Per Semester

Please refer to the most recent college catalog of the school you will be attending to estimate the total of tuition and fees, books, supplies, room, meals and other college related expenses.

Total Value of Scholarships/Grants You Have Already Received

Total Value of Scholarships/Grants You Anticipate Receiving

Please explain your personal plans (including individual contributions) for covering college expenses. *

List School Achievements (Awards, Honors, Athletics, Clubs, Offices Held, etc.) as a Freshman *

List School Achievements (Awards, Honors, Athletics, Clubs, Offices Held, etc.) as a Sophomore *

List School Achievements (Awards, Honors, Athletics, Clubs, Offices Held, etc.) as a Junior *

List School Achievements (Awards, Honors, Athletics, Clubs, Offices Held, etc.) as a Senior *

List Activities and Achievements Outside of School (Community Service, Hermann Sons Life and Other Organizations, Church, Employment, etc.) *

Your Picture *

Please upload a picture of yourself that is no bigger than 4 MB. This picture may appear in the Hermann Sons News and on this website. It may also be used for other publicity.

Your Picture #2 *

Please upload a picture of yourself that is no bigger than 4 MB. This picture may appear in the Hermann Sons News and on this website. It may also be used for other publicity.

Reference Letter #1 *

Obtain two letters of reference testifying to your talents and character. At least one letter must be from a high school representative (teacher, counselor, principal) and the other may be completed by a pastor, group leader, past employer, etc. References should not be completed by relatives.

Reference Letter #2 *

Essay *

Write an essay entitled "How Being a Hermann Sons Life Camper Helped to Shape The Person I Am Today". The essay should be typed and be between 250 and 750 words in length.

Scholastic Record

Upload your transcript. MAKE SURE YOUR SOCIAL SECURITY NUMBER IS NOT LISTED ON THE TRANSCRIPT. You may need to mark through your social security number.

Electronic Signature *

By typing your name in the box above, you certify that the information submitted in this application is correct and truthful to the best of your knowledge. In addition, you agree to permit the review of the application and any records included by anyone representing the Hermann Sons Youth Camp Scholarship Fund Board of Directors or its selected Scholarship Selection Committee. If awarded the scholarship, you promise the money will be used toward the payment of tuition and fees and required books, supplies and equipment. Furthermore, your typed name certifies that your legal parent or guardian has authorized for you to apply for this scholarship.

You will see a "Thank You" page after pressing "Submit" if your application transmitted correctly. If you do not see that page, review the application to make sure everything is correct and try again.

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Camp Scholarship Application