Scholarship Application Template 2003

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Scholarship Application

Fowler Bonan Foundation

"Making A Difference in Southern Illinois” Scholarship 2015

Do you have questions? Please email

Kerry Camp, Fowler Bonan Foundation Executive Director at kerry.camp@yahoo.com

Application due date: Thursday, April 30, 2015

1. DEADLINE for scholarship applications is Thursday, April 30, 2015 at 5:00 p.m. (NO EXCEPTIONS)

2. If any question does not apply to you in this application please put N/A in the space.

3. Type or print legibly. It is strongly preferred that applications be returned to us by a school official.

4. Parties will be notified by email in May or early June regarding the award status of the scholarships

5. If you have any questions about the application, please contact Kerry Camp by email at kerry.camp@yahoo.com

PURPOSE The mission of the scholarship is to provide financial assistance to graduating high school seniors to be enrolled for undergraduate study in community colleges, colleges, trade schools and universities within the Fowler

Bonan Foundation service area as defined below.

FINANCIAL ASSISTANCE is based on financial need, academic performance, leadership potential, and participation in programs including but not limited to volunteerism and community service.

AWARDS: Up to 4 (four) $1000 scholarships will be awarded to deserving students residing in one of the counties served by the Fowler Bonan Foundation "Clothes for Kids" program. See list of counties below.

SCHOLARSHIP AWARDS: Areas that are reviewed by the committee include and given priority emphasis, include but are not limited to the following: Community Service and Financial Need. The Fowler Bonan Foundation will normally pay scholarship funds directly to the reci pient’s school. Scholarships will be awarded at the start of the recipients first semester of enrollment of place of study. The Fowler Bonan Foundation Scholarships are awarded without regard to race, color, ethnicity, gender or sexual orientation.

CRITERIA

Applicants must have permanent residence status in one of the 17 counties served by the Foundation.

Applicants must demonstrate a need for financial assistance

Preference may be given to applicants who have volunteered in Fowler Bonan Foundation and / or similar community service programs.

Applicants must complete and submit a Scholarship Application by Thursday, April 30, 2015.

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FOWLER BONAN FOUNDATION SERVICE AREA BY COUNTY

Alexander, Franklin, Gallatin, Hamilton, Hardin, Jackson, Jefferson, Johnson, Perry, Pope, Pulaski, Saline,

Williamson, Wayne, Union, Massac, and White.

TIMELINE

Applications are due Thursday, April 30, 2015 .

Applicants will be notified if awarded a scholarship by June 2015.

Application Process :

Application must be completed by student in conjunction with a school official.

Application should be submitted electronically (if at all possible) preferably by a school official to the

Foundation at kerry.camp@yahoo.com

. A scanned copy may be submitted. Alternatively, application may be mailed, preferably directly from a school official to the Fowler Bonan Foundation, PO Box 848, Harrisburg,

IL 62946. Must be postmarked by April 30, 2015. No exceptions.

Deadline for the application is Thursday

, April 30, 2015 .

Applications emailed after 5:00 p.m. on this date, or postmarked after this date if sent via U.S. Mail, will not be considered.

Application 2015 - Should be completed by Student in conjunction with

School Representative. School Representative MUST complete SECTIONS

16 and 17 and then preferably submit application directly.

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Please type on a separate sheet or print your answers below. If application is illegible it will be returned.

1 First Name: Last Name:

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3

4

5

Mailing Address:

Street: _________________________________________________________

City: State: ZIP:

Daytime Telephone Number: ( )

Email address:________________________________________

Current High School:

Number of years attended HS:

Student will be attending the following school in the Fall of 2015:

___________________________________

Address/ Phone

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What year will you enter school? Freshman Sophomore Junior Senior

Will you be a full time student? ______________________________________________________

8

Will you be a commuting student, or will you live on campus? ____________________________________

If you are not living on campus, where will you be living? _______________________________________

9

Name & address of parent(s) or legal guardian(s): Use reverse side of application if you need more space.

Name (s)

______________________________________________________________________________

Street: ___________________________ City:_____________________ State: ______

ZIP:_____________

Home phone of parents or legal guardians: _______________________________________

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10 SCHOOL EXTRA-CURRICULAR ACTIVITIES: Please list school extra-curricular activities in which student has participated. Note leadership roles and dates.

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AREA OF STUDY: What does student want to study and why?

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COMMUNITY SERVICE / VOLUNTEERISM: Please list community organizations such as service, volunteer and religious organizations in which student are now active or have previously been active. Note leadership roles and dates.

RECOGNITIONS : Please list any important awards and recognitions received. Note organizations presenting honor and date.

FINANCIAL NEED: Briefly explain any detail regarding the student's financial need for the Fowler Bonan

Foundation Scholarship.

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OTHER PERTINENT INFORMATION - FROM STUDENT: Please share any relevant information that may not have shared on other questions.

16

17

OTHER PERTINENT INFORMATION - FROM SCHOOL REPRESENTATIVE : Please share any relevant information that may not have shared on other questions.

SCHOOL OFFICIAL REPRESENTATIVE: Please list your name, school and position within the school.

STATEMENT OF ACCURACY

By emailing this application (or, mailing it via the US Postal Service) I / we hereby affirm that all the above stated information provided to the Fowler Bonan Foundation Scholarship Committee is true, correct and without forgery.

Date of Affirmation by School representative: Date:_______________________

Date of Affirmation by scholarship applicant (Student): Date: _______________________

The deadline for this application to be received (if submitted via email to

Kerry.Camp@Yahoo.com) by the Foundation is Thursday, April 30, 2015 , 5:00 p.m.

Submissions by mail must be postmarked by April 30, 2015. No exceptions!

THANK YOU!!

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