Bellator Titans Scholarship Application
Meg English
Thursday, November 14, 2019

Date: November, 11th, 2019
To: South Dakota High School Counselors
From: Bellator Titans MC
RE: Scholarship Opportunity
The Bellator Titans Motorcycle Club is excited to announce the availability of a scholarship to an
applicant who is in need of financial assistance. This is our eighth year presenting this scholarship and
are looking for high school seniors who will be freshmen at any post-secondary intuition of higher
learning. Applicants need to plan to attend an in-state post-secondary school in order to apply for the
scholarship. Applicant does not need to be top of their class, but the committee is searching for students
who are hardworking and motivated to succeed.
Eligibility Requirements
 South Dakota resident
 A Senior going into their first year of post-secondary education in South Dakota
 Financial Need
 Application must be received by March 13th, 2020
Required Documents
 Scholarship Application
 Photo of Applicant
 Essay Question
 Letter of Recommendation
Attached please find the scholarship application form which can be reproduced. There will be one
scholarship in the amount of $1,500. Applications are due by March 13th, 2020 and should be returned
to:
BTMC Scholarship Committee
Attention: Roger Moeller
508 David Ave
Baltic SD, 57003



Bellator Titans MC
Scholarship Application
Application Information
Name
Street Address
City, ST, ZIP
Home Phone
Cell Phone
E-Mail Address
Family Information
Father’s Name: ___________________________ _ Occupation: _____________________________
Mother’s Name: __________________________ _ Occupation: _____________________________
Current High School Information
Name: __________________________________ _ City: ________________ State: _________ Zip: ________
GPA (4.0 Scale):_______ Class Rank: _________
Principal Name_____________________________ Counselor Name: _________________________________
School Planning to Attend
Name: ___________________________________ Area of Study: ___________________________________
Address: __________________________________ City: _________________ State: _________ Zip: ________
Essay Question: (500 Words) please select one question to answer on separate page.
1. Please Describe a time in your life in which you had to overcome adversity.
2. Please explain how your life experiences have prepared you for life after high school.
Extracurricular Activities and Hobbies
Please list the extracurricular activities you have been involved in during your high school career and hobbies you actively participate
in.
Volunteer Experience
Summarize your volunteer and/or charity experience.
Are you currently enlisted or perusing any armed forces? __________ What Branch? _____________________________
Reference Information (Please attach Letter of Recommendation, or have Reference send to address)
Name Email Relationship to
Student
Phone
Agreement and Signature
By submitting an entry for the Bellator Titans MC Scholarship, I certify that the statements contained in this application packet are
true, accurate, and complete. I understand and agree that any scholarship funds received will be distributed directly to my postsecondary institution upon verification of enrollment. I also agree that this entry becomes the property of Bellator Titans MC, and
my name and photo may be released to the public and news media.
Name (printed):__________________________________
Signature: ______________________________________
Date: __________________________________________
Details
Required Materials: Photo of Applicant
Letter of Recommendation
Essay Answer
Application Deadline: March 13th, 2020
Send Applications to: BTMC Scholarship Committee
Attention: Roger Moeller
508 David Ave
Baltic SD, 57003
Thank you for completing this application. The Bellator Titans MC is dedicated to our local communities and
area students. We are a charity motorcycle club and participate in raising money by hosting and participation
in poker runs for various charities as well as volunteering our time for our communities. For more information
please contact Roger Moeller at themoellerfactor@gmail.com