2017 WJCC Scholarship Application

Deadline: March 19 2017 at 08:00 PM EDT

WJCC Scholarship Instructions

WJCC Scholarship Instructions

Before you start, please note the following: The WJCC Scholarship Fund Committee is a committee of the Williamsburg Community Foundation. Applicants may not be related to a member of the Selection Committee, or to a member of the Williamsburg Community Foundation Board of Trustees. Please call 757-259-1660, if you have any questions, or find member lists at www.williamsburgcommunityfoundation.org. Applicants must be currently enrolled as a senior at one of WJCC public high schools - Jamestown, Lafayette, or Warhill. All applicants will be notified of their status via email on or before May 20, 2017. A reception will be held for all scholarship recipients, their families, and members of the community on Sunday, June 4th at 4:00 PM at Jamestown High School.

Deadline for applications is Sunday, March 19, 2017 at 8:00 PM. If you submit your application early, you may make changes up until the final deadline. Neither incomplete or late applications will be considered. No exceptions. Applications will be kept on file by the Williamsburg Community Foundation for three years.

All questions should be directed to the Williamsburg Community Foundation Office: [email protected]

WJCC Scholarship Applicant

Applicant Information

First Name *

Last Name *

Street Address *

Street Address 2

City *

State *

Select one... Zip * Home Phone number *

Cell Phone *

email address *

Parent Information

Parent/Guardian 1 First Name *

Parent/Guardian 1 Last Name *

Parent/Guardian 1 Street Address *

Parent/Guardian 1 City *

Parent/Guardian 1 State *

Select one... Parent/Guardian 1 Zip *

Parent/Guardian 1 Email *

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Street Address

Parent/Guardian 2 City

Parent/Guardian 2 State

Select one... Parent/Guardian 2 Zip Qualification Questions

Qualification Questions

Gender *

Male Female

What elementary school(s) did you attend? *

Clara Byrd Baker D.J. Montague J. Blaine Blayton James River Matthew Whaley Matoaka Norge Rawls Byrd Stonehouse Other

What middle school(s) did you attend? *

Berkeley Lois S. Hornsby Toano Other

What high school do you currently attend? *

Jamestown Lafayette Warhill

How many years have you attended your current high school? *

1 2 3 4

Have you taken AP/weighted courses and or currently enrolled? No Yes

What AP/weighted courses have you taken and or currently enrolled ? *

AP American Government AP Art History AP Biology AP Calculus AB AP Calculus BC AP Chemistry AP Computer Science AP English Language & Composition AP English Literature & Composition AP Environmental Science AP French Language AP German Language AP Government and Politics: Comparative AP Government and Politics: US AP Human Geography AP Macroeconomics AP Microeconomics AP Music Theory AP Physics 1 AP Physics 2 AP Psychology AP Statistics AP Studio Art AP US History AP World History AP Latin AP Spanish Language Courses taught at the Governor's School for Science and Technology College courses taken at the college campus Dual enrollment college courses taken at the high school

How many AP/weighted courses have you taken and or currently enrolled? *

What courses did you take at the Governor's School?

What courses did you take at the college campus and which college? What dual enrollment courses did you take at your high school?

Did you take the SAT?

No Yes

What was your best score on the SAT- Math section? *

(200 to 800) What was your best score on the SAT- Reading section? *

(200 to 800) SAT Math + Reading combined score

Auto -score answer - inserted based on your answer to the previous two questions.

(400 to 1600) Did you take the ACT?

No Yes

What was your best composite score on the ACT? *

(1 to 36) List academic honors below in bullet form.

Did you take art classes in high school?

No Yes

How many years did you take art classes in high school? * 1 2 3 4

Did you love your history class(es)?

No Yes

Are you a dependent of a military member on active duty, retired, reserve, or veteran?

No Yes

The term "veteran" means a person who served in the active military, and was discharged or released therefrom under conditions other than dishonorable. Which category of service?

Active duty Retired Reserve Veteran Other

What is/was your military sponsor's rank?

