Fairfield County Foundation

Fairfield County Foundation

2013 SCHOLARSHIP INFORMATION

The Fairfield County Foundation invites you to apply for scholarships.

Applications must be received by April 1st.

  Complete answers to every question. If the question does not apply to you or your situation write not applicable or N/A as appropriate.

  Type or fill out the application in ink (PRINT). Do not write in pencil.

  Do not send applications in plastic folders or use staples.

  Detach this cover letter before submitting your application.

  Send application and all required attachments together. Paper clip each completed application and required attachments together. No staples please.

  Please put all applications in one large envelope, do not fold.

We will not accept applications by fax, e-mail, items separately mailed

or after the deadline date.

Scholarship awards will only be paid to the schools, not to individuals or bookstores. Scholarships are for tuition only aT accredited schools. You must be a full time student unless otherwise indicated in the scholarship requirements.

Eligibility Criteria

§  SAR Form (to establish financial need): All applicants must complete the FAFSA (Free Application for Federal Student Aid) and submit a copy of page one of the print summary of your Student Aid Report (SAR). FAFSA application can be found at www.fafsa.ed.gov.

We recommend that you file the FAFSA by February 15th so you will have the SAR in time to submit with your scholarship application.

§  Every scholarship is different. Please check the list of available scholarships to make sure that you meet the criteria and different requirements of the scholarship(s) for which you are applying and the deadline dates.

§  The Fairfield County Foundation requires an application form for each scholarship you are applying for and each application must clearly identify the scholarship. Make sure that you read the required attachments for each scholarship; certain scholarships require additional information.

Late or incomplete applications will not be considered

MAKE A COPY TO KEEP FOR YOUR RECORDS

Questions Please call: (740) 654-8451 or e-mail:

REQUIRED ATTACHMENTS

In addition to a completed application form for each scholarship, each application must contain the following and in the order listed:

  Completed application form for each scholarship. Be sure to put name of scholarship in space provided at the top of page 3.

  Send only pages 3, 4, 5 and 6 of the application with your required attachments.

  A typed or printed personal statement (1 or 2 pages).

Your statement should include information that would help us in knowing you, why you are applying for this scholarship, discuss how you are financing your education, any other scholarships you have received or have applied for, reasons for choosing your professional goals and long range plans after graduation.

  Three and only three CURRENT letters of recommendation.

They can be from teachers, professors, guidance counselors, or non-academic references who are not relatives. At least one letter should address your character and one should address your scholastic potential. Please do not include award certificates unless you are applying for the DARE scholarship.

If letters are not current you will be disqualified.

  An OFFICIAL TRANSCRIPT from your present or most recently attended school.

  High School Students – enclose a copy of your ACT and/or SAT score report if not listed on your transcript.

  Please submit official cost of attendance figures (tuition only) for your school, either on letterhead or website screen print. If they do not have the 2013 figures listed use the 2012 figures.

  A copy of page one of the print summary of your Student Aid Report (SAR) showing your EFC number (estimated family contribution) and students name. Do not include the FASFA application.

  Be sure to check the scholarship list before submitting your application. Some scholarships require that you include additional information other than what is listed above.

  All scholarship applications must be complete and submitted with all the required information in the order listed above to the Fairfield County Foundation.

Paper clip each completed application and required attachments together.

Put all applications in one large envelope, do not fold. No staples please.

We will not accept anything mailed separately or after the deadline date

Incomplete applications will not be considered

Return by April 1, 2013 to:

Fairfield County Foundation,

162 E. Main Street

P.O. Box 159

Lancaster, Ohio 43130

Fairfield County Foundation

2013 SCHOLARSHIP APPLICATION

Complete one application for each scholarship for which you are applying

PART 2: APPLICANT INFORMATION – provide the following information where applicable.

Name: ______

Last First Middle

Permanent Address: ______

Street P.O. Box City State Zip

E-mail Address: ______Phone # ______

Social Security Number: ______Date of Birth: ______

Name of High School you graduated from and year: ______

PART 3: FAMILY INFORMATION – provide the following information where applicable.

Father/Stepfather/Guardian:

Place of

Name: ______Employment: ______

Address: ______

Street City State Zip

Day Phone:______

Mother/Stepmother/Guardian:

Place of

Name: ______Employment:______

Address: ______

Street City State Zip

Day Phone: ______

Place of

Spouse: ______Employment: ______

How many family members are presently in college: ______

Who is helping finance your education? ______

PART 4: EDUCATIONAL INFORMATION (Please answer all questions that apply to you)

Student is:

____ Graduating high school senior from ______

Class rank ______Current GPA ______Point system used for GPA _____

____ Recipient of a G.E.D. Year received ______

_____ College Undergraduate at ______

College GPA ______

College/University/Vocational School that you plan to attend in fall 2013: ______

______

Address of College/University/Vocational School:______

______

Have you been formally accepted? ______

Academic level as of next year (Freshman; Sophomore; etc.) ______

Intended Major/Field of Study______

For Medical Students MCAT Score______

Anticipated college standard Cost of Attendance (tuition only) for 2013-2014 academic year if not available use figures for the 2012-2013 academic year $______

(Please submit official cost of attendance figures for your school, either on letterhead or website screen print)

List financial aid sources:

Source / Type / Amount
Grants / $
Scholarships / $
Loans / $
Trust funds / $
Tuition Reimbursement / $
Student's contribution / $
Parent’s contribution including 529 Plan / $

Confirmed scholarships and/or financial aid $______

Balance needed $______

PART 5: Applicant Profile

List any school, community and church activities which you have been involved in the last four years. Be sure to include leadership roles. Make additional copies of this page if extra space is needed.

This page lists my: ___ High School Activities ___ College Activities ___ Other Activities

SCHOOL ACTIVITIES / FR / SO / JR / SR
COMMUNITY AND CHURCH ACTIVITIES / FR / SO / JR / SR
AWARDS AND HONORS / FR / SO / JR / SR
WORK EXPERIENCE (List nature of work, position, dates of employment and average hours/week)

I understand that the scholarship awards are subject to review and that they may be reduced or eliminated if I obtain other awards or aid. I agree to notify the Fairfield County Foundation immediately of the receipt of any other financial aid or circumstances that may affect my financial need.

Signature______Date______

I give my permission to the following college(s)______

(college or university you plan to attend)

______

(other college or university you are considering)

to release my financial aid information to the Fairfield County Foundation for the purpose of determining the granting of a college scholarship.

I certify that the information on this form is true and complete to the best of my knowledge.

______

Applicant’s Signature Date

Address and phone number of college residence______

______

IT IS YOUR RESPONSIBILITY TO ENSURE THAT YOUR APPLICATION IS COMPLETE.

INCOMPLETE APPLICATIONS OR SEPARATE MAILINGS WILL NOT BE CONSIDERED.

DEADLINE APRIL 1, 2013

KEEP COPY OF APPLICATION

Please mail to:

Fairfield County Foundation

162 E. Main Street

P. O. Box 159

Lancaster, Ohio 43130

Phone (740) 654-8451 Fax (740) 654-3971

www.fairfieldcountyfoundation.org

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2013