7500 Security Boulevard
Windsor Mill, Maryland 21244
www.federaleaa.org
FEDERAL EMPLOYEES’ ACTIVITIES ASSOCIATION SCHOLARSHIP PROGRAM
Application Instructions
Answer the following question in a one page essay: If you could talk with any one living (or deceased) person, whom would it be and why? Complete the attached application form and submit with your essay. Application and essay must be postmarked or dropped off at the EAA by June 2, 2017; late applications will not be accepted.
Requirements:
· Must be a US Citizen
· Must be a high school senior or full-time undergraduate college student
· Must be a dependent son, daughter or grandchild of a permanent full-time or part-time CMS or SSA employee (A dependent child is defined as one who is an unmarried, natural child, adopted child, step-child, legal ward or dependent child of an employee of SSA or CMS, who meets all requirements as set forth in the IRS guidelines for a Qualifying Child, and who (a) is claimed as a dependent by the employee on the most recently filed federal tax return and who (b) is eligible to be claimed as a dependent for the tax year in which classes are taken. In the case of legal separation or divorce, a dependent child may participate in this program regardless of which parent declares the child as a dependent for income tax purposes)
· Essay should have your full name, date of birth and student ID number at the top of page.
· Essay should be typed and no longer than one page (8 ½ x 11).
· All essays and application forms can be dropped off at the CMS EAA Service Center Room L-19-12 or mailed to:
Federal Employees Activities Association Scholarship Program
P.O. Box 47157
Baltimore, MD 21244
Inquiries: Call 410-786-3655 or email
PO Box 47157
Baltimore, MD 21244
410-786-3655
Name: Last / First: / Middle Initial:
Home Address: Street / City / State/Zip Code
Date of Birth: / Sex: / Phone Number:
Cumulative Grade Point Average: / Student ID #:
Name of Parent who is employed by CMS/SSA: / Employment Location (parent):
Parent Work Number:
Parent Work Email address: / Course of Study:
What College or University are you attending or
Have been accepted to? / Please provide complete mailing address of
College or University:
Application and essay must be postmarked or dropped off at the EAA by
June 2, 2017; late applications will not be accepted.
I certify that all statements contained in the foregoing application are true and correct, that I have read the instructions, and I believe myself eligible to apply for a scholarship under the provisions and conditions.
Recipients will be announced the 1st week of July on our website www.federaleaa.org
By signing, you consent to having your name published on our website if chosen.
Signature of Applicant: ______
Date______