Applicant #
(FSF Use Only)
Jane Imhoff Grunden Scholarship
This $300.00 scholarship is in honor of a dedicated 1960 Fairview graduate, Jane Imhoff
Grunden. Jane spent her life working for others in the area of social work. She worked with
disabled adults as well as single mothers. She was a foster parent before she had her own
children. She was a woman of great integrity with a huge heart and compassion for others. This
scholarship is awarded to a graduating senior of Fairview High School for assistance with
college expenses. The financial needs of applicants will be a consideration when awarding this
scholarship.
The application MUST be typed and submitted with the following documents:
A.
B.
C.
D.
Completed application
One letter of recommendation
A copy of your Federal Student Aid (FAFSA) Report indicating your Expected Family
Contribution (EFC)
Your Fairview High School transcript that includes your grades from 9th grade through
the first semester of your 12th grade.
Applications must be received no later than March 29, 2016.
Applications received after this date will not be considered.
Please submit the completed application and supporting documentation to:
Fairview School Foundation
Attn: Justin Zona
7466 McCray Road
Fairview, PA 16415
In order for this to be a fair and anonymous process, please indicate your name only on this
cover sheet. Your name on your letter of recommendation, Federal Student Aid Report, and
transcript will be masked prior to committee members reviewing them.
Please click and enter information in all shaded areas.
Applicant Name
Enter Last Name
Enter First Name
M.I.
Enter Phone
Number
Applicant Address
Enter Street Address
City
State
Zip Code
I certify that all statements made in this application are true.
Student’s Signature
Date
Parent/Guardian’s Signature
Date
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Applicant #
(FSF Use Only)
Please click and enter information in all shaded areas. Boxes will expand to hold entries.
Use only the number of boxes needed. Use additional sheet, if needed.
Section I. SCHOOL AND/OR COMMUNITY SERVICE
Service Organization
Grade(s) when
involved
Time Commitment
Role
EX: Rachel’s
Challenge
Enter Organization
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10,11,12
2x year 1 hour each
Organized workshop
Enter Grades
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Enter Time
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Enter Role
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Enter Organization
Enter Organization
Enter Grades
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Enter Time
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Section II. EMPLOYMENT
List any jobs you have held during high school. Include an explanation of your responsibilities and
duties, the number of hours you worked each week, and the dates you were employed.
Enter text here. (Box will expand to fit entry.)
Section III. ESSAY
Please take this opportunity to share your personal reflections regarding why this scholarship would
be meaningful to you and how you would use it to prepare for your college future.
Enter text here. (Box will expand to fit entry.)
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