Pfenninger Scholarship For franciscan Oaks

19 Pocono Road, Denville, NJ 07834

Scholarship Description: The goal of this scholarship is to provide financial assistance to worthy men and women employed at Franciscan Oaks who work in the kitchen, dining, and/or housekeeping departments. The purpose of the scholarship is to enable them to pursue academic studies at any accredited college/university or educational institution of their choice located in the United States of America.

The Community Foundation of New Jersey awards undergraduate scholarships on the basis of a competitive process that may consider academic achievement, extracurricular and community involvement, a statement of the applicant’s personal aspirations and educational goals, financial need and references. The individual does not have to be among the top students in the class; but s/he will have to show potential, merit and/or improvement.

Scholarship Criteria:

·  Student is a graduating high school senior attending an accredited college/university or educational institution in the United States on a part time (6 credits each semester) or full time (12 credits each semester) basis and who is pursuing an undergraduate degree or certificate program, or

·  Student may be currently enrolled on a part time (6 credits each semester) or full time (12 credits each semester) basis in an accredited college/university or educational institution in the United States who is pursuing an undergraduate degree or certificate program.

·  Scholarship will be awarded on merit and need with emphasis given to the financial need of the applicant.

·  Only employees assigned to the kitchen, dining and/or housekeeping departments of Franciscan Oaks may apply. Please note applicant must have been employed within the department(s) for a minimum of one year.

·  Only students who have been accepted into an educational institution are eligible to apply.

Terms of Scholarship(s): Annual scholarship awards (lump sum) will vary dependent upon review of the recipient’s financial need. Award may be used to offset educational expenses such as tuition, room and board and other mandatory educational fees. Award will be made payable to the educational institution.

Employees may reapply on an annual basis; however, no scholarship funding period will exceed 6 consecutive years. Students requesting renewal eligibility and consideration will be required to submit:

·  proof of continued employment with Franciscan Oaks

·  letter of request by June 30th of each year

·  official transcript

·  proof of continued enrollment and that the student remains in good academic standing (cumulative GPA of 2.0 or better is required).

·  brief narrative of the student’s past year’s academic experience, details of community service work performed during the academic year, and any employment experience.

The letter and additional required documents automatically makes the recipient eligible to be considered for a grant for the following school year.

Deadline: Applications must be complete and postmarked no later than May 1, 2016. Only complete applications (consisting of this application form and all of the supplemental materials listed on the application) will be considered by the selection committee. For further information, please contact Faith Krueger at 973.267.5533 extension 227 or via email at . Mail this application and all required supplemental materials to:

Community Foundation of New Jersey - Scholarship Services

Post Office Box 338

Morristown, NJ 07963-0338

Note: Scholarship is contingent upon the availability of funds in any given year. Scholarship aid from the Community Foundation of New Jersey is conditioned upon the school the student will attend agreeing that the aid should be applied to the student’s unmet need or loans first. If, after all need has been met, scholarship monies remain, it may be used to displace school provided aid in the following progression: work-study, then grants.

PFENNINGER SCHOLARSHIP FOR FRANCISCAN OAKS

Scholarship 2016 application

Check one: _____ Mr. _____ Ms. High School

First Middle Last

Permanent Address: Street

City State Zip

Phone Number: Cell Phone:

Email Address: Social Security Number: 000-00-______ity Number: xxx-xx-cholarshipship

(Last 4 Digits)

Date of Birth: Country of Birth:

Are you a legal resident of New Jersey: Yes _____ No _____

I am a: _____ U.S. Citizen

_____ Permanent Resident Alien

Gender: _____ Female _____ Male

Ethnicity: _____ African American _____ Hispanic/Latino

_____ Asian/Pacific Islander _____ White (not of Hispanic origin)

_____ American Indian/Alaskan Native _____ Other (specify) ______

Family Information

Father/Guardian Mother/Guardian

Address Address

Father/Guardian’s Occupation/Employer
Father /Guardian’s Annual Income
Mother/Guardian’s Occupation/Employer
Mother/Guardian’s Annual Income

All Dependents Living In Your Home including yourself

Name/Relationship to Applicant / Age / School Attending/Cost

Education

Only students who have already been accepted into an educational institution are eligible to apply. If you have not yet been accepted to a college, university or other institution of higher learning, please do not apply at this time.

Name of School You Will Attend:

City State ZIP

Intended Major(s):

Intended Minor(s):

Anticipated Educational Expenses

Please fill in the expenses you anticipate for the 2016-2017 academic year. This information can be found on your college or university website or through the financial aid office.

Tuition / $
Mandatory Fees / $
Room & Board (on campus housing only) / $
Books / $
Supplies / $
Total Anticipated Educational Expenses / $

Anticipated Student Resources

Please list any scholarships or grants that you have been awarded or are pending for 2016-2017 and the amount of each award. Please include Pell grants or other federal aid, state aid, work-study, scholarships from your school and other outside scholarships or awards.