E1-E3 E4-E6 E7-E9 O1-O3 O4-O6 O7+

What type of education do you plan to pursue after graduation? *

Trade/Vocational School 2-year college 4-year college Other

Are you a first-generation college student? Defined as 'neither parent having received a four-year college degree'.

No Yes

Select your intended major(s)/course of study? If not listed select "other" and fill in your answer(s). * Archeology Architecture Area, Ethnic, Cultural, Gender, and Group Studies Arts, Visual, and Performing Biochemistry Biology Business Chemistry Communication and Journalism Computer and Information Sciences Criminal Justice Cultural Studies Economics Education Elementary Education Engineering Engineering Aeronautical Engineering Biomedical Engineering Chemical Engineering Computer Engineering Industrial Engineering Nuclear Engineering Electrical English Language and Literature Environmental Science Environmental Studies Exercise Science / Kinesiology Finance Fine / Studio Art Health and Medicine History Language Studies Languages, Literatures, and Linguistics Law and Legal Studies Mathematics and Statistics Military Science/ROTC Music Nursing Nursing (LPN) Nursing (RN) Philosophy Physics Political Science Pre - Dental Pre - Medical Pre - Pharmacy Pre - Veterinary Medicine Psychology Public Health Science Technologies/technicians Undecided Other

Please select all colleges/universities to which youYou can select multiple answers. If you are undecided mark undecided at the bottom of the list. have applied. If not listed select "other" and fill in your answer(s). * "Other" is located at the bottom of the list. Bridgewater College Christopher Newport University College of William and Mary Eastern Mennonite University Ferrum College George Mason University George Washington University Hampden-Sydney College Hampton University Hollins University James Madison University John Tyler Community College Liberty University Longwood University Lynchburg College Mary Baldwin College Marymount University Norfolk State University Northern Community College Old Dominion University Radford University Randolph College Randolph-Macon College Rappahannock Community College Regent University Richard Bland College Roanoke College Shenandoah University Sweet Briar College Thomas Nelson Community College Tidewater Community College University of Mary Washington University of Richmond University of Virginia University of Virginia's College at Wise Virginia Commonwealth University Virginia Military Institute Virginia Polytechnic Institute and State University (Virginia Tech) Virginia State University Virginia Union University Virginia Wesleyan College Washington and Lee University Undecided Other

Please select all college/universities to which you have been accepted. If not listed select "other" and fill in your answer(s). * "Other" is located at the bottom of the list. Bridgewater College Christopher Newport University College of William and Mary Eastern Mennonite University Ferrum College George Mason University George Washington University Hampden-Sydney College Hampton University Hollins University James Madison University John Tyler Community College Liberty University Longwood University Lynchburg College Mary Baldwin College Marymount University Norfolk State University Northern Virginia Community College Old Dominion University Radford University Randolph College Randolph-Macon College Rappahannock Community College Regent University Richard Bland College Roanoke College Shenandoah University Sweet Briar College Thomas Nelson Community College Tidewater Community College University of Mary Washington University of Richmond University of Virginia University of Virginia's College at Wise Virginia Commonwealth University Virginia Military Institute Virginia Polytechnic Institute and State University (Virginia Tech) Virginia State University Virginia Union University Virginia Wesleyan College Washington and Lee University Undecided Other

Where do you plan to attend? If your school is not listed select other and list. If you haven't made a final decision yet that's okay, select undecided. You will receive an email on May 2, 2017 asking you to confirm and or update your answer to this question. *

"Undecided"and "Other" are located at the bottom of the list.

Is the college/university you plan to attend in the Commonwealth of Virginia?

No Yes I haven't made a final decision yet.

Is the college/university public or private? *

Public Private

Extra-Curricular Activities

Extra-Curricular Activities

Please list your top 4 high school and community activities including internships/mentorships. Note level of involvement, and any leadership positions.

Have you held a job for pay outside of school? Please list, and indicate if it is (was) year round or summer, number of hours per week, per year.

