Iowa: Applications

Scholarship Applications for Iowa (Member-At-Large)

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Application Count: 6
Displaying 1 - 5 of 6
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General Release Form
Sponsoring Member Tall Club
Activities
Awards Received and Grade (9th, 10th, 11th, 12th)
Honors Received and Grade (9th, 10th, 11th, 12th)
Athletics Participation and Grade (9th, 10th, 11th, 12th)
Community Service and Grade (9th, 10th, 11th, 12th)
Volunteer Service and Grade (9th, 10th, 11th, 12th)
Offices Held and Grade (9th, 10th, 11th, 12th)
Personal Achievements and Grade (9th, 10th, 11th, 12th)
Employment (Current or Past) (9th, 10th, 11th, 12th)
Essay
Official High School Transcript
Recommendation #1 - Full Name
Recommendation #1 - Email Address
Recommendation #1 - Reference Rating Sheet
Recommendation #1 - Reference Letter
Recommendation #2 - Full Name
Recommendation #2: Email Address
Recommendation #2 - Reference Rating Sheet
Recommendation #2 - Reference Letter
Finalist to Submit to TCI Foundation?
College Name (Final Choice)
Where shall the TCI Foundation mail the Scholarship Check?
Scholarship Coordinator's Name
Scholarship Coordinator's Home Address
Student's Home Address
University Student Id:
University/College Billing Address
Kiran Kothavale
Male
kiran.kothavale19@gmail.com
6'4"
Iowa: (Member-At-Large)
State Champion Swim Team 2021-2023

Downbeat Jazz Magazine, Outstanding Band

Outstanding Delegate 2022-23 Model UN

Borlaug Scholar, Iowa Youth Institute
Student Deacon Member, Plymouth Church

USDA Research Fellow, Summer 2024

Waukee Silver cord Recipient

National Honor Society - Volunteer Coordinator

Eagle Scout, December 2021

Brother in the Order of the Arrow, BSA
Northwest High School Athletics (2020 – Present): Boys Cross Country, Swim & Soccer Teams
I have demonstrated a strong level of commitment, dedication to fitness and perseverance. Waukee Boys Swim team earned Central Iowa Metro League Conference Champions (2020-2024).
Plymouth Congregational Church:

Matins Choir (2020 – Present): Sing in High School church choir every week to lead 9am worship. Develop performance skills by being in front of congregation; participate in Summer 2024 tour where we will share our music in another region of the country
Junior Deacon (2023 – Present): Serve as deacon for worship services. Responsibilities include greeting members and visitors, serving communion, collection offering, and community service events

Waukee Northwest National Honor Society (2023 – Present): Volunteer Coordinator Responsible for tracking all of the NHS members’ volunteer hours in the community; I help plan and participate in volunteer and school events at Northwest High School. Elected by my peers.
Wagner Summer Theatre (2020 – Present): Camp Counselor
Lead camps & improv sessions; served as vital support staff for Lisa Wagner; developed ability to work with young children to inspire fun and imagination

Boy Scouts of America (2012 – Present): Achieved Eagle Scout rank, Dec. 2021;
Developed leadership and project management skills through Eagle Scout project; Built 4 PVC tower gardens for my beneficiary, Eat Greater Des Moines. Gardens were given to community organizations to grown fresh produce. Donated remaining $1,443 to Eat Greater Des Moines given fundraising efforts and material donations from Lowe’s West Des Moines.

Northwest High School Silver Cord (2020 – Present): Achieved required 175 hours of community service in August 2023 (junior year summer). I have primarily volunteered with Wagner Summer Theatre to achieve this distinction.
Student Deacon 2024

Volunteer Coordinator NHS 2023-24
State Champion Swim Team 2021-2023

Eagle Scout, December 2021

Brother in the Order of the Arrow, BSA

Borlaug Scholar, Iowa Youth Institute

USDA Research Fellow, Summer 2024
The Wallace House, Des Moines – Assistant chef
Work part-time prepping ingredients and plating meals, sample before dishes are sent out, clean after hours; $12.5/hour

Plymouth Congregational Church, Des Moines – Child care assistant
Care for young children during church services and activities; $15/hour

