Jewish Philanthropic Fund of Ellen and Marshall Cole
Robert Ashen & Ann Garry Scholarship Fund
(Complete and return to College Office)
PLEASE PRINT OR TYPE
Name: _______________________________________________________________
Last
First
Middle
_____________
Date of Birth
Address:_____________________________________________________________________________
Street
City
State
Zip Code
Phone: (
)______________________
Email Address:___________________________________
______U.S. Citizen/Permanent Resident
________
GPA
_______
Rank
_________
SAT-V
______AB540 Student
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SAT-M
________
SAT-W
__________
ACT Comp
PLEASE LIST:
Colleges accepted to: _________________________ ________________________________________
_________________________ ______________________ ___________________________________
College you will attend: ________________________________________________________________
AP/Honors courses taken:_______________________ ______________________________________
_________________________ __________________________ ______________________________
Scholarships that you have been awarded:_________________________________________________
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Honors received:______________________________________________________________________
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Extra-Curricular Activities:_____________________________________________________________
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Community Service:___________________________________________________________________
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Total Family Income: $______________
This income supports ____________ (number of people)
What is your expected family contribution? $______________________(Can be found on your SAR
or your webgrant online account)
STUDENT ESSAY
Describe your future goals and what this Scholarship Award will mean to you. Attach additional sheets if
needed. (Please type or print legibly).
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BRIEF STATEMENT: Please tell us about your family and any particular challenges you face outside
school. Attach additional sheets if needed. (Please type or print legibly).
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Student Signature:_____________________________________________ Date:__________________
College Counselor Certification of Eligibility:______________________________________________
Signature
APPLICATION DUE IN COLLEGE OFFICE BY: March 15, 2014
ATTACH THE FOLLOWING: 1) One letter of recommendation; 2) Copy of Financial Aid Award
Letter; 3) Copy of Unofficial Transcripts