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BURST SCHOLARSHIP
This scholarship program is being funded by the Fran & Jean Burst Educational Foundation,
Incorporated. Scholarship(s) will be awarded to a graduating high school senior or college
student who is eligible according to the rules of eligibility and who has completed the necessary
application process. The scholarship is available to students from Batesville High School or
Oldenburg Academy in Indiana.
Students must attend an accredited college or university or technical school; and payment will
be made directly to that institution. In order to be eligible for additional scholarships, the student
must maintain at least a 2.5 or equivalent grade point average, be considered a full-time student
at his/her respective institution, and reapply annually to the Foundation. Failure to meet the
above criteria automatically discontinues the scholarship.
2013/2014
APPLICATION FOR SCHOLARSHIP
ELIGIBILITY
Any graduating senior or graduate of Batesville High School or Oldenburg Academy, in Indiana,
who has an 88% or B average or above, and has met the necessary college or technical school
requirements if eligible.
DUE DATE FOR APPLICATION
WHERE
Applications must be turned into the Principals office of the high school where you attended
by the due date, or it will not be accepted.
TRANSCRIPT
A copy of your transcript from the high school from which you are graduating and any other
high school you have attended must accompany this application. The application is not complete
without it.
AUTOBIOGRAPHY
This is a very important part of your application. The application will be considered
incomplete without it.
A.
Form.
1. Word limit is 300 words or less.
2. Typed legibly.
B.
Content.
1. What are your goals, and what you have done to work toward them? College/tech
studentshave they changed? If so, how?
2. What significant things or events have happened to you during your high school
(or college) career?
3. How would a college education or technical training help you fulfill your goals and
help you contribute to the society in which you live?
C.
Purpose.
1. Your autobiography will help the committee know more about you.
2. Include anything that will help the committee know you better as a person.
OTHER IMPORTANT INFORMATION
A.
Be certain this application is complete.
B.
Only typed applications will be accepted. Fill out the application and print it out on white
paper, one side only. Do NOT staple the application.
C.
The information contained in this application will be treated in the strictest confidence.
D.
Failure to complete this application in its entirety will result in your disqualification from
consideration for the scholarship.
CRITERIA FOR SELECTION:
A.
Financial need *Be sure to attach FAFSA and Information Acknowledgement letter.
B.
Scholarship (ACT, SAT Scores, class rank)
C.
Applicants activities
D.
Autobiography
Incomplete applications, or those not typed, will not be accepted.
Please turn in the following application to your high school principal
no later than noon on June 3, 2013.
If you are reapplying, attach a copy of your college transcript to this application.
2013/2014
FRAN AND JEAN BURST EDUCATIONAL FOUNDATION
SCHOLARSHIP APPLICATION
ALL INFORMATION CONTAINED BELOW IS CONFIDENTIAL
1.
3.
4.
School ID #: A00483751
5.
6.
7.
GPA: 3.8
8.
List your school activities and any offices held during the last four years. Please
include years of activities and offices held:
High School-_Pit Orchestra-1 year, National Honors Society-2 years, Varsity soccer,
Key Club, Spanish Club, Concert, Jazz, Marching, and Pep band-- all 4 years, Section
leader 2 years. College- Classical Guitar Ensemble-4 years 1st chair for 2 years. It was
hard for me to be involved in extra organizations because I practiced my guitar 4-5 hours
a day on top of all my other school work. I also played with the Chamber singers at CCM
and accompanied violinists, flautists, and vocalists.
9.
List any service activities, including those for church and/or community and the
year(s) you participated:
Operation Christmas Child 2 years, Church Worship Band 5 years, and Church
Media Team-6 years, Haiti Mission trip for one week summer of 2006_Mission
Batesville- Summer 2007, Mission Indy- Summer 2004-2006, Played guitar at Safe
Passage Fund Raiser and at Summerfest in Batesville-2008, College Conservatory of
Music Fundraiser- Fall 2009, Pit Orchestra for The Shelby County Players-Summer 2009,
Walhill Farms Farmers Market- Summer 2009, Cirque Extravaganza-2010, RAA
Fundraiser-2010-2012.
