The Josephine Rudy Smith Scholarship Fund
The Kentucky Annual Conference
The United Methodist Church
TO THE APPLICANT:
This is the current application for all persons applying for a service-loan from the Josephine Rudy Smith Scholarship Fund, Inc. Please note that the JRS Trustees have approved books, fees, and housing paid to the seminary in addition to tuition for which your service-loan may be used.
Read the “Instructions” and the “Policy Guidelines” carefully before completing this application.
After you have read the “Instructions” and the “Policy Guidelines”, and are sure you meet the qualifications, complete the application and return to the Secretary/Treasurer by September 1 preceding the Fall semester and February 1 preceding the Spring semester. All full-year service-loan applications must be in the office of the Secretary/Treasurer by the specified dates. The “School Recommendation” is to be completed by your school’s Registrar or another financial aid officer ONLY after you are enrolled and have begun attending classes. The second copy of the “School Recommendation” is to be used for the second semester. If you will be taking a Summer class, you will need another “School Recommendation.” Contact the Secretary/Treasurer for additional copies of this form or any additional information.
Sincerely,
Willard Knipp
P. O. Box 492
Henderson, KY 42419-0492
With the exception of the “School Recommendation” and “Policy Guidelines”, return the completed application by the announced date.
Revised 10/22/2015
POLICY GUIDELINES
The Josephine Rudy Smith Scholarship Fund, Inc.
1. Applicants for benefits from this Fund shall be graduates of a college or university accredited by the American Association or the Southern Association, and shall be enrolled in a school of theology listed by the University Senate of the United Methodist Church while pursuing requirements for the Master of Divinity Degree.
2. Applicants for a scholarship shall agree to serve full-time in the Kentucky Annual Conference, or fulltime mission-related ministry under Episcopal appointment for not fewer than five (5) years following graduation from a school of theology.
3. A student receiving scholarship aid shall have half-time student status in the school where he/she is enrolled and maintain a cumulative grade point average of "C" or above. Failure to meet the above conditions shall make the student liable for the amount of money which he/she has received from the Fund plus 6% (six percent) interest per annum from the time of graduation or withdrawal from school, or such a fraction of the principal as the Trustees shall judge equitable.
4. Failure to meet the above conditions shall cause the student or the cosigner to be liable for the amount of money, which he/she received from the Fund plus 6% (six percent) interest per annum from the time of graduation or withdrawal from school, or such a fraction of the principal as the Trustees shall judge equitable. If a loan is in default, both the loan recipient and co-signer will be notified.
5. Consideration for scholarship aid may be based upon the need of the applicant.
6. Applicants shall contact the Secretary/Treasurer of the Trustees, or their District Superintendent, as soon after Annual Conference as possible, and request an application form. [Forms are made available during the Annual Conference session.] All applications for financial aid must be filed with the Secretary/Treasurer of the Trustees by September 1 for the Fall semester and Winter Intersession and February 1 for the Spring Semester and Summer term.
7. The maximum amount for any applicant, over the course of pursuing the Master of Divinity Degree, is $12,000, and this amount is subject to the availability of funds and the number of applicants. Funds may be used during a three (3) to four (4) year period of time as chosen by the applicant and are to be given according to the student status of the applicant as of September 1 through August 31 of the grant period. The amount of grants are as follows:
$1,200.00 for Spring/Fall Semesters
$800.00 each for six (6) Summer classes or Intersessions.
8. Scholarship aid shall be granted ONLY by the Trustees or the Executive Committee.
9. Applications for the fall semester are due no later than September 1; applications for spring are due no later than February 1.
Application for Josephine Rudy Smith Scholarship Fund, Inc.
Name ______
Name of School ______
======
(Reserved for JRS Board) Account No. ______Date Received ______
Amount Requested $______Amount Granted $______
Previous Aid $______New Balance $______
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Instructions for Completing Scholarship Form
Your application for a service loan from the Josephine Rudy Smith Scholarship Fund, Inc. must be completed as specified below. Before completing the application, read the “Policy Guidelines.”
1. Complete student portions of the application in detail (pages 4 and 5). All parts of this application must be
completed otherwise, it will be returned.
2. After you have obtained the necessary information and have completed student sections of the application,
the District Superintendent’s approval and signature is required. Present the completed application to your
superintendent for review and signature.
3. Contact your seminary and request a transcript. Transcript should be mailed to the Josephine Rudy Smith Scholarship Fund, Inc., 7400 Floydsburg Road, Crestwood, KY 40014. A Seminary Transcript must accompany the application form in order to be considered for funds.
4. Complete the cosigner form. The cosigner form must accompany the application form in order to be considered for funds.
5. When you have completed those sections of the application for which you are responsible, you should
mail the completed form to the Josephine Rudy Smith Scholarship Fund, Inc., 7400 Floydsburg Rd. Crestwood, KY 40014
6. After you are enrolled for the semester, for which your loan is requested, present the “School
Recommendation” forms to the Registrar of the school. This form must be filled out only after you
have begun classes. Request the Registrar, or other Student Aid officer, to study your application,
helping you to be accurate concerning school expenses and scholarship aid.
7. You will be notified as to the decision the Board has taken regarding your financial request. If your
request is approved, a check will be sent to the school from our bank with the instructions that it be
applied directly to your account.
8. Be sure your application is in the office of the Secretary/Treasurer by the specified dates in the “Policy
Guidelines.”