Did you play a varsity sport in high school?

No Yes

How many years did you participate in varsity sports in high school? *

1 2 3 4

What varsity sports team(s) were you on? * Basketball Baseball Competition Cheer Cross Country Field Hockey Football Golf Gymnastics Indoor Track Lacrosse Outdoor Track Sideline Cheer Soccer Softball Swim and Dive Tennis Volleyball Wrestling Other

Did you participate in the Performing Arts in high school?

No Yes

How many years did you participate in the Performing Arts in high school? *

1 2 3 4

Which Performing Arts did you participate in? *

Band Choir Orchestra Theatre Other

Named Scholarships

Named Scholarships Some businesses, organizations, schools, and individual funded scholarships are to be given to students who meet specific requirements. These 'Named Scholarships' are listed below, along with their qualifications. If you feel that you are a good match to any of these scholarships, please indicate this by selecting the"yes" button. "No" is the default response. If you select yes, you maybe asked additional questions. An example follow on question: "Please list any specific criteria that would be helpful in determining your eligibility". An example answer: Nick Paszkiewicz Memorial Scholarship: "I am working on my Eagle Scout credentials now, and plan to be complete by June 2016." Joann Bierenbaum Scholarship: "I volunteer at Williamsburg Landing every weekend."

Note: If you do not qualify for a named scholarship, you are still eligible for a general scholarship from the Fund.

It is the Fund's intent to award all of the named scholarships below, but sometimes a named scholarship is not awarded if specific criteria is not met, or if there is inadequate funding.

Eloise Agee Honorary Scholarship: Student who attended Norge or Clara Byrd Baker Elementary Schools.

No Yes

Did you attend Norge or Clara Byrd Baker Elementary Schools? *

No Yes

Joann Bierenbaum Memorial Scholarship: Student who is especially caring and shows academic promise, with preference given to a student demonstrating financial need.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Chesapeake Bank Scholarship: Student who has an interest in pursuing a career in banking or financial services.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Colonial Williamsburg Foundation Scholarship: Student who is a current or former foundation employee, volunteer, or the child of a current or former foundation employee, or volunteer.

No Yes

What is/was the status of your parent / guardian, sibling or you with Foundation? * Current Employee Former Employee Current Volunteer Former Volunteer Other

How many years as a current/former employee or volunteer of Colonial Williamsburg Foundation? *

0-1 2-5 6-10 11-15 16-20 21+ Other

Community Service Scholarship: Student who has demonstrated outstanding service to school/community and shows interest in continuing a record of service.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Frank Davis Memorial Scholarship: Student with strong academic credentials interested in a career in a STEM discipline, with preference to a student who is first in his/her family to go to college.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Julia Everts & Mark Greenawalt Scholarship: Student studying in the health related field with a preference for nursing (LPN or RN programs).

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. * Ray Freed Memorial Scholarship: Student with a strong social studies background and interest in the field.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Robert E. Kiley Family Scholarship: All applicants are considered.

No Yes

Kiwanis Club of the Colonial Capital Scholarship: All applicants are considered.

No Yes

Charles H. Koch, Jr. Memorial Scholarship: Students interested in legal careers and possibly criminal justice.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Retired LTC Stuart A. MacKenzie, Jr. Scholarship: Student with a minimum GPA of 3.0; Demonstrate a love of history through credits on transcripts; Demonstrate significant public service contribution to their community through volunteering or community service hours during high school. Preference given to students of military families and demonstrating financial need.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. * Performing Arts Scholarship: Student who is significantly involved in a performing art (theater, choir, or band) at their high school. Preference given to a student who attended Lafayette all four years, and plans to major or minor in either theater, choir or band in college.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Charles and Heather Rawson Memorial Scholarship: Student in good academic standing who will be attending a Virginia public college or university.

