Nickerson Alumni Association Scholarship Application

Application Deadline February 3rd, 2022. This application shall be mailed to:

     Nickerson Alumni Association
     P.O. Box 463
     Nickerson, KS 67561

Do not present this application to a teacher or counselor. It must be mailed so the Alumni Association has it in hand by the date shown above, not just mailed by that date. You will not be considered for a scholarship if your application is "received" after February 3rd, 2022!!

Please do not apply for a scholarship for the Alumni Association unless you can be confident you will be able to attend the annual banquet.

If selected to receive a scholarship by the Alumni Association, you must attend the Alumni Awards Banquet, June 4th, 2022 in order to have your selected college receive the funds allocated in your name. Failure to attend for any reason other than an excused emergency will result in cancellation of the scholarship.

In the event of an excused absence, your parent or guardian must attend to receive the award in your stead.

1.       2.   M    



5. Parent or Guardian name, address, phone number and e-mail address:  


6. Grade Point Average(cumlative at end of last full semester):  

7. High school
    academic honors:

8. High school


9. College you plan to attend:  

10. Planned major:  


12. If so, how many hours per day?    


14. If so, how many hours per day?    

15. Please provide a narrative regarding:

    A. Why you believe you should be selected for a scholarship.
    B. Why you chose the field of study identified in question 11.
    C. Your future goals.

Signed:            __________________________________________

Date:            __________________________________________

This form must be typed, filled out completely and signed for you to be considered for a scholarship. If you feel you have other pertinent information you wish to have considered, you may include it with this form


For Alumni Association Use:

Received by:_______________________________________________Date_____________________________

Fall Semester 2022 Spring Semester 2023
Amount: Amount:
Fund Fund
Amount Amount
Fund Fund