Joseph J. Ellis Essay Scholarship, 2016 Thank you for your interest in the 2016 Joseph J. Ellis Scholarship to the Great Books Summer Program at Amherst College. Up to two full scholarships for one-week programs will be awarded to students based upon a minimum 500-word student essay. Scholarships will be awarded primarily based on the merit of the essay, but financial need will be taken into consideration. Essay Question: Write about an important person in American history, and explain the role they played in that history. You may choose anyone from before the year 2000. Be creative! Some examples of possible topics include: Harriet Beecher Stowe (author of Uncle Tom’s Cabin); Alexander Hamilton (Founding Father); W.E.B. Du Bois (civil rights leader); Mae Jemison (first African American female astronaut); Alexander Graham Bell (inventor of the telephone); Maria Tallchief (Native American ballerina) To apply, please submit your minimum 500-word essay with the attached Financial Aid Application and copies of all supporting documents listed on the application. Please be assured that your application will remain completely confidential. All entries will be read by the judges, and judges’ decisions are final.* Ellis Scholarship awards are not granted to recipients from prior years. The deadline for all Financial Aid applications is April 20, 2016. Applicants will receive a response by May 13th. If you have any questions regarding your application, please don’t hesitate to contact our Financial Aid office at 866-480-7323 Option #44. We can also be reached via email at heathern@greatbookssummer.com. Sincerely, Heather Nielsen Financial Aid Coordinator Great Books Summer Program Admissions PO Box 743 Fairfield, CT 06824 *The Joseph J. Ellis Scholarship is named in honor of Dr. Ellis and in recognition of his kind encouragement of the Great Books Summer Program. The scholarship is administered by GBSP. Dr. Ellis is neither an administrator nor a judge of the scholarship awards. (circle one) Male Female (Month/ Day /Year) Date of Birth: ___________ Grade (as of Jan. 16) ____ father stepmother stepfather custodial parent(s) other father stepmother stepfather custodial parent(s) other Age Relationship Age Relationship Signature of Parent/Guardian Date ________________________________________________________________________ I certify that all the information provided is accurate to the best of my knowledge. I understand this information will be treated with confidentiality and will be reviewed only by the Great Books Summer Program Admissions Staff. Name ________________________________________________________________________ Name ________________________________________________________________________ (if additional space is needed, please list on the back) Please list the number of dependents on your 2015 Federal Income Tax return: Please check all that apply: Student lives with Guardian #1 Student lives with Guardian #2 Mother is deceased Father is deceased Parents are separated Parents are divorced Other Occupation _______________________________ Gross annual salary ____________ Daytime Phone _____________________ Evening Phone _______________________ mother Guardian #2 Name __________________________Email_______________________ Occupation _______________________________ Gross annual salary ____________ Daytime Phone _____________________ Evening Phone _______________________ mother Guardian #1 Name __________________________ Email _______________________ Family Information How did you hear about us? _______________________________________________ Gender: Student Email ___________________________________ Cell Phone ______________ City _____________________________________ State________ Zip ______________ Address _________________________________________________________________ Name __________________________________________________________________ Student Information (all information is required) Financial Aid Application Form The application deadline is April 20, 2016. Stanford Amherst Intermediate Senior Senior—Writer’s Workshop One week Two weeks Three weeks Four weeks June 19 June 26 July 3 July 10 July 17 July 24 Financial aid is limited and based on demonstrated financial need. Call +1-203-612-9470 Please mail this completed application along with your financial aid information to: Great Books Summer Program, PO Box 743, Fairfield, CT 06824. For assistance or questions, please email: heathern@greatbookssummer.com You will receive a confirmation within two weeks of receipt. Reserve your space today! School Name ______________________________________________________ School Address ____________________________________________________ __________________________________________________________________ School Phone ______________________________________________________ Teacher/Counselor/Principal to contact ________________________________ Nominator’s Title __________________________________________________ Nominator’s Email _________________________________________________ Student Nomination Information Campus Program Duration Start date Please enroll my child in the following session: • A personal note from the student about their interest and expectations in the program. • A statement describing why you feel Financial Aid should be awarded to your child. • Provide copies of parent(s) 2015 signed Federal Income Tax Return form with documentation on all 2015 income (i.e. W-2, 1099, interest statements). If you are not required to file a 2015 tax return, please submit a statement to explain why and submit documentation of income. • Completed Financial Aid application. In order to be considered for Financial Aid, you must submit ALL of the following: summer program greatbooks