No Yes

Are you attending a public college / university in Virginia? *

If you are undecided select other and list. No Yes

Riverside Doctors' Hospital Williamsburg: Student in good academic standing planning to pursue a career in health services, with preference given to a student demonstrating financial need.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Rose P. Rose Memorial Scholarship: Student in high academic standing in the most advanced classes, especially Honors English 11. Strong preference given to a female student at Lafayette High School.

No Yes

Are you a female student at Lafayette High School? *

No Yes

Register-Sharp Citizen Scholar Award: Student who will be attending Longwood University as a member of Longwood's Citizen Scholars' Program with a 3.5 or better GPA. The student will exhibit citizen leadership and giving back to the community with a commitment to learning, critical thinking, selflessness, and personal integrity.

No Yes

Will you be attending Longwood University? *

If undecided select other and list. No Yes Please list any specific criteria that would be helpful in determining your eligibility. *

Swain Family Basketball High Scholastic Achievement Scholarship: Male student with a minimum GPA of 3.5 who shows the ability and dedication to be a high academic achiever even while making the sacrifices and time commitment to play as a member of the varsity basketball team.

No Yes

Are you a member of the boys varsity basketball team? *

No Yes

Do you have a 3.5 GPA or higher? *

No Yes

Swain Family Engineering Scholarship: Student with a minimum GPA of 3.5 pursuing a degree in chemical engineering, mechanical engineering, nuclear engineering or aeronautical engineering.

No Yes

Are you pursuing a degree in chemical engineering, mechanical engineering, nuclear engineering or aeronautical engineering? *

chemical engineering mechanical engineering nuclear engineering aeronautical engineering. Other

Amy and Mike Watson 'Workforce Credentials' Scholarship: Student who plans on attending a Virginia Community College, Trade School or Technical College, pursuing a high-demand or in-demand STEM or health care related industry recognized certification or associates degree (all industrial trades included). Minimum 3.0 GPA, with preference given to a student demonstrating financial need.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. Also explain why you are pursing your chosen field. *

Women's Club of Toano Scholarship: Female student who attended Toano Middle School. No Yes

Are you a female student who attended Toano Middle School? *

No Yes

Ann and James Yankovich Memorial Scholarship: Student who has demonstrated leadership in school/community; is interested in education as a field of study and/or career goal; with preference to a student who is first in his/her family to go to college.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

THE SCHOLARSHIPS BELOW ARE OPEN ONLY TO THE STUDENTS THAT ATTEND THE SCHOOLS AS LISTED.

JAMESTOWN

Friends of Green Spring Scholarship: Jamestown student in good academic standing, with preference to a student with membership in Rho Kappa or the Envirothon Club and showing interest in archeology, history, architecture, cultural studies, or environmental studies.

No Yes

Are you a member of Rho Kappa or Envirothon? *

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

O'Hare Scholarship: Kathleen O'Hare Doster Memorial Scholarship: Jamestown student with strong academic credentials.

No Yes

Nick Paszkiewicz (class of 2008) Memorial Scholarship: Jamestown student who demonstrates fine character, pride in academic achievement, and financial need; prefer Eagle Scout.

No Yes

Are/were you in the Boy Scouts? *

No Yes

What is the highest rank you achieved? * Scout Tenderfoot Second Class First Class Star Life Eagle

Please list any specific criteria that would be helpful in determining your eligibility. *

PTSA Scholarship Jamestown High School : Jamestown student who has shown significant academic improvement over the course of their high school career, with a minimum GPA of 2.5 preferred at the time of selection. Well-rounded student involved in extra-curricular activities also preferred.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Trevor Times Memorial Scholarship: Jamestown student who exhibits the characteristics that made Trevor special: kindness, generosity of spirit, a sense of inclusiveness, a sense of humor, and dedication to studies.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

Maximum Number of Words: 200

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LAFAYETTE

O'Hare Scholarship: Margaret Karene O'Hare Memorial Scholarship: Lafayette student with strong academic credentials.

No Yes

PTSA Scholarship Lafayette High School: Lafayette students only. No Yes

Bette Williams Memorial Birthday Scholarship: Lafayette female student whose class rank is #20 or below (#21, #22, #23....).

