For Berrien Springs High School Seniors

Edna Bender Scholarship for Berrien Springs High School Seniors The Edna Bender Endowment is administered by the Berrien Community Foundation Application Instructions Before preparing this application, please review the criteria outlined below. The application and all support material must be submitted to the Berrien Springs High School Principal by March 6, 2017. About the Scholarship:

This scholarship, established by Edna Bender, a former teacher at Berrien Springs High School, will provide one scholarship for up to $2,000 for one graduating senior of Berrien Springs High School. Each year, the successful candidate will be a current member of the National Honor Society, pursuing a degree in a business career path. Preference will be given to applicants who show financial need and are in good standing with the High School educators. The scholarship recipient will receive the Edna Bender Scholarship Certificate at the Berrien Community Foundation's scholarship reception in mid June. The scholarship payment will be mailed directly to the school in which the student is enrolled, once the student has supplied the necessary paperwork, which will be requested by letter in late June. Payment will be made by mid September and can be used for tuition, books, fees, and other costs, but not for room and board.

The following criteria will be the basis for selection:

1. Membership in the National Honor Society 2. Overall GPA average of 3.3 during the 9th-12th Grades 1. Strong evidence of interest in a business career path 2. Results of applicant’s interview with the scholarship selection committee 5. Evidence of financial need. Must provide a copy of FAFSA Determination Letter with Expected Parental Contribution (NOTE: We will not be accepting tax returns as proof of financial need this year. You must provide a FAFSA)

To complete your application, provide the following in order:  Copy of high school transcript and if not included on this transcript, ACT or SAT score transcript  A copy of FAFSA Determination Letter with Expected Parental Contribution  Typed letter (approximately 200 words) describing why you plan to attend college and study your chosen field.  Three letters of recommendation (one from a teacher, an employer, and a community representative, but no family members). These letters should comment on the applicant’s talents, leadership, dedication and desire to help others.

2017 Edna Bender Scholarship Application for Berrien Springs High School Seniors The Edna Bender Endowment is administered by the Berrien Community Foundation

All information listed below must be typed directly onto this form. Name: Click here to enter text.

Address: Click here to enter text.

City: Click here to enter text. State: Zip:

Primary Phone: Click here to enter text. Cell Phone: Click here to enter text.

Email: Click here to enter text. Date of Birth (mm/dd/yyyy): Social Security No.:

Name of Parents/Guardian: Click here to enter text.

Phone Number: Click here to enter text. Parent Email: Click here to enter text.

Are you a U.S. Citizen? ☐Yes ☐No (proof of citizenship or authorization to be in the U.S. will be required, if a scholarship is awarded)

If not a U.S. citizen, what type of visa do you hold? Click here to enter text.

High School Information:

High School: Berrien Springs High School

Cumulative GPA: Click here to enter text. ACT or SAT Score: Click here to enter text.

Graduation Date (mm/dd/yyyy): School Awards Ceremony (mm/dd/yyyy):

School Counselor: Click here to enter text. Email: Click here to enter text.

Phone:Click here to enter text.

College or University Information Name of College or University student will attend: Click here to enter text. Address: Click here to enter text. City: Click here to enter text. State: Zip: Admissions Director: Click here to enter text. Telephone: Click here to enter text. Anticipated Degree Program: Click here to enter text. Scholarship Celebration Availability (Please note, failure to attend may result in loss of scholarship.) Are you available to attend the Scholarship Celebration on June 22, 2017? Yes ☐ No ☐

School and Community Involvement

Provide information regarding participation in high school clubs, community volunteer activities and employment. State the name of the group, the years involved, and the responsibility or accomplishments in that group, e.g., officer, program chair, etc.

School Activity Name of Club/Organization # of Your Responsibility or accomplishment Years Click here to enter text. Click here to enter text.

Click here to enter text. Click here to enter text.

Community Volunteer Activity Name of Club/Organization # of Your Responsibility or accomplishment Years Click here to enter text. Click here to enter text.

Employment Name of Business # of Your Responsibility Years Click here to enter text. Click here to enter text.

Signatures Cannot be electronic signatures. Must submit a signed hard copy.

Certification:

I acknowledge that the information in this application is correct to the best of my knowledge. I fully understand that if an award is given to me, it is for the purpose of post-high school education. In the event that I do not enter a post-high school program, terminate the program prior to using the award, or receive other financial assistance (Pell grants, scholarships, tuition grants, etc.) that cover, in its entirety, any tuition, room and board, or class material costs, I will relinquish claim to the award in order that it might be given to another student. I also acknowledge that distribution of all scholarships is contingent upon funds available.

This scholarship, like all scholarships awarded through the Berrien Community Foundation, is made at the discretion of the Board of Trustees. The Berrien Community Foundation Board of Trustees reserves the right to rescind any or all of this scholarship due to unanticipated circumstances.

Signature of Applicant: ______Date: ____/____/____

Permission to Release Information:

We accept the terms of this scholarship program and permission is granted to the Berrien Community Foundation to seek verification of any information provided in this application from any source, for review by the officers and trustees of the Foundation or any other person authorized by the Foundation. We hereby release from liability any person submitting information to the Foundation for use in the selection of scholarship recipients.

Signature of Applicant: ______Date: ____/____/____

Parent’s or Guardian’s Signature: ______Date: ____/____/____

The application and all support material must be submitted to the

Berrien Springs High School Principal

Direct questions or comments to:

Berrien Springs High School Principal or

BCF Scholarships Berrien Community Foundation 2900 South State Street, Suite 2 East St. Joseph, MI 49085 Telephone: 269-983-3304 x 4