Norris and Karen Johnson Endowed Scholarship


Application Cover Sheet


Application for the Norris and Karen Johnson Endowed Scholarship consists of five parts.  Please submit the following information and return to the counselor's office by 4 pm on April 1st.


1.                  Completed application cover sheet.

2.                  A copy of your high school transcript, signed by a school official and/or most recent college transcript.

3.                  A resume of your high school or college, community and religious activities, include any office held in the organizations you have belonged to while in high school. Please include activities that demonstrate your leadership skills, initiative, and respect for others. This resume can be more than one page.

4.                  A statement indicating your educational pursuits explaining where you plan to attend for your post secondary education , proposed course of study and  why you have chosen to pursue a career in the health or medical field.

5.                  Please include three letters of reference; one of which is from a current or former teacher, one from a mentor or employer and one from another adult who is not a relative but is familiar with your strengths of character and knows you well.



Name:  _______________________________________________________________________


Address:   ____________________________________________________________________


City: ___________________________________ State : __________ Zip code: ______________


Year of graduation: ________________


Cumulative grade point through the first semester of your senior year: ____________________




I give permission to the Fertile-Beltrami Education Foundation to release my name for newspaper and other media announcements regarding this scholarship application.



Your signature: _______________________________________________________________