ROBERT S. LOWE SCHOLARSHIP APPLICATION

(One $500 Award/Renewable)

I.  NAME______SOC. SEC. #______

ADDRESS______TELEPHONE______

PARENTS’ NAME______

COLLEGE OR SCHOOL YOU PLAN TO ATTEND______

INTENDED AREA OF STUDY______

LENGTH OF PROGRAM ____1 year ____2 year ____4 year

Other (explain)

CLASS RANK AND GPA______

II.  Attach a brief statement concerning your career goals after completing your

education, your reasons for applying for this scholarship, and any other information about you personally (employment, activities, interests/hobbies, etc.) that will help the scholarship committee to know you better.

III.  Complete the attached financial statement. Copy the Expected Family

Contribution page from your FAFSA Acknowledgement Form received from College Scholarship Service and attach it to the financial statement.

IV.  Return all application materials to Ms. Auffenberg by Noon on THURSDAY, APRIL 7th .

FINANCIAL STATEMENT FOR SCHOLARSHIP APPLICATION

NAME OF APPLICANT______

APPLICATION FOR THE ROBERT S. LOWE SCHOLARSHIP

HAVE YOU FILED A FAFSA FORM? ____YES ____NO

FATHER’S INCOME BEFORE TAXES $______

MOTHER’S INCOME BEFORE TAXES $______

GROSS INCOME (TOTAL OF ABOVE) $______

OTHER INCOME (SOCIAL SECURITY, CHILD

SUPPORT, INTEREST, ETC.) $______

NUMBER OF DEPENDENTS (EXCLUDING MOTHER

AND FATHER) ______

ASSETS AND LIABILITIES

PRESENT MARKET VALUE OF HOME $______

AMOUNT OF UNPAID MORTGAGE $______

INVESTMENTS (TOTAL MARKET VALUE OF

ASSESTS SUCH AS STOCKS,

BONDS, SECURITIES, OTHER

REAL ESTATE, ETC.) $______

AMOUNT OF DEBT AGAINST INVESTMENTS $______

DO YOU OWN A BUSINESS OR FARM? __YES __NO

IF SO, WHAT IS THE PRESENT MARKET VALUE? $______

AMOUNT OF UNPAID MORTGAGE $______

NET PROFIT FROM BUSINESS OR FARM $______

USE THIS SPACE TO EXPLAIN ANY UNUSUAL CIRCUMSTANCES NOT COVERED BY THE ABOVE QUESTIONS.______

______

______

______

______

______

IF PARENTS ARE DIVORCED, IS THE NON-CUSTODIAL PARENT REQUIRED TO PAY A PORTION OF THE CHILD’S COLLEGE EXPENSES? ____YES ____NO

IF SO, HOW MUCH?______

DATE______SIGNED BY______