Barnes Scholarship Fund

The Barnes Scholarship, established under the will of Ellen Barnes, is available to graduating seniors of Pittsfield High School who have participated in band and/or chorus or IHSA music contests each of the four years of high school. Applicants must be planning to attend a two or four year college, pursuing any field of study. Additional funds will be awarded each of the next three years provided the student sends a copy of their transcript, indicating they are in good standing. The recipient is selected by the Pikeland School Board Scholarship Selection Committee.

Please note you will need the following items available to complete this application, as you will not be able to save and return to the document.

Anticipated cost of first year’s tuition, room & board and books
Copy of High School Transcript

Personal Information

Name (First, Middle, Last)

Telephone Number

Home Address

Email Address

City, State, Zip

County

Length of residence in this county (years)

Name of Parent or Guardian

Address

City, State, Zip

Date and Place of Birth

Is anyone dependent on you for support?

If yes, name and relationship

How many family members will be attending college full-time during the next four years?

Please list their names, relationship and years they will be attending college:

College Information

Name of college you are planning to attend

Location of College

Anticipated cost of the first year's tuition, room & board and books

Financial Need Information

Check any of the applicable items below to indicate how you plan to pay your expenses not covered by the scholarship

Money furnished by family

Earnings during the summer

Student Employment

Student Loans

Other means

Please list other means

Are you aware of other monetary awards you are receiving?

High School Activities and Community Activities

Please list below activities in which you have participated during your high school career. (include high school activities and community activities)

Special Awards and Honors

Please list below any special honors or awards received in high school or in the community while in high school.

Essay

Please write below a short essay describing your career plans

What has your experience over the last four years in Pittsfield High School band and/or chorus meant to you? How has it helped you grow and mature into a young adult?

Transcript

Please upload High School transcript or have guidance office send transcript to trust@farmersstate.com (PDF files please)

Acknowledgment

I certify that, to the best of my knowledge, all information given on this application is true and correct.

Date

Signature (please type name)

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