Career Advancement Scholarship Application 2017

reer Advancement Scholarship Appl

Career Advancement Scholarship Application 2017

Name of Applicant______

Career Advancement Scholarship

Offered by Zonta Club of Frankfort, IN

I. Eligibility

A Clinton County resident.

19 years of age or more at the time of application.

Documents financial need.

Shows ability to complete education or upgrade vocational skills.

Has been admitted to, or cleared for admission to an academic or vocational school which is licensed or accredited by the State of Indiana.

Furnishes a plan of schooling with specific vocational objectives that fit her situation, including class tuition fees and qualifications of the applicant to take the course of study.

Members of Zonta and their immediate families are ineligible.

II. Conditions of Scholarship

Scholarship money must be applied to tuition, books, supplies, and/or expenses for the course of study, with evidence of enrollment and expenses from the University to be supplied to the Frankfort Zonta Club Treasurer by the applicant prior to receipt of funds.

III. Selection

Scholarship applications must be presented to the Zonta Scholarship Committee and postmarked by May 1, 2017 by sending to the address below. The application must be mailed by US Postal Service or delivered in person to the Zonta Scholarship chair at the address below:

Jenny Neal

4515 E State Road 38

Kirklin, IN 46050

Questions? Cell: 765-650-8582

Application for Career Advancement Scholarship

Name:
First / Middle / Last
Present Mailing Address:
City: / State: / Zip Code: / Age:
Telephone: / Clinton Co. Resident # years:
Marital Status: / Spouse:Y/N / Employed: Disabled: Student:
Name of Spouse:
If employed, where? / Applicant: Spouse:

If children, number at home and ages: ______

Dependents other than Children: ______

Educational Background

List in order,starting with high school, all schools and training courses you have attended (insert extra page if necessary.)

Dates attendedName of Institution MajorDate of Graduation

______

List highest educational level in which a Diploma or Degree was awarded:

______

Are you currently enrolled in any sort of post-secondary or training course? YES____ NO____

If yes, date started: ______Your chosen field of study?______

Work Experience

List all work experience since high school, starting with current or most recent employment. (Insert extra page if necessary.)

Dates PositionSalaryEmployer/supervisor

______

Summarize volunteer work and/or community service activities in which you have been involved.

______

References

List below the names of 2 (two) persons whom you have asked to write recommendations for this scholarship. One of these references must be work-related (a former or current employer or co-worker, for example), and you may include former teachers, school officials, or other persons not related to you as family.

A recommendation from a person connected with the program for which you desire a Career AdvancementScholarship would be very much appreciated by the selection committee.

Name______Title/position______

I certify to the best of my knowledge that the information contained in this application and on the attached Financial Statement is true and correct.

Signature______

Checklist to be completed by applicant:

Application materials, typed and in English

Two confidential recommendations requested-must be postmarked by deadline date

Financial Status form

Study Proposal form

Signatures as noted on each document page

DEADLINE: (no exceptions) Postmarked no later than May 1, 2017

Financial Status for Career Advancement Scholarship

Grants, scholarships, educational loans received? Yes_____ No______

If yes, amount $______

Describe the type of grants, scholarships, loans, and other financial assistance you have received, or currently applied for, this current school year 2016-2017

Assistance from parents or others? Yes______No______

If yes, describe the assistance:

What is your current estimated family annual income? $______

Because the Scholarship Award is need-based, please explain any pertinent financial information you would like the Selection Committee to consider (may type on additional sheet, and attached, if more space is needed)

I hereby certify that I have carefully read the contents of the above Financial Statement and affirm that the same is a true and correct statement of my financial condition this _____ day of______, 2017.

Applicant’s Signature______

Study Proposal for Career Advancement Scholarship

College/University you do/will attend: ______

College/University Address: ______

Date Admitted: ______Admission pending:______

Describe the Program of study you plan to enroll next term:

Name of Program______

Type of License, Certificate or Degree granted upon completion: ______

What employment opportunities will be open to you? ______

______

Length of time you will need to complete this Program of study:______

 How many terms do you plan to enroll in this Program for2017-2018:______

Expected completion date for College degree or vocational course:______

School Expenses per 2017 semester or term:

$______Tuition and fees

$______Books and supplies

$______Transportation/Child Care

$______Other (explain______)

$______Total

Please attach a separate one-page discussion of how you expect your proposal training or Program of study to add to your opportunities for employment or advancement.

Recommendation for Career Advancement Scholarship

Applicant:
Last (Family) Name / First / Middle
Recommendation from:
Name (please print) / Position/Title

Your Address: ______

1.)A. In what capacity have you known the applicant?

______

B. How long have you known the applicant? ______

2.)How would you rate her degree of interest in schooling and education?

3.)Please explain why or why not you think this applicant should be selected to receive a scholarship?

4.)What job opportunities do you envision for the applicant after she completes her study plan?

Please place in a sealed envelope and must postmark by May 1, 2017 or deliver in person to:

Jenny Neal

4515 E State Road 38

Kirklin, IN 46050

ALL REPLIES WILL BE HELD CONFIDENTIAL.