Parental Contribution to Education / Amount Per Year $
Student Contribution to Education / Amount Per Year $
Scholarships / Amount Per Year / Status (Pending or Awarded)
1) / $
2) / $
3) / $
4) / $
5) / $
6) / $
7) / $
Total Scholarships / $

Please list any grants that you have been awarded or are pending for 2016-2017 and the amount of each award. Please include Pell grants or other federal aid, state aid, work-study, scholarships from your school and other outside scholarships or awards.

Grants / Amount Per Year / Status (Pending or Awarded)
1) / $
2) / $
3) / $
4) / $
5) / $
6) / $
7) / $
Total Grants / $

Please list any loans that you have been awarded or are pending for 2016-2017 and the amount of each award. Please include Pell grants or other federal aid, state aid, work-study, scholarships from your school and other outside scholarships or awards.

Loans / Amount Per Year / Status (Pending or Awarded)
1) / $
2) / $
3) / $
4) / $
5) / $
6) / $
7) / $
Total Loans / $

Copies of all financial aid letters must be included with application.


Financial Status

Family Assets / Total balance in cash, savings & checking / $
Net worth (value minus debt) of investments, including real estate: / $
Other Sources of Income (Specify)
Total Assets: / $
Family Gross Annual Income / Father: / $
Mother: / $
Student: / $
Total Annual Income: / $
Number of households supported by gross income:
Number of dependents supported by gross income:
Number of siblings attending college next year:

Please provide in annual dollar amounts estimated expenses:

Family Expenses / Costs
Mortgage or Rent / $
Medical Expenses (not paid by insurer) / $
Child Care/Day Care / $
Other Expenses / $
Total Family Expenses

Did you complete the Free Application for Federal Student Aid (FAFSA)? If so, what is your Expected Family Contribution (EFC)? $

(Optional) You may use the space below explain any compelling circumstances or factors, which you feel warrant special attention to include unusual personal, family or financial circumstances or challenges.

Applicant Resume

Awards and Honors

In order of importance to you, list awards and honors you have received during the past four years and briefly explain their significance. No attachments please.

Awards/Honors / Significance / Date Received

School Activities

In order of involvement/importance to you, please list the top five extra-curricular activities you have participated in during the past four years, e.g. clubs, student government, national honor society, sports, music, drama, etc. No attachments please.

Activity / Grade(s) and dates of participation / Honors and/or positions held – Circle either elected (E) or appointed (A) / Hours Per Month / Reference/Telephone
1) / E/A
2) / E/A
3) / E/A
4) / E/A
5) / E/A

Community and Volunteer Involvement

In order of involvement/importance to you, please list the top five community or volunteer extra-curricular activities you have participated in during the past four years, e.g., nonprofit organizations, scouts, 4-H, and religious activities. No attachments please.

Activity / Grade(s) and/or dates of participation / Honors and/or positions held – Circle either elected (E) or appointed (A) / Hours Per Month / Reference/Telephone
1) / E/A
2) / E/A
3) / E/A
4) / E/A
5) / E/A

Work Experience

List your paid work experience during the past four years, beginning with your most recent position.

Employer / Nature of Work / Dates / Hours Per Week / Reference/Telephone
1)
2)
3)
4)
5)

ESSAY: REQUIRED. (attachment no more than two double spaced pages, typed or printed neatly in ink. Please include student name.) Looking forward, please describe your personal aspirations and career goals. Describe within these pages the importance scholarship assistance would have in meeting these goals. What factors did you consider when selecting the college/university you will attend?

Required Signatures

I declare that I have met the eligibility requirements for the scholarship program(s) indicated on the first page of this application form. I further declare that all statements made on this application form or in conjunction with this application form are my own and are accurate and true.

Student’s Signature: Date

If student is under 18 years of age:

Parent’s/Guardian’s Signature

Date

Checklist: In addition to this application form and your essay, you MUST submit the following:

___ A copy of your FAFSA Student Aid Report (SAR). You can print a copy of your SAR by visiting the FAFSA website at fafsa.ed.gov/logging into your account.

___ A copy of your school acceptance and financial aid award letters. Documents must state the estimated cost per year of attending the institution and the details of the financial aid package offered by the institution.

_____ An official school transcript (with raised seal) provided by the educational institution.

_____ One (1) letter of recommendation from school faculty or administration that you believe will strengthen your application.

_____ Additional letter of reference to assist you, the student, in explaining your qualifications for, and fit with, the mission and criteria of the Pfenninger Scholarship for Franciscan Oaks.

_____ Proof of employment with Franciscan Oaks as a staff member of the kitchen, dining, and/or housekeeping department(s).

Applications consisting of this application form and all of the supplemental

materials listed above must be complete and postmarked no later than May 1, 2016.

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