Dr. Bob H. Greene College Scholarship Application - Goodwill ...
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Dr. Bob H. Greene College Scholarship Application
Background:
This scholarship fund was established in 2007 by Goodwill Industries of Northwest North Carolina,
Inc.’s Board of Directors in honor of Dr. Bob H. Greene for his years of dedication and service to
Goodwill and in recognition of his longevity of service to North Carolina academia. Its purpose is
to award scholarships for children (or those children in the legal guardianship) of Goodwill
employees attending an accredited community college, 2 or 4 year college or university, or
graduate school. The scholarships awarded will be at the discretion of Goodwill Industries of
NWNC Board of Directors’ Personnel Committee in any given year. Scholarships have been
awarded to more than 90% of those who have applied since 2007, with $1,000 being the average
amount granted. This scholarship is not intended merely to further the education of aspiring
students, but to recognize and assist those students who demonstrate involvement in their
community and represent the values of Goodwill Industries of NWNC. The award recipient will
receive funds in the amount of the award upon documentation of payment to an accredited
institution.
If you satisfy the eligibility criteria, please submit a completed application form by May
31, 2021 to:
Dr. Bob H. Greene Scholarship Fund
c/o Goodwill Industries of NWNC
2701 University Parkway
P.O. Box 4299
Winston-Salem, NC 27115
Attention: Vice President of Human Resources
Eligibility
To be considered as a candidate for this scholarship you must:
be the child or in the legal guardianship of a Goodwill Industries of NWNC employee
(who has been employed and in good standing for at least one year by the application
deadline);
must be involved in school and/or community activities; and
be 1) a graduating senior from a public, private, or charter high school enrolling in an
accredited community college, two- or four-year college or university within the
United States) for the following fall semester as a full- or part-time student (proof of
acceptance to the accredited institution of higher learning must be
submitted with the application), or 2) be a full- or part-time undergraduate or
graduate student in good standing at an institution of higher learning.
Required Attachments
The following documents must be submitted along with the application in order for the application
to be considered.
1. A certified high school or college transcript showing GPA (weighted) on class work to
date.2. Two letters of recommendation written on your behalf by persons not related to you
(one from a school teacher/counselor, and one from a supervisor or community leader). It
is preferred that they use the recommendation forms attached to this application. The
recommendations should be included in sealed envelopes along with the application, and
the persons signing the letters should also write their signatures across the flap of the
sealed envelope. Each of your references should include a telephone number where he or
she can be reached for comment.
3. An attached page listing any participation in volunteer activities or service projects
undertaken in your community (such as tutoring students, camp counselor, assisting with
a food drive, participation at a community shelter, etc.).
4. A typed essay (double-spaced, black ink) of no more than 1,000 words (suggested length
500 – 1,000 words) on one of the following topics:
A personal statement describing yourself (including character, background, family
circumstances, goals for the future) and how your educational pursuits will further
the attainment of your goals.
OR Describe how charitable giving in the form of service to your community affects
the giver and recipients.
OR Explain in your words the meaning of the phrase, “We must honor those before us
as we hope to be honored by those to whom we pass along our treasures,
knowledge and skills”.
OR If all goes as you would like, where do you see yourself 15 years from now?
It is the responsibility of each scholarship applicant to submit all of the required items on
or before the application deadline of May 31, 2021.
Incomplete Applications Will Not Be Considered --
Check to be sure items 1, 2, 3, & 4 above are included before submitting!