Real Food for Kids, Des Moines – Assistant teacher
Assist Lead Teacher with youth cooking camps; $15/hour
Jordan Edgerly
jedgerly@waukeeschools.org
Melanie Rippin
mrippin@waukeeschools.org
Boston College
Kamea Van Kalsbeek
Female
kameavk@gmail.com
6'2"
Iowa: (Member-At-Large)
AVCA 1st Team Best and Brightest Award - 12th grade
IBCA Academic All-State - 12th grade
Basketball Academic All-Conference - 9th, 10th, 11th, 12th grades
Volleyball Academic All-Conference - 9th, 10th, 11th, 12th grades
President's Education Award for Educational Excellence - 11th grade
Basketball Academic All-State Team - 11th grade
Volleyball Academic All-State Team - 9th, 10th grades
Varsity Volleyball - 9th, 10th, 11th, 12th grades
Varsity Basketball - 9th, 10th, 11th, 12th grades
Varsity Softball - 9th, 10th, 11th, 12th grades
Band - marching, pep, concert - 9th, 10th, 11th, 12th grades
Choir - 9th grade
Varsity Track and Field - 9th grade
Youth Ministry Worship Leader (9th, 10th)
National Honor Society (11th, 12th)
Skill School Skills Leader/Worship Leader - Vacation Bible School (9th, 10th, 11th, 12th)
High School Ministry Volunteer - (9th, 10th, 11th, 12th)
Senior Class Homecoming Representative - 12th
Sergeant Bluff Parks and Rec Youth Volleyball Ref - (9th, 10th, 11th, 12th)
Hawks Coffee Shop Barista - (12th)
Jill Vander Schaaf
vandejil@sblschools.com
Angela Hoffman
hoffmang@sblschools.com
Yes
Northwestern College (IA)
Student (Home Address)
Lynda Lowin
612 Conistron Circle Sergeont Bluff, IA 51054 US
Jack O'Neill
Male
jack.one@icloud.com
6'3"
Iowa: (Member-At-Large)
9- science student of the month; spanish student of the month
10- math student of the month
11- Spanish student of the month, science student of the month, mathematics student of the month, English student of the month, theology student of the month
12 (ongoing)- science student of the month, mathematics student of the month, social studies student of the month, football academic all district, national honor society
9- science student of the month; spanish student of the month
10- math student of the month
11- Spanish student of the month, science student of the month, mathematics student of the month, English student of the month, theology student of the month
12 (ongoing)- science student of the month, mathematics student of the month, social studies student of the month, football academic all district, national honor society
9: football, basketball, track, lifting
10: football, basketball, track, lifting
11. football, track, lifting
12. football, lifting, basketball scrimmage team
9: Humane society, gospel mission
10: bishop heelan
11: bishop heelan
12. Immaculate conception, camp foster YMCA, MercyOne Siouxland, bishop heelan
9: Humane society, gospel mission
10: bishop heelan
11: bishop heelan
12. Immaculate conception, camp foster YMCA, MercyOne Siouxland, bishop heelan
Inducted into national Honor Society in 12th grade
Academic all district football team in 12th grade
10. MercyOne Siouxland; freelance
11. MercyOne Siouxland; freelance
12. MercyOne Siouxland; Buffalo Alive
John Jorstad
john.jorstad@bishopheelan.org
Jeri Sturges
jeri.sturges@bishopheelan.org
Creighton University
Claire Opdahl
Female
claire.opdahl@gmail.com
5'11
Iowa: (Member-At-Large)
Mary Oliver Poetry Award - 10th Grade
Mythology Award - 10th Grade
Honor Roll - 9th, 10th, 11th, and 12th grades
Weightlifting - 9th, 10th, and 12th grade
Snack Pak Packer - 9th and 11th grade
Cat Foster Parent - 9th, 10th, and 12th grade
Food Bank Volunteer - 9th, 10th, and 12th grade
Church Youth Group Leader Volunteer - 10th and 11th grade
Congress Bundestag Youth Exchange Scholarship Recipient - 11th grade (allowed me to go on a fully funded exchange year to Germany)
Published Artist in Celebrating Art Competition - 9th and 10th grade
Iowa Allstate Acting Individual Speech Recipient - 10th
Soprano in Church's Honor Choir - 9th, 10th, and 12th grade
Culver's Crew Member - 9th and 10th grade
Walmart Garden Center Employee - summer before 11th grade
Cook at Friendy Horizons LLC (Alzheimer's care home) - 12th grade
John Fernstrum
john.fernstrum@scwarriors.org
Christine Brasser
christine.brasser@scwarriors.org
University of Minnesota Twin Cites
Ariana Ellerbroek
Female
ariellerbroek@gmail.com
6'
Iowa: (Member-At-Large)
National Small Town Scholar - 11th
Dean's List Award, State of Iowa Robotics (3 students awarded for state) - 10th
National Honors Society - 9th, 10th, 11th, 12th
Cheerleading (Football Basketball Competition) - 9th, 10th, 11th - Co-Captain
Tennis - 9th, 10th, 11th
Swim Team (in Germany) - 12th
Climbing (in Germany) - 12th
Citizens Climate Lobby - 9th, 10th, 11th - Met with Iowa Congressman Chuck Grassley about climate change preventative measures
German Club - 9th, 10th, 11th, 12th
Leo’s Club - 9th, 10th, 11th - Co-founder and Vice President (August 2020 - March 2023)
Excel Club - 9th, 10th, 11th
4H - 9th, 10th, 11th - Multiple State recognitions and State first places in Baking and Speaking
Rotary Foreign Exchange - 12th - Rotary Exchange student to Germany from Fall 2023 - Spring 2024 (currently I am living in the south of Germany learning the language and culture)
City of Waverly Lifeguard - 10th, 11th, 12th
Wartburg College Lifeguard - 10th, 11th, 12th
House/Pet Sitting - 10th, 11th, 12th
Bethany Burrow
burrowb@bfschools.org
Lisa Phyfe
lisa.phyfe@wsr.k12.ia.us
George Washington University

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