Before Turning in Application

Before Turning in Application:

When submitting the Dunn Scholarship Application, be sure to include the following:

1. Your name and Social Security Number on a separate piece of paper. This information will be kept secure at the Foundation, only be used by BCF staff, and not shared with committee members, etc. The Social Security Number is required.

2. Transcript from the college or university you are currently attending, showing your grades through the most recent semester

3. A copy of the latest class schedule (web site version is sufficient)

4. A copy of FAFSA Determination Letter with Expected Parental Contribution OR a copy of the most recently filed (can be prior year) 1040 tax return (both applicant’s and parents’ returns, only if claimed as a dependent). Black out the Social Security Numbers for anyone on these documents.

5. Two letters of recommendation from any two of the three types of individuals listed below:  One from a professor/instructor  One from a community member or employer  One from a personal reference other than a relative

6. A one page personal essay, typed, stating your goals, achievements, current financial need, or special circumstances and how a scholarship would assist you

7. Any additional requirements as outlined in the scholarship descriptions

The application MUST be typed, no staples. Please do not put completed application in any type of binder, simply paperclip pages in upper left hand corner. All applications must be postmarked by March 4 by a post office and sent to the Berrien Community Foundation, 2900 S. State Street, Ste. 2E, St. Joseph, MI 49085.

If you have any questions, call (269) 983-3304 x 2. Around May 5, the recipients' names will be posted on the Foundation's Web site at www.berriencommunity.org. In mid-May, scholarship recipients will receive invitations to the Foundation’s June 16 scholarship event. Recipients are expected to attend. At this event, certificates will be presented. An official memo with information on how to access the scholarship will be sent by the Foundation to recipients by the end of June. The scholarship will be paid directly to the college/university on the student's behalf by mid September, if this information is provided. The Dunn Scholarship Application

Please return application to:

BERRIEN COMMUNITY FOUNDATION 2900 South State Street, Suite 2 East St. Joseph, MI 49085 Attn.: BCF Scholarships The Dunn Scholarship Application Must be typed Applicant's Name: Click here to enter text. Date of Application: Click here to enter text. Scholarship Purpose: This scholarship was established by Jeanne & Eddie R. Dunn and is in Jeanne’s memory. Scholarship Criteria: This is a nonrenewable scholarship of $1,000-$5,000.00 for part-time or full-time undergraduate or graduate students demonstrating financial need. Eligible students are at least in their first year at Andrews University, Lake Michigan College, Southwestern Michigan College, or Western Michigan University-Berrien County campus and continuing at one of these schools in any field of study and have a 2.75 or better GPA. Preference will be given to women in transition (e.g., returning to college after raising children, a divorce, or widowed with definite goals for the next steps in their lives). This scholarship can be used for tuition, books, fees, and other costs related to attending, but not for room and board. When submitting the Dunn Scholarship Application, be sure to include the following: 1. Your name and Social Security Number on a separate piece of paper. This information will be kept secure at the Foundation, only be used by BCF staff, and not shared with committee members, etc. The Social Security Number is required.

2. Transcript from the college or university you are currently attending, showing your grades through the most recent semester

3. A copy of the latest class schedule (web site version is sufficient)

4. A copy of FAFSA Determination Letter with Expected Parental Contribution OR A copy of most recently filed (can be prior year) 1040 tax return (both applicant’s and parents’ returns, only if claimed as a dependent). Black out the Social Security Number for anyone on these documents.

5. Two letters of recommendation from any two of the three types of individuals listed below:  One a professor/instructor  One from a community member or employer  One from a personal reference other than a relative

6. A one page personal essay, typed, stating your goals, achievements, current financial need, or special circumstances and how a scholarship would assist you

7. Any additional requirements as outlined in the scholarship descriptions Please do not put completed application in any type of binder, simply paperclip pages in upper left hand corner, no staples. All applications must be postmarked by March 4 by a post office and sent to the Berrien Community Foundation, 2900 S. State Street, Ste. 2E, St. Joseph, MI 49085.

of 4 If you have any questions, call (269) 983-3304 x 2. The Dunn Scholarship

Applicant Information – Must Be Typed

Date of Birth (mm/dd/yyyy):

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.

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.

College Attending (Select one) ☐ Lake Michigan College ☐ Andrews University ☐ Southwestern Michigan College ☐ Western Michigan University-Berrien County Campus

Year of Study: Click here to enter text.

Field(s) of Study: Click here to enter text.

Expected Date of Graduation: Click here to enter text.

Number of Total Credits Earned to Date, if applicable:

GPA for Courses You Have Completed:

How College Education Financed to This Point: Click here to enter text.

Plans for Financing Future Studies: 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 16, 2016? Yes ☐ No ☐

of 4 Applicant Work History Using only the space below, please list your paid work experience, beginning with your most recent.

Employer Nature of Work Dates of Hours per Week Employment Click here to enter text. Click here to enter text.

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

Family Information (Fill out this section only if your parents claim you as a dependent on their tax return)

Father’s Employer: Click here to enter text.

Father’s Occupation: Click here to enter text.

Mother’s Employer: Click here to enter text.

Mother’s Occupation: Click here to enter text.

Number of Siblings: Older: Younger:

Number of family members (including parents) in college: Click here to enter text.

Explain: Click here to enter text.

of 4 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: ____/____/____

Return this completed form and all support material to: BCF Scholarships Berrien Community Foundation 2900 S. State Street, Suite 2 East St. Joseph, MI 49085 Phone: 269-983-3304