The Forrest Goetsch Memorial Scholarship exists to provide an annual scholarship under the provisions and conditions set forth below:
Forrest Goetsch Charities
Scholarship Application
R11581 Sportsmans Lane
Schofield WI 54476
FORREST GOETSCH MEMORIAL SCHOLARSHIP APPLICATION
Date:___________________________
Applicants Name:_________________________________________________________
Address:_______________________________________________________________________________________
City___________________________________________________ State_________ Zip_____________________
E-mail________________________________________________ Cell phone____________________________
Home phone_________________________________________
Please provide your parents/guardians name.
Name:________________________________________________________
Name:________________________________________________________
Applicants Attending High School:_________________________________________________________
Applicant Grade Point Average:_____________(On a 4.0 scale.)
Forrest Goetsch Memorial Scholarship wants to recognize outstanding achievement in our communities by youth who have helped others through difficult times or who have personally overcome challenges in their life. Please submit your essay and application describing how you have achieved this.
Please send your scholarship application and essay to:
Forrest Goetsch Charities
Scholarship Application
R11581 Sportsmans Lane
Schofield, WI 54476
I, the applicant, will attend a certified college, university, or technical school in the United States and attest that everything on this application is accurate and that the submitted essay is of my own creation.
Name of school applicant plans to attend:
Have you been accepted? Yes No
Applicant’s intended Major:
Applicant’s Signature:
Date of Application:
Please list other scholarships you have received and the scholarship amounts.
The annual deadline for applications is March 14th
FORREST GOETSCH CHARITIES GRANT GUIDELINES
Forrest Goetsch Charities, Inc. will seek to provide financial support to existing organizations that are exempt from the federal income tax under section 501(c)(3) of the Internal Revenue Code by providing funding to those organizations who have helped others through difficult times (medical, educational, family, or economic). Such organizations may include, but are not limited to, those that support the arts, higher education, health and human services and welfare. Fund raising activities and private donations will fund the Organization’s activities. The Board of Directors will meet at least annually to select those organizations that will receive funds from the Organization. The Board will meet in Schofield, Wisconsin, to make these selections.
It is also the intent of the Organization to award scholarships each year based on the funds available by recognizing outstanding achievement in our communities by a youth who have helped others through difficult times or who have personally overcome challenges (medical, educational, family, or economic) in their lives and meet the application requirements. The intent is to distribute scholarship awards in increments of $1000 per recipient, subject to future increase due to inflation or the increasing cost of post secondary education. Currently Forrest Goetsch Charities awards a $1000 scholarship to a graduating senior at D.C. Everest, Wausau West, Wausau East, Newman, and Mosinee High Schools.
The organization also awards the Forrest Goetsch Cross-Country Scholarship each year. Each nominee will receive a $500.00 scholarship with one male and female from the greater Wausau area being named as the Wausau area’s outstanding high school senior Cross Country runner. Those individuals will receive a $2,000.00 scholarship.
These projects further Forrest Goetsch Charities, Inc. mission of community and vocational service and the goals of the Forrest Goetsch Charities, Inc.
Forrest Goetsch Charities, Inc has as a major purpose raising and distributing funds for worthy community service projects in the Weston, Wausau, and Mosinee WI area.
General Guidelines
Will conform to Forrest Goetsch Charities, Inc Funding Goals
Will support Forrest Goetsch Charities, Inc mission statement
Will be subject to a formal review process
Amounts over $2500.00 require majority member approval
Guidelines for Funding
Forrest Goetsch Charities, Inc. accepts proposals from groups and organizations. Forrest Goetsch Charities, Inc. generally accepts proposals from organizations granted the IRS 501(c)(3) status by the Internal Revenue Service, though other proposals may be considered. Forrest Goetsch Charities, Inc currently funds programs from its general endowment funds in the following Areas of Emphasis:
-Help for the Less Fortunate
-Education for all Ages
-Children and Youth
-Arts and Culture
-Quality of Life
Grants can be awarded for:
-On-going programs
-Special program support
-Specific equipment and materials
-Capital expenditures
-Equipment
-One-time special opportunities/events/projects
-Participation fees
-Sponsorships
-Start-ups and new projects
Forrest Goetsch Charities, Inc generally does not award grants for the following:
-Administrative salaries or annual operating expenses
-Projects supported by parents for the benefit of their own children,
such as youth activity teams, trips, camps, scholarships, etc.