APPLICATION
JOSEPHINE RUDY SMITH SCHOLARSHIP FUND, INC.
(This part is to be completed by the applicant.)
1. Name ______
(First) (Middle) (Last)
2. Age ______
3. Marital Status ______
4. Number of Children and ages ______
______
5. School Address (if known) ______
______
6. Permanent Address ______
7. Home phone number: ______
8. Business phone number: ______
9. E-mail address: ______
10. Name of Parent or Guardian ______
Home Address ______
11. List Schools You Have Attended:
Name and Location of School Dates Attended Degree(s)
______
12. Name and Address of School of Theology in which you are enrolled:
______
______
13. Your classification upon enrollment this term: ___ 1 ___ 2 ___ 3 ___ 4 (year?)
14. Expected date of Graduation ______
15. What is your intended vocation? ______
16. Name of your home Charge Conference ______
17. Relationship to the Conference ____ Appointed to attend school _____ Probationer
____ Student Pastor ____ Certified Candidate
18. Your anticipated income for Academic Year: $______
19. Your spouse’s anticipated income for Academic Year: $______
20. Total anticipated income for the Academic Year: $______
21. List other scholarship(s) and amounts you will receive:
______
______
21. What is the amount of the loan you are requesting? $______
22. For what period are you requesting the loan (Please choose one)?
□ Fall Semester, 2______□ Spring Semester, 2______
□ Fall Semester and Intersession, 2______□ Spring Semester and Intersession, 2______
21. Please give three (3) REFERENCES:
______
(Name) (Address)
______
(Name) (Address)
______
(Name) (Address)
The District Superintendent is requested to review this application carefully and provide such additional Information and evaluation of the applicant as the JRS Board may require.
I recommend favorable consideration of this application.
______
Date Superintendent District
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PLEDGE OF APPLICANT
I hereby solicit a loan from the Josephine Rudy Smith Scholarship Fund, Inc. I understand that I AM TO SERVE FIVE YEARS UNDER EPISCOPAL APPOINTMENT IN THE KENTUCKY ANNUAL CONFERENCE OR UNDER EPISCOPAL APPOINTMENT TO A FIELD OF MISSION SERVICE AFTER GRADUATION FROM A SCHOOL OF THEOLOGY. SHOULD I NOT SERVE THIS FIVE-YEAR PERIOD, I UNDERSTAND THAT THIS LOAN SHALL BECOME DUE AND PAYABLEWITH INTEREST ADDED IMMEDIATELY ACCORDING TO THE TERMS SPECIFIED BY JOSEPHINE RUDY SMITH SCHOLARSHIP FUND, INC.
______
Date Signature of Applicant
This application, when completed, should be mailed to:
Josephine Rudy Smith Scholarship Fund, Inc.
7400 Floydsburg Road
Crestwood, KY 40014
COSIGNER
The signature of a cosigner is required on the Promissory Note. NO EXCEPTION IS EVER MADE TO THIS REGULATION. The cosigner bears equal responsibility for the note with the borrower.
The Cosigner MUST be a citizen of the United States (or have permanent resident status), of legal age and
financially able to underwrite the loan. The following persons are NOT ACCEPTABLE as cosigners: husband or wife of the borrower, a student, a person who has an open account with the United Methodist Student Loan Fund; or fiancée.
The signature of the cosigner is also required on the Cosigner’s Pledge. This form becomes a part of the borrower’s permanent file.
COSIGNER PLEDGE
(To be attached with the completed Promissory Note)
I herby certify that I am a citizen (or permanent resident) of the United States, of legal age, and financially
able to underwrite the student loan in the amount of $______for ______
______(Name of student).
I understand, according to the terms of the Promissory Note, that I, as cosigner, bear equal responsibility for the loan with the borrower.
Signature of Cosigner ______Date ______
Social Security Number ______-______-______
Home Address ______
______
City State Zip Code
Relationship to the Borrower ______Occupation ______
Place of Employment ______
Address ______
Home Phone (_____)______Work Phone (_____)______
SCHOOL RECOMMENDATION
Josephine Rudy Smith Scholarship Fund, Inc.
This School Recommendation form is to be completed by the Registrar and returned to:
Josephine Rudy Smith Scholarship Fund, Inc.
7400 Floydsburg Road
Crestwood, KY 40014
ATTENTION REGISTRAR: All checks drawn on the Josephine Rudy Smith Scholarship Fund, will be sent to the school where the applicant is enrolled. The check will be made payable to the school and is to be applied directly to the student’s account. Please indicate below (1) how the name of the school should appear on the check, and (2) the proper school mailing address.
LOAN IS REQUESTED FOR THE ACADEMIC TERM:
FALL SPRING SUMMER INTERSESSION (Please circle)
Beginning ______Ending ______
Name of Student ______
Student’s Address ______
TO BE COMPLETED BY THE REGISTRAR
(Please include a transcript)
Student’s classification as of September 1 of the present academic year:
Junior ______Middler ______Senior ______Other ______
For how many hours is the student registered? ______
How many hours are required for full-time status? ______
Is the student making satisfactory progress in seminary obligations and course of study? ______
What is the actual cost of tuition and fees only? ______
Remarks ______
PLEASE NOTE
This form should not be completed Signed ______
by the Registrar until the student is
enrolled and classes have started for Date ______
the academic term listed above.
(Official School Seal Required)
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Revised 10/22/2015