Nicholas County Community Foundation

Scholarship Application

Fred Reed Expanding Horizons Scholarship Fund

Open to Nicholas County Residents who are thirteen (13) through eighteen (18) years of age in support of residential campingor learning experiences that will enhance or improve the students’ educational capacity, skill, talent or appreciation for cultural diversity. Eligible activities include but are not limited to programs such as educational camps, youth leadership programs and sports camps, with preference given to non-sectarian programs.

The Foundation is to select the students based on an annual essay contest in accordance with the Foundation’s Scholarship Guidelines. Criteria which may be considered include the applicant’s aptitude and interest in the program, the student’s desire to learn and improve oneself and the community as a whole, the camp materials, and the family’s financial means.

Section I – Certification

The undersigned hereby acknowledges the information provided on this application, including all attachments, is true and correct to the best of his/her knowledge.

Furthermore, all the information may be provided and disclosed to the Nicholas County Community Foundation, to the officers, directors of the Foundation and to any other person authorized by the Foundation to review the information. Verification may be obtained from any source. Falsification of information will result in the termination of any scholarship granted.

We hereby release from liability any person submitting information to the Foundation for use in the selection of scholarship recipients.

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Student Applicant SignatureDate

Section II – Personal Information

  1. Name______

Permanent Address______

City______State______Zip Code______

Telephone (home)______(other)______

Email Address______

Social Security Number (last four digits only)______DOB______

  1. What grade will you enter in fall 2015?______
  2. What school will you be attending in the fall? ______
  3. Briefly describe your financial resources for this experience and your personal and family strategy for paying for this educational experience?______

______

______

______

  1. Explain any unique circumstances in your family: ______

______

______

______

  1. Describe the educational experience, including name, dates, group traveling with (if any), price and what will be gained from the experience (attach 1 additional page if necessary): ______

______

______

______

  1. Please write a brief essay (500 words or less) on why you should be chosen to receive the Expanding Horizons Scholarship (may attach essay)
  2. Please request two letters of reference (one from a teacher one from any non-family member)

Applications must be postmarked by March 1, 2015

Please send via mail to: NCCF * PO Box 561 * Summersville, WV 26651

Questions regarding this scholarship? Call (304)872-0202