-Projects for religious or political purposes
-Individuals
-Projects of a highly controversial nature
-Endowments
-More than two consecutive years of funding except those projects directly associated with Forrest Goetsch Charities, Inc
-Fundraisers designed to raise dollars to grant out to another organization
We are more likely to fund:
-Programs that benefit youth
-Programs and activities that expose youth and adults to different cultures, customs and languages.
-Requests that focus on basic educational skills or basic needs:
-Requests that benefit a large number of recipients.
-Requests that will benefit recipients over multiple years.
Grant Limitations
Grants generally range from $100-$2,500. When and if additional monies are available, Forrest Goetsch Charities, Inc will entertain requests for projects over $2,500. Grants will not fund 100% of the project cost. Forrest Goetsch Charities, Inc Board of Directors will make all the final decisions on grant applications. The application may be accepted, denied, or tabled for more information. The amount granted may be less than the amount requested. Grants are limited to one per project in a twelve-month period, and for only two consecutive years for a project, except for continuing Forrest Goetsch Charities, Inc programs. If a request is declined, an organization may reapply the following year.
Required Reporting
Each grant must be acknowledged in writing promptly upon receipt of the grant funds. In addition, the grant recipient may be asked to attend a meeting of the Board of Directors for Forrest Goetsch Charities, Inc for presentation of the grant award. It is also requested that all grant recipients provide a letter indicating how grant funds were used within 60 days from the end of the funded project, and a grant recipient may be required to present a report on the progress and outcomes of their project to the Board of Directors for Forrest Goetsch Charities, Inc. Forrest Goetsch Charities, Inc. may issue information to the media about its grant awards, and recipients should acknowledge Forrest Goetsch Charities, Inc. in their publicity.
Application Procedure
Applicants are requested to submit a letter of request with the required information, or complete the form below. Items to be included are as follows:
1. A clearly defined project with budget outlining the specific use of the grant funds.
2. A copy of the sponsoring organization’s IRS 501(c)(3) Determination Letter, if
applicable.
3. A copy of the sponsoring organization’s letterhead, listing the current Board of
Directors, if applicable.
Grant requests may be considered by the Board on a quarterly basis, but at least bi-annually. Award notification or regrets will be sent within 30 days of the Board decision.
Letters and Applications should be addressed to:
Steven Goetsch
President, Board of Directors
Forrest Goetsch Charities, Inc
R11581 Sportsmans Lane
Schofield, WI 54476
Forrest Goetsch Charities, Inc GRANT APPLICATION
REQUESTOR:
Name ___________________________________________________ Date _________________________
Last, First, MI
Organization Name ______________________________________________________________________
Address _______________________________________________________________________________
City _____________________________________________ State __________ Zip ___________________
E-mail ________________________________________ Cell phone _______________________________
Telephone: Work _______________________________ Home ___________________________________
Amount of Grant Request $__________Expected date for completion of the program or activity __________
Describe the program or activity and what you hope to achieve:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Specifically describe how your proposal meets the criteria of the Forrest Goetsch Charities, Inc. Grants Program?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
□ Proof of 501(c)(3) status is attached □ Budget for grant request is attached
_____________________________________________________________________________________
Signature and Title of Individual Submitting Request
You may contact Steve Goetsch, President of Board of Directors, Forrest Goetsch Charities, Inc, R11581 Sportsmans Lane, Schofield, WI 54476 for verification of receipt of your application; or by e-mail at: This email address is being protected from spambots. You need JavaScript enabled to view it.
Forrest Goetsch Charities, Inc GRANT FINAL REPORT
Final Reports are due 60 days following the completion of the project, activity or experience.
Mail to:
Steven Goetsch
President, Board of Directors
Forrest Goetsch Charities, Inc
R11581 Sportsmans Lane
Schofield, WI 54476
Or email at: This email address is being protected from spambots. You need JavaScript enabled to view it.
Name ____________________________________________________ Date ________________________
Last, First, MI
Organization Name ______________________________________________________________________
Address _______________________________________________________________________________
City _____________________________________________ State __________ Zip ___________________
E-mail _______________________________________ Work phone _______________________________
Date(s) of program or activity: ______________________________________________________________
What did you do? _______________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
What was the outcome? __________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
What would you do differently next time? _____________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Signature and Title of Individual Submitting Report
FORREST GOETSCH CROSS COUNTRY
SCHOLARSHIP AWARD NOMINATION FORM
We ask that all graduating seniors that participated in Cross Country and intend to further their education be considered for this scholarship by the Cross Country Coach and the Athletic Director. To be considered, this nomination form must be completed in full by the Cross Country Coach. Please type or print in ink. Each nominee will receive a $500.00 scholarship with one male and female from the greater Wausau area being named as the Wausau area’s outstanding high school senior Cross Country runner. Those individuals will receive a $2,000.00 scholarship.
The cross country coach and the nominee are asked to answer the following questions (outlined by number) on separate sheets of paper to be submitted with this nomination form. The answers should demonstrate that the student is a positive role model, displaying the characteristics of perseverance, dedication, determination, motivation, and leadership. These are the criteria for selection of the Outstanding Cross Country Runner of the Greater Wausau Area.
1. What has nominee achieved in Cross Country that is outstanding?
2. What recognition for achievement has nominee received from peers or coaches?
3. How has the nominee been a positive role model, displaying the characteristics of perseverance, dedication,
determination, motivation, and leadership?
4. Provide a list of activities they have participated in, either in school or outside of school (and the years involved),
including any extra-curricular activities, community programs, or work experience during this past year. Offices or
positions held, as well as any honors received should be indicated.
All awards and recognition will be presented at the Forrest’s Run Awards Ceremony scheduled for June 18th, 2016.
We strongly encourage all recipients to be present at the awards ceremony.
Your signatures below indicate that all information submitted is true to the best of your knowledge.
_______________________________________________ ________________________________________________
Signature of Cross Country Coach Signature of Athletic Director
Date: ______________________________________ Date: ______________________________________
Name of Student Nominee: _____________________________________________________________
Student’s Home Address: _____________________________________________________________
_____________________________________________________________
Home E-Mail Address: _______________________________ Phone: ( ) ___________________
Parents or Guardians: _____________________________________________________________
High School Attending: _______________________________ Graduation Date: ______________
Qualified Post Secondary School student plans to attend next fall: _________________________________
Has he/she been accepted for enrollment: Yes No
Anticipated field of study and career goals: ____________________________________________________
Forrest Goetsch Charities a 501(C)(3) reserves the right to request additional information or documentation from the nominee if necessary.
Please mail all documentation by April 6th to:
Forrest Goetsch Cross Country Scholarship
R11581 Sportsmans Lane, Schofield, WI 54476
A Board Member of Forrest Goetsch Charities will contact the recipients before the ceremony.
FORREST GOETSCH CROSS COUNTRY
SCHOLARSHIP AWARD
BACKGROUND:
Many people know Forrest Goetsch as the 14-year old D.C. Everest student who collapsed and died during warm-ups at cross-country practice on September 21, 2009, but that is just the sad conclusion to a story that ended way too soon.
Forrest Goetsch was born on August 22, 1995 at St. Joseph’s Hospital in Marshfield, WI. He was born 7 weeks before his due date and spent over a month in the neonatal ICU in Marshfield before coming home. That was the beginning of a long relationship Forrest would have with doctors and hospitals. Forrest was also born with a rare facial deformity. Before Forrest was old enough to start kindergarten, he had numerous jaw surgeries. Despite the medical challenges that Forrest had to face in his life, he had great perseverance, dedication, determination and motivation to succeed in life, school and sports – especially running. He never felt sorry for himself about the challenges and surgeries that he would have to face in the future. He looked forward to the future and dreamed of going to college at Duke and playing basketball for Coach Krzyzewski.
Forrest made many friends during his life and was loved by all who let him into their lives. Forrest truly lived each day to the fullest and had a wonderful sense of humor. He loved to tease his family and friends and play practical jokes. Forrest loved sports and spent much of his free time playing soccer, basketball, golf and running. He also enjoyed the outdoors as well as hunting and fishing with friends and family. There are many things that we have learned from Forrest in his short time with us, the most important of these being – Live your life everyday without feeling sorry for yourself and always take time to tell the people you love that you love them everyday.
This scholarship fund was created through the contributions of many donors, to perpetuate the memory of an outstanding young boy who lived life to the fullest with no regrets. Because Forrest’s life here on earth had such a profound impact we wanted to celebrate his life and honor his memory in a permanent fashion. Forrest Goetsch Charities a 501 (C)(3) is dedicated to recognizing outstanding achievement in our communities by youth and/or organizations who have helped others through difficult times or who have personally overcome challenges in their lives.