WABASH COUNTY SCHOLARSHIP TRUST APPLICATION YEAR 2013-2014 The Wabash County Scholarship Trust Fund is providing scholarships for deserving students. The Center for Scholarship Administration, Inc. (CSA), a non-profit, independent organization is the Facilitator of the scholarship fund. QUESTIONS AND ANSWERS ABOUT THE PROGRAM Q: A: Who is eligible for the scholarship? See Specific criteria for each scholarship as listed in the application. Also all applicants for each scholarship must meet the following criteria as well: Applicants must demonstrate traits of high personal character and leadership. Applicants must demonstrate financial need. Applicants must be planning to attend college in the fall of the year the award is made Q: A: When is the deadline for submission of materials? The deadline for submission of this application along with the additional required materials is a postmark no later than FEBRUARY 1, 2013. Materials must be mailed in ONE envelope to the Wabash County Scholarship Trust, 4320 Wade Hampton Boulevard, Suite G, Taylors, SC 29687. Q: A: What constitutes a complete application packet? You must submit the following additional materials: 1. Submit a completed PAPER APPLICATION along with signed TERMS OF AGREEMENT, found in this application. 2. Submit an OFFICIAL TRANSCRIPT with grades and cumulative GPA posted through the Spring 2012 semester. (It must be OFFICIAL) Q: A: What is the value of the scholarship award? The number of recipients and the amount of each scholarship may vary from year to year due to fluctuations in the Fund’s value and/or applicable document restrictions. Q: A: What schools can a recipient attend? The recipients may attend any accredited college or university in any field of study leading to a degree, provided the institution meets the criteria in the following paragraph. The institution must be an educational organization that normally maintains a regular faculty and curriculum and normally has a regularly enrolled body of pupils or students in attendance at the place where its educational activities are regularly carried on. To the extent the institution is involved in the selection of the recipients (if at all), such involvement must comply with the Fund’s policy of awarding scholarships on an objective and nondiscriminatory basis as well as the Fund’s Conflict of Interest Policy. Q: A: What if I am unable to attend consecutive semesters? Extenuating circumstances requiring a student to sit out a semester must be explained in writing to CSA. You will be notified of the final decision. If a recipient is out for a semester, then that semester is forfeited. Q: A: How are winners selected? An Awards Advisory Committee will consider the respective ability, educational goals, career ambitions and financial need of each applicant. Q: A: How will I be notified if I am chosen as a recipient? All complete applicants will be notified of the decisions of the committee. Q: A: Is this scholarship renewable? Baer, Bromley Educational, Butts, Craver, Glass, Klare, Richards, Tate, Wade, and Scott Wakefield are nonrenewable, one-year only. Tyner Christian Education may be renewable for 3 additional years, for a total limit of 4 years, or until an undergraduate degree is obtained; whichever is sooner. NOTE: Students must REAPPLY each year in order to be considered for renewal. WABASH COUNTY SCHOLARSHIP TRUST APPLICATION FOR SCHOLARSHIP AWARD FOR 2013-2014 Complete this section regarding personal information: First Name _____________________________ MI _______________ Last Name ______________________ Date of Birth _________/_________/_________ Gender: Male Female Country of Citizenship ___________________________________________________ Home Address (Street)________________________________________________________________________ Home Address (Apt #)___________________________________________________________________ City ____________________________ State _________________ Zip ___________ Primary Phone _________________________ Secondary Phone __________________________ Type _____________________ Type _____________________ Email address ___________________________________________________________________________ I am a high school senior or a graduate of: Wabash Southwood Northfield Manchester Please check which scholarships you are applying for: Ella Truxell Baer Trust—high school seniors at Wabash High School, minimum cumulative GPA 2.70 Bromley Trust and Education Fund—high school seniors at Manchester, Northfield, Southwood, and Wabash High School who are residents of the City of Wabash, minimum cumulative GPA 2.70 Orval H. Butts Athletic Scholarship—high school senior at Wabash High School who is an Athlete, cheerleader or manager who has done the most for school spirit, minimum cumulative GPA 2.70 Klare Trust— high school seniors at Manchester, Northfield, Southwood, and Wabash High Schools, minimum cumulative GPA of 2.70 John and Edith Richards Memorial Trust Fund— high school seniors at Manchester, Northfield, Southwood, and Wabash High Schools, minimum cumulative GPA 2.70 Tyner Trust—two four-year scholarships to financially needy high school seniors at Wabash High School to attend Christian college. Preference given to Asbury College, DePauw University or any college or university of higher Christian education of the Protestant faith, preferably the Methodist or Episcopal faith. Minimum