2021 Scholarship APPLICATION - Albert W. Vontz Jr - Heidelberg Distributing
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Albert W. Vontz Jr.
2021 Scholarship APPLICATION
Apply by March 19, 2021
The Heidelberg family of companies will award one $3,000
scholarship in each market/city where we have an operating
facility: Cincinnati, Cleveland, Columbus, Dayton, LORAIN, Ohio
Valley, Toledo, youngstown, Kentucky, and wine trends,
The focus of this scholarship is contribution to community.
Award will be announced in Spring 2021 for use in Summer or
Fall 2021.
An outside, impartial panel of judges with no affiliation to
Heidelberg companies will select award winners.
TO BE ELIGIBLE:
1. You must be a dependent/recent dependent of a full-time Heidelberg, Ohio Valley or Wine Trends employee
(as defined under IRS guidelines). The employee must have worked at least one year as of March 15, 2020,
be an active employee or on approved leave of absence.
2. You may be no older than 24 years of age as of March 19, 2021.
3. You must fill out the entire application, including a 500-word essay describing your involvement or
participation in a volunteer service.
4. We must receive a signed and sealed letter of recommendation from a school teacher, counselor, supervisor
or adult who is familiar with the voluntary service you performed.
5. You must be enrolled in or planning to enroll in an accredited post-secondary educational institution for the
2021-2022 school year. Recognized Vocational and Technical schools are included.
6. You may only win this award once.Scholarship Application
Deadline March 19, 2021
Please print or type this information.
Applicant’s Legal Name:
FIRST NAME LAST NAME MIDDLE NAME
Applicant’s Address:
NUMBER/STREET CITY STATE ZIP
( ) / /
APPLICANT’S DAYTIME PHONE APPLICANT’S DATE OF BIRTH (MONTH /DAY/YEAR)
By June 2021, I will have completed:
q high school q 1st year college q 2nd year college q 3rd year college q 4th year college q ____ year(s) of graduate school
In the Summer or Fall 2021, I plan to attend:
q four-year college q community or junior college q trade or technical school q graduate school
If you are currently a student:
SCHOOL NAME SCHOOL PHONE DATE OF ANTICIPATED GRADUATION (MONTH + YEAR)
SCHOOL ADDRESS CITY STATE ZIP
If you graduated from high school:
SCHOOL NAME SCHOOL PHONE DATE OF GRADUATION
SCHOOL ADDRESS CITY STATE ZIP
Post high school education:
SCHOOL NAME SCHOOL PHONE DATE OF LAST YEAR ATTENDED
SCHOOL ADDRESS CITY STATE ZIP
— Please use additional paper as needed—Briefly list any employment/jobs you have had:
Provide information on any special honors or awards you have received:
What other extracurricular or outside activities have you participated in, excluding the voluntary service described in your essay?
Where are you enrolled (or plan to enroll) for post-secondary education? (If it is the same as where you are currently enrolled, just write SAME)
SCHOOL NAME ADDRESS, CITY, STATE, ZIP SCHOOL PHONE
What do you expect will be your major (or, what is your interest right now)?
How many hours per week did you give to the volunteer work described in your essay?
Estimate the TOTAL number of hours you gave to volunteer work:
Approximate date you began volunteer work:
Date you ended volunteer work:
Why are you a good choice for this scholarship (30 words or less)?
500-WORD ESSAY TOPIC:
“How I’ve helped my community through volunteer service.”
Focus on one particular service project in which you’ve participated,
which you feel has made a positive contribution to your community.
Essay must be neatly typed and double-spaced.
You should prepare this essay without assistance.SUBMIT 4 PIECES OF INFORMATION IN THE SAME ENVELOPE:
¶ Student Application Form (pages 2-4)
· Essay
¸ Sealed Letter of Recommendation from a teacher or other adult who is familiar with your voluntary service (page 5)
Í Proof of age and address (copy of driver’s license or state ID)
MAIL TO:
Scholarship Award
Heidelberg Distributing Co.
3601 Dryden Rd.
Dayton, OH 45439
DEADLINE FOR ENTRIES: POST-MARKED BY FRIDAY, March 19, 2021
NAME OF YOUR PARENT OR GUARDIAN EMPLOYED AT A HEIDELBERG, OHIO VALLEY, OR WINE TRENDS COMPANY
TITLE/JOB FUNCTION OF HEIDELBERG EMPLOYEE
ADDRESS OF YOUR PARENT OR GUARDIAN EMPLOYED AT A HEIDELBERG, OHIO VALLEY OR WINE TRENDS COMPANY
Please check city of their employment:
q Cincinnati q Cleveland q Columbus q Dayton q Lorain q Ohio Valley q Toledo q Youngstown q Kentucky q Wine Trends
Disclaimer: Heidelberg makes no promises or representations regarding the tax consequences to employees that may arise from the above awards,
and expressly denies any liability relating thereto. Heidelberg encourages employees to consult a tax advisor for further information.
CERTIFICATION
I, the undersigned, certify that all the information I have included in and with my application is true. The information included in this
application and in my essay is true and the essay is my own work. I am 24 years of age or younger. I understand that if I am selected for an
award, I may be required to submit further proof of my acceptance or enrollment in an accredited college, community college, university or
recognized vocational or technical school. I certify that I have read and understand the information above.
APPLICANT’S SIGNATURE DATE
Albert W. Vontz Jr. Scholarship Award | Heidelberg Family of Companies
Cincinnati | Cleveland | Columbus | Dayton | Lorain | Ohio Valley | Toledo | Youngstown | Kentucky | Wine TrendsLETTER OF RECOMMENdATION
Applicant:
Please give this form to the person who is recommending you for this scholarship.
The letter should be confidential and sealed before giving back to you for your entry.
Person filling out this recommendation:
The focus of this scholarship is contribution to community.
Questions? Call 937/222-8692 Please complete the form in confidence, seal and return to the applicant for mailing.
Ext. 6485 Please sign your name across the seal of the envelope. Deadline is March 19, 2021
YOUR NAME YOUR TITLE OR POSITION
STUDENT’S NAME
Please circle the number that indicates the extent that you perceive this student has demonstrated the qualities listed below.
5 represents the highest level and 1 represents below average.
Regarding the student’s attitude toward peers and others associated with this volunteer work:
Cooperation with others 1 2 3 4 5
Consideration of and attitude toward others 1 2 3 4 5
Character and integrity 1 2 3 4 5
Regarding this student’s personal qualities as demonstrated during this service work:
Self discipline; responsibility; follows through 1 2 3 4 5
Initiative; self-starting ability 1 2 3 4 5
Flexibility; adapts to situation as needed 1 2 3 4 5
Regarding this student’s dedication to the volunteer service activity:
Faithful attendance at service activity 1 2 3 4 5
Positive attitude regarding service activity 1 2 3 4 5
Fulfilled more than minimum asked with regard to this service activity 1 2 3 4 5
OTHER COMMENTS
SIGNATURE PHONE NUMBER DATE
Albert W. Vontz Jr. Scholarship Award | Heidelberg Family of Companies
Cincinnati | Cleveland | Columbus | Dayton | Lorain | Ohio Valley | Toledo | Youngstown | Kentucky | Wine TrendsYou can also read