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

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WARHILL

Henry S. Branscome, Sr. Memorial Scholarship: Warhill student in good academic standing.

No Yes

Legacy Financial Group Scholarship: Warhill student with an interest in finance, science or technology.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. *

O'Hare Scholarship: Geoffrey H. Boerner Memorial Scholarship: Warhill student with strong academic credentials.

No Yes

PTSA Scholarship Warhill High School: Warhill students only.

No Yes

Andrea Sartain Memorial Scholarship: Warhill student who has actively participated in the visual arts program and plans to major in art; preferably interested in an art education career.

No Yes

Please list any specific criteria that would be helpful in determining your eligibility. * *******************************************************

Essay Question

Essay

A short, original essay (250 - 300 words) is required. Please choose from one of the following topics:

Describe an example in which you have demonstrated leadership ability inside or outside of school. What impact did it have on others? Name your favorite place in the Williamsburg area and tell why. Tell us about a decision you've made that has had consequences (good or bad). Who has been your most influential mentor, either in or out of school?

This area is for your essay. If you cut and paste from MS Word or another program, after you paste any words greater than the 300 word count will be deleted. *

If you cut and paste from MS Word or another program, after you paste any words greater than the 300 word count will be deleted. Maximum Number of Words: 300

Transcript Request

Transcript Request

Please insert the contact information for your high school registrar so that the WCF committee can obtain your transcript. Jamestown High School Last Name - Freeman First Name - Tamika Email - [email protected] Lafayette High School Last Name - Lightfoot First Name - Yuris Email - [email protected] Warhill High School Last Name - Christian First Name - Sepora Email - [email protected]

Registrar's Last Name * Registrar's First Name *

Registrar's Email Address *

High School *

Financial

Other Scholarships Received

List all scholarships valued at $1,000 or more which you have already been awarded or received. Type NA if not applicable. *

Siblings Attending School

Number of siblings high school age or younger for the 2017-2018 school year? Do not include yourself. *

0 1 2 3 4 5 Other

Number of siblings attending 2-year college/trade school for the 2017-2018 school year? Do not include yourself. *

0 1 2 3 4 5 Other

Number of siblings attending 4-year college for the 2016-2017 school year? Do not include yourself. * 0 1 2 3 4 5 Other

Parent/Guardian Employer and Annual Income

Parent/Guardian 1 Occupation and Employer *

Do not write the parent/guardian's name in this section.

Parent/Guardian 2 Occupation and Employer

Do not write the parent/guardian's name in this section.

Total annual family income ( before taxes) from all sources (to be completed by parent/guardian). *

Under $25,000 $25,001 - $50,000 $50,001 - $75,000 $75,001 - $100,000 $100,001 - $125,000 $125,001 - $150,000 $150,001 - $175,000 $175,001 and above

Optional Financial Information

Is your family in financial need? This question will be used for 'Named Scholarships' that state financial need as criteria. (optional)

No Yes

If you wish to inform the selection committee of any special circumstances affecting your family's finances, please do so in the space below. (optional)

Eligible for free or reduced lunch? (optional)

No Yes

Estimated Family Contribution from FAFSA. (optional) Certification of Acknowledgement

Certification of Acknowledgement

Applications will be kept on file by the Williamsburg Community Foundation for three years. *

I agree I do not agree ( I understand my application will not be considered.)

I hereby give my consent to the guidance department registrar/counselor at If you mark "I do not agree" your application will not be considered. my high school to provide the scholarship committee with a digital copy of my current transcript. *

If you mark "No" your application will not be considered. Yes No

Student: I have read all of the above and attest to the accuracy and truthfulness of the information provided by me herein. I have completed this application myself with the exception of the financial portion. Please type your name and date below. *

Parent: I attest to the accuracy and truthfulness of the annual income and other financial information provided by me herein. Also that I did not complete any other portion of this application for my child. Please type your name and date below. *