cumulative GPA 2.70 Jennie Wade Scholarship Fund— high school seniors at Manchester, Northfield, Southwood, and Wabash High Schools, minimum cumulative GPA 2.70 Blair Tate Trust— high school seniors at Manchester, Northfield, Southwood, and Wabash High Schools, minimum cumulative GPA of 2.70 W. Scott Wakefield Vocational Scholarship Fund—high school seniors at Wabash High School pursuing a degree in technical or science related field, minimum cumulative GPA 2.70 Floyd Glass Trust— high school seniors at Manchester, Northfield, and Southwood High Schools, minimum cumulative GPA 2.70 Roy B. Craver Trust—high school seniors at Manchester, Northfield, Southwood, and Wabash High Schools, minimum cumulative GPA 2.70 Complete this section regarding your high school information, if you are currently in high school: Currently enrolled at (name of high school) __________________________________________ Anticipated HS graduation date ___________/______________ Month Year Complete this section regarding your current college information, if you are currently in college: Name of current college _____________________________________________________________ Location of college __________________________________________ City Type of College – 2 Year or 4-Year Current College Classification State _________________ FR SO JR Complete this section regarding your education plans for 2013-2014: Name of college planning to attend 1st Choice_____________________________________ Location of college planning to attend __________________________________________ City Type of College – 2 Year or 4-Year State _________________ Name of college planning to attend 2nd Choice_____________________________________ Location of college planning to attend __________________________________________ City State Type of College – 2 Year or 4-Year _________________ Classification for upcoming fall term FR SO JR SR Anticipated Date of College Graduation ________/_________ Month Year Complete this section regarding “known” or “applied for” financial aid Will you be receiving any other form of scholarship aid for academic year 2013-2014?____ If yes, list name of scholarship Annual Amount Renewable (yes or no) ______________________________ _____________ __________________ ______________________________ _____________ __________________ ______________________________ _____________ ___________________ Complete this section regarding family information: Mother’s Full Name_________________________________________________________________ Mother’s Occupation______________________ Mother’s Employer___________________________ Father’s Full Name_________________________________________________________________ Father’s Occupation_______________________ Father’s Employer___________________________ Parent’s are: Married Separated Applicant lives with: Both Parents One Parent One Parent and Stepparent Other Number of siblings in family? Divorced Other ________ How many immediate family members, including the applicant, will be attending college in Fall 2013? ________ Do your parents file Federal Income Taxes? ________ Are you claimed on your parent's tax forms? ________ If you are not claimed on your parent's tax forms, do you file independently? ________ REMEMBER You must submit the following in ONE envelope in order for your application to be complete: 1. Submit a completed PAPER APPLICATION along with signed TERMS OF AGREEMENT, found in the application. 2. Submit an OFFICIAL TRANSCRIPT with grades and cumulative GPA posted through the Spring 2012 semester. (It must be OFFICIAL) DEADLINE Deadline for submission of all materials is a postmark no later than FEBRUARY 1, 2013. Faxed copies and materials received after the postmark deadline will not be considered. MAIL ALL INFORMATION TO: WABASH COUNTY SCHOLARSHIP TRUST FUND 4320 WADE HAMPTON BOULEVARD, SUITE G, TAYLORS, SC 29687 for questions, contact sallyking@bellsouth.net TERMS OF AGREEMENT Wabash County Scholarship Trust YOU MUST PRINT AND SIGN THIS PAGE. INCLUDE THE SIGNED FORM IN THE APPLICATION PACKET. I understand that certain persons may not be eligible to apply for this scholarship. In order to avoid potential conflicts of interest or the appearance thereof and in order to avoid certain forms of self-dealing described in Section 4941 of the Internal Revenue Code, the following persons shall not be eligible for or receive any scholarship offered by the Wabash County Scholarship Trust Fund. Any "Interested Person: (which term includes, for the purposes of this document, any donor, trustee, selection committee member, advisory board member, and staff members of the Fund, and those otherwise deemed to be "disqualified persons" under the Internal Revenue Code); the spouses and ancestors of Interested Persons; the children, grandchildren, and great-grandchildren of Interested Persons; the spouse of any child, grandchild, or great-grandchild of an Interested Person; current employees of Wells Fargo and CSA and their spouses, ancestors, children, grandchildren, great-grandchildren and the spouses of such children, grandchildren and great-grandchildren. I acknowledge that I have read and agree to provide the additional materials required to complete my application. I certify that the information contained in this application and all other materials submitted by me for consideration of this scholarship are to the best of my knowledge accurate