Contact Information
Student Name:
Mr./Ms. First Middle Initial Last
Birthdate: _
Permanent Address:
Street Address
Winston-
City State Zip
Phone Number Email addressCurrent Address and Telephone Number (If different from above):
Street Address
City State Zip
_
Phone Number Email address
Parent’s name: Work location:
Academic Information
School you are currently attending:
City State Zip
Expected Date of Graduation:
Cumulative GPA (weighted):
(certified transcript from school is required)
List any school extracurricular activities (including any leadership roles): _
College/University/Community College you plan to attend:
(Supply verification of acceptance)
Financial Information
Annual Family Income: $
(adjusted gross income from IRS form 1040 for 2020 – line 7)
Number in Household, including parents:
Number of immediate family members attending college this coming school year: _
List any other scholarship awards that you have received or submitted applications.List any grants that you have been awarded and amount(s) (federal, state, or college). Is there anything else you would like us to consider? The application is available and can be printed or downloaded from the Home page of UltiPro, Goodwill’s employee portal, or a copy may be requested by notifying Rudy Allen, the Vice President of Human Resources at Goodwill Industries of NWNC, P.O. Box 4299, Winston-Salem, NC, 27115 (phone request 336-724-3621, ext. 1258) or by email at rallen@goodwillnwnc.org. If you would like assistance with or have questions completing this application, please contact Rudy Allen at the above phone number/email address. Additionally, a sample copy of a completed application can also be found on the Home page of UltiPro. Scholarship recipients will be notified by June 15, 2021. I verify that all the information I have provided is true and accurate: Applicant’s Signature Date:
Teacher or Faculty Member Scholarship Program Recommendation Form
Dr. Bob H. Greene College Scholarship Program
Note to student requesting recommendation: Please enter your name on the line marked “Applicant’s Name”
and deliver or mail to the faculty member who will write this recommendation. Ask that the form be returned to
you in a sealed envelope (with the person’s signature across the seal), which should be submitted with the
application.
Applicant’s Name:
Last First Middle
Note to faculty member making recommendation: The student whose name appears above is requesting that
you complete the recommendation form below. We would appreciate your assessment of the student according
to the questions asked on this form. If you will be unable to assess this student in more than half of the categories
listed in the table below, please contact him/her so he/she can ask for a recommendation from someone who is
able to assess him/her in the majority of the categories listed. Please return or mail the recommendation to the
student in a sealed envelope with your signature across the seal. In the alternative to this form, a letter of
recommendation will also be accepted.
How would you rate the person listed above as compared with the student population with whom you are acquainted?
Outstanding Excellent Good Average Poor
No basis for
Top 5% of Top 15% Top 1/3 of Middle 1/3 Bottom 1/3
assessment
class of class class of class of class
Academic
Intellectual ability
Professional
Overall performance
Critical thinking
Priority setting
Multi-tasking
Leadership
Time management
Flexibility
Ability to organize work
Attention to detail
Ability to work under stress
Personal
Maturity
Initiative
Ability to work with others
Communication skills
How long have you known the applicant?
What do you consider to be this student’s talents or strengths?
What do you consider to be this student’s areas in need of improvement?_
General Comments
(Attach sheet if necessary)
Signature: Name (please print):
Title: Phone: School:Recommendation Form (for Supervisor, Community Leader, etc.)
Dr. Bob H. Greene College Scholarship Program
The Dr. Bob H. Greene scholarship fund was established in 2007 by Goodwill Industries of
Northwest North Carolina, Inc.’s Board of Directors in honor of Dr. Greene’s years of dedication and
service to Goodwill and in recognition of longevity of service to North Carolina academia. Its
purpose is to award undergraduate and graduate scholarships for children (or those children in the
legal guardianship) of Goodwill employees attending an accredited university or institution of
higher education. This scholarship is intended to further the education of a deserving student, who
demonstrates involvement in their community and represents the values of Goodwill Industries of
Northwest North Carolina, Inc.
Scholarship Program Recommendation Form
The following named individual has applied for a scholarship and has given you as a reference.
It would be greatly appreciated if you would complete the recommendation form or submit
a letter of reference and return it to the student in a sealed envelope (with your signature
across the seal), which should be submitted with the application.
Applicant’s Name:
How long have you known him/her?
Under what relationship (i.e., pastor, counselor, employer, etc.)?
What are his/her strengths?
What are his/her weaknesses?
Briefly state your recommendation of this individual.
Signature Date Phone number
(This information may be listed on this page or summarized in the form of an attached letter.)You can also read