10. Briefly state what you feel has been your major contribution to your church, your school,
your community, or to your family:
My major contribution is to always be a good example as a citizen, family member, and
as a musician especially for younger kids. My goal is to be an inspiration to anyone who
wants to follow their dreams in a career in the arts.
11. List your particular interests or activities outside of school:
I enjoying being outside, playing and watching soccer, watching hockey, hanging
out with my friends, playing guitar, listening to music, jamming with my friends, helping
out at my church, writing and recording my own music, spending time with my family,
and reading.
12. Which college or technical school do you plan to attend: Austin Peay State University
(Attach a copy of your acceptance letter if new Burst applicant)
Annual full-time tuition: $11,500
Summer: 48
16.
Have you applied for other scholarships? Yes Bess Bartling Memorial Scholarship,
RAA Elsa & Peter Soderburg Scholarship
If yes, specify those which you have applied for, those received, and dollar amount
involved: Bess Bartling Memorial Scholarship- $570.00
Are you a 21st Century Scholar Yes_____
17.
18.
No___*__
Mother: yes
Telephone:812-934-5298
Telephone:812-934-5298
If your parents are divorced or separated, will you receive any financial aid for college
from either parent? Yes ______
No ______
If yes, how much is expected to be contributed as financial aid for college? If no, please
explain the situation:
Father:
Mother:
21.
22.
School
23. What was your fathers total gross (not net) annual income from all sources as reported
for federal income taxes in the immediate past calendar year: Jointly see below
If not applicable, explain. You must, however, include income figures:
What was your mothers total gross (not net) annual income from all sources as reported for
federal income taxes in the immediate past calendar year: Jointly see below
If not applicable, explain. You must, however, include income figures:
NOTE: If taxes are filed jointly, you may list the income jointly.--- $48,121
24.
Do your parents have any other sources of income other than from wage earnings?
(Social Security, Military Retirement, Rental Property, Pensions, Government Subsidies)
Yes ______ No __*____
Was this amount included in the gross income for Item 23? Yes _______ No_______
Amount and Source:
25.
Does your family have any unusual expenses or any extenuating circumstances causing a
heavy family expense? Yes ___*___ No ______
If yes, specify below: Because of my Dads many continuing health problems many of
these expenses are the same as my last application. My father has many medical problems
stemming from being an insulin-dependent diabetic for over 40 years. He has now had both
knees replaced as well and all of these operations have left my family with lots of huge medical
bills. Our out-of-pocket medical expenses still continue to be a large burden on our family.
26. Have you received a Burst Foundation Scholarship in the past? If so, when and how
much did you receive? Yes, 2008- $2,000; 2009- $1,500, 2010- $2,000. 2011- $2,000
____________________________________
Signature of Applicant
____________________________________
Signature of Parent/Guardian
____________________________________
Date
____________________________________
Date
Autobiography
I have now completed a very important aspect of my career by receiving my Bachelors
Degree in Music Performance for classical guitar at the College Conservatory of Music in the
University of Cincinnati. Even though I achieved my most important goal I have set yet another
goal, which is to further my music study and get my Masters Degree. My goal for my career is
still to be able to support myself as a performing musician. I also still wish to continue writing
solo guitar songs and creating a larger presence for myself online with the many resources that
are available.
I learned so much while at CCM and I am amazed at how much I have grown as a person
and as a musician throughout my years at UC. Getting my Bachelors Degree at CCM was
definitely the first important step in my journey to becoming a professional musician. Now I am
going from a large music program to a much smaller program down in Tennessee at Austin Peay
State University. I am very excited to study with a new professor and to make new contacts in a
new city. I have always believed that you can learn so much by leaving your comfort zone and
meeting tons of new people. The school is nearby Nashville so I am also very excited about all
the opportunities that will be available near such a large music city.
I firmly believe in the power of music to inspire and to impact peoples lives in a positive
way. Upon receiving more instruction I believe that I will be able to more effectively give the
gift of music to both audiences and private students so that they can see what I have been blessed
with on a daily basis.
Thanks for your consideration.