CHAMPAIGN COUNTY TOWNSHIP ASSOCIATION SCHOLARSHIP PROGRAM The CCTA will be offering two scholarships to High School seniors in 2021 two $500.00 scholarships in two categories are being provided this year See below for eligibility requirements Eligibility Student must be a U.S citizen; reside in an Champaign County, Ohio Township; and plan to attend a two or four year college or university in the fall of 2021 Student may apply for both scholarships, however , applications and accompanying materials must be submitted in two separate envelopes Students can only win one of the two scholarships Type Academic Achievement Scholarship-Student must have a B average (cumulative) and at least a 22 ACT or 1000 SAT score Requirements Student Must Submit: > Completed application form (see next page) > Statement of activities, honors and leadership Including school and community activities and years in which you participated Identify leadership positions or awards you received > Copy of high school transcript, including ACT and/ or SAT scores > Two letters of recommendation from teachers and/ or community leaders > A 500 word essay Academic Achievement Scholarship - describe the importance of local government Community Involvement- Describe a community project or event you participated in that impacted your life Deadline Completed applications must be received by Friday April 9, 2021 Winners will be announced by Friday May 14, 2021 Remittance All applications essays and materials listed in requirements must be submitted to the Guidance Counselors at the students local school CHECKLIST Application form – signed and dated Statement of activities, honors and leadership Copy of high school transcript or equivalent College admission test scores Two letters of recommendation Essay Please direct all questions relating to the CCTA scholarship program to your local Champaign County Schools Guidance Counselor Submit all of the above items in one envelope by April 9, 2021 Name: _ Address: _ City State, Zip: Phone: Email: Township: _ County: High School: High School Address: GPA: ACT: _ SAT: College/University Attending: _ College/University Address: Certification I hereby certify that the information provided is truthful and accurate to the best of my knowledge I hereby apply for (choose one) the CCTA Academic Achievement Scholarship _, or the CCTA Community Involvement Scholarship Release of Information By submitting the Champaign County Township Association scholarship application form you are giving your consent for the CCTA to release your personal information to the committee members who will be reviewing and scoring your information for scholarships on behalf of the CCTA Should you be selected to receive a scholarship, the CCTA may request updates of your progress including GPA, classes taken, etc Submission of this form confirms you agree with these terms and conditions I have read and agree to the above terms and conditions Signature Date *Please note, all information submitted will be kept confidential and destroyed after the scholarships have been awarded ... the CCTA Academic Achievement Scholarship _, or the CCTA Community Involvement Scholarship Release of Information By submitting the Champaign County Township Association scholarship application. .. fall of 2021 Student may apply for both scholarships, however , applications and accompanying materials must be submitted in two separate envelopes Students can only win one of the two scholarships... impacted your life Deadline Completed applications must be received by Friday April 9, 2021 Winners will be announced by Friday May 14, 2021 Remittance All applications essays and materials listed