Scholarships

Download Scholarship Application PDF or fill out and submit form below.

Please mail this application and all pertinent paperwork to:
Ann Smeltzer Charitable Trust
c/o Scholarship Applications
PO Box 791
Fort Dodge, Iowa 50501-4245

Overview:
The Ann Smeltzer Charitable Trust scholarship ($1,000 per semester) is awarded to individuals with a declared major in one of the following fields of study: art, music, literature, English, speech, modern language, dance, theater, history, social sciences, environmental sciences, agriculture, and conservation/natural resources management. Applicants must be residents of Webster, Buena Vista, or Palo Alto counties in Iowa. Applicants must be a current college student, graduate student, pursing a PhD or have completed at least one year of college coursework post high school. Applicants entering college as a Freshman who have accumulated fifteen (15) hours of concurrent enrollment college credit hours with a College Credit GPA of 3.00 or greater will also be considered for a scholarship if monies are available. Special consideration will be given to upper classmen, non-traditional students, and college graduates seeking professional improvement/education.

Deadline:
Scholarship requests for the fall semester must be submitted by July 1st and spring semester requests must be submitted by December 1st.

"*" indicates required fields

Section A

College/University/School*

School Year you are enrolling*

College Grade Upcoming Semester*

Freshman

Sophomore

Junior

Senior

Graduate Student 1st Year

Graduate Student 2nd Year

PhD Candidate

Semester you are enrolling*

Fall

Spring

High School/Community College Enrollment College Credits Completed

College cumulative GPA

Declared College Major(s)

Minor(s)

Section B

Have you previously received a scholarship from the Smeltzer Trust?*

Yes

No

If yes, which semester and year?

Are you applying for other scholarships?

Yes

No

If yes, please list from whom and the amount(s) in the space below

Section C

Full Legal Name*

First Middle Last

Birthdate*

MM slash DD slash YYYY

Phone*

Permanent Address*

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Local Address

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Email*

Resident of

Webster County

Buena Vista County

Palo Alto County

Section D

Please state your future planes in the space below*

Please list school, community, volunteer, and church activities in which you have participated. Include any offices and/or leadership roles you have held. You may also attach a list or resume.*

Resume

Max. file size: 2 MB.

Section E

Name of College

College Address

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Projected Graduation Date/Graduation Date

DD slash MM slash YYYY

Please attach an official copy of your college transcript(s).

Max. file size: 2 MB.

I certify that the information on this application is complete and correct.

Signature*

Please note that a signature is required for this application to be processed.

Please mail a copy of this application and all pertinent paperwork to:
Ann Smeltzer Charitable Trust
c/o Scholarship Applications
PO Box 791
Fort Dodge, Iowa 50501-4245

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