Fairfield County Foundation
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Fairfield County Foundation 2010 SCHOLARSHIP INFORMATION The Fairfield County Foundation invites you to apply for scholarships for the coming academic year. Scholarship applications must be received by the deadline date. Please check each scholarship as deadline dates are different. Complete answers to every question. If the question does not apply to you or your situation write not applicable or N/A as appropriate. Type or fill out the application in ink (PRINT). Do not write in pencil. We will not accept late applications or applications by fax or e-mail. Do not send applications in plastic folders or use staples. Detach this cover letter before submitting your application. Send application and all required attachments together. We will not accept anything mailed separately or after the deadline date. Our scholarships are based on field of study, merit, financial need and community involvement. Decisions are final and will be announced in late July. Awards will only be paid to the schools with a fee bill showing a balance due, not to individuals or bookstores. Scholarships are for tuition only and accredited schools. Eligibility Criteria SAR Form (to establish financial need): All applicants must complete the FAFSA (Free Application for Federal Student Aid) and submit a copy of the print summary of your Student Aid Report (SAR). A print summary includes the following: EFC (estimated family contribution), adjusted gross income, school year, name & social security number of applicant. FAFSA application can be found at www.fafsa.ed.gov. We recommend that you file the FAFSA by February 15th so you will have the SAR in time to submit with your scholarship application. Every scholarship is different. Please check the list of available scholarships to make sure that you meet the criteria and different requirements of the scholarship(s) which you are applying and the deadline dates. The Fairfield County Foundation requires an application form for each scholarship you are applying and each application must clearly identify the scholarship. Make sure that you read the required attachments for each scholarship; certain scholarships require additional information and have different deadline dates. Late and incomplete applications will not be considered Make a copy to keep for your records. Questions Please call: (740) 654-8451 or e-mail: [email protected] 1 2010 REQUIRED ATTACHMENTS In addition to a completed application form for each scholarship, each application must contain the following: 1. A typed or printed personal statement (1 or 2 pages). Your statement should include information that would help us in knowing you, why you are applying for this scholarship and determining your eligibility or need. Discuss how you are financing your education, any other scholarships you have received or have applied for, reasons for choosing your professional goals and long range plans after graduation. 2. Three current letters of recommendation. They can be from teachers, professors, guidance counselors, or non-academic references who are not relatives. At least one letter should address your character and one should address your scholastic potential. 3. An official transcript from your present or most recently attended school. 4. High School Students – enclose a copy of your ACT and/or SAT score report if not listed on your transcript. 5. Please submit official cost of attendance figures for your school, either on letterhead or website screen print. 6. A copy of the print summary of your Student Aid Report (SAR). A print summary includes the following: EFC (estimated family contribution), adjusted gross income, school year, name & social security number of applicant. 7. Send only pages 3, 4, 5 and 6 of the application with your required attachments in an envelope. 8. Be sure to check the scholarship list before submitting your application. Some scholarships require that you include additional information other than what is listed above. 9. All scholarship applications must be complete and submitted with all the required information (see 1-6 above) to the Fairfield County Foundation. Incomplete applications will not be considered Return to: Fairfield County Foundation, 162 E. Main Street P.O. Box 159 Lancaster, Ohio 43130 2 2010 Fairfield County Foundation 2010 SCHOLARSHIP APPLICATION Complete one application for each scholarship for which you are applying Please indicate the name of Scholarship you are applying for with this application _______________________________________________________________________________________________ PART 1: APPLICANT INFORMATION – provide the following information where applicable. Name: ____________________________________________________________________________________ Last First Middle Permanent Address: ________________________________________________________________________ Street City State Zip E-mail Address: ____________________________________________ 4. Phone # _____________________ Social Security Number: _______________________________ 6. Date of Birth: _____________________ Name of High School you graduated from and year: ______________________________________________ PART 2: FAMILY INFORMATION – provide the following information where applicable. Father/Stepfather/Guardian: Place of Name: __________________________________________ Employment: ____________________________ Address: _________________________________________________________________________________ Street City State Zip Day Phone:____________________________ Mother/Stepmother/Guardian: Place of Name: __________________________________________ Employment:____________________________ Address: _________________________________________________________________________________ Street City State Zip Day Phone: _________________ Place of Spouse: _____________________________________ Employment: __________________________________ How many family members are presently in college: ______________________________________________ Who is helping finance your education? _________________________________________________________ 3 2010 PART 3: EDUCATIONAL INFORMATION (Please answer all questions that apply to you) Student is: ____ Graduating high school senior from _______________________________________________________ Class rank _______ Current GPA _______ Point system used for GPA _____ ____ Recipient of a G.E.D. Year received _____________________ _____ College Undergraduate at ____________________________________________ College GPA __________ College/University/Vocational School that you plan to attend in fall 2010: ______________________________ ________________________________________________________________________________________ Address of College/University/Vocational School:___________________________________________________ ________________________________________________________________________________________ Have you been formally accepted? _______________________________________________________________ Academic level as of next year (Freshman; Sophomore; etc.) _________________________________________ Intended Major/Field of Study___________________________________________________________________ For Medical Students MCAT Score________________ Anticipated college standard Cost of Attendance for 2010-2011 academic year $________________________ (Please submit official cost of attendance figures for your school, either on letterhead or website screen print) List financial aid sources: Source Type Amount Grants $ Scholarships $ Loans $ Trust funds $ Tuition Reimbursement $ Student's contribution $ Parent’s contribution $ including 529 Plan Confirmed scholarships and/or financial aid $_____________________________ Balance needed $__________________________ 4 2010 PART 5: Applicant Profile List any school, community and church activities which you have been involved in the last four years. Be sure to include leadership roles. Make additional copies of this page if extra space is needed. This page lists my: ___ High School Activities ___ College Activities ___ Other Activities SCHOOL ACTIVITIES FR SO JR SR COMMUNITY AND CHURCH ACTIVITIES FR SO JR SR AWARDS AND HONORS FR SO JR SR WORK EXPERIENCE (List nature of work, position, dates of employment and average hours/week) 5 2010 I understand that the scholarship awards are subject to review and that they may be reduced or eliminated if I obtain other awards or aid. I agree to notify the Fairfield County Foundation immediately of the receipt of any other financial aid or circumstances that may affect my financial need. Signature____________________________________________ Date__________________________ I give my permission to the following college(s)______________________________________________ (college or university you plan to attend) ______________________________________________________________________________________ (other college or university you are considering) to release my financial aid information to the Fairfield County Foundation for the purpose of determining the granting of a college scholarship. I certify that the information on this form is true and complete to the best of my knowledge. _____________________________________ ____________________ Applicant’s Signature Date Address and phone number of college residence____________________________________________________ ________________________________________________________________________________________________________________________________________________ IT IS YOUR RESPONSIBILITY TO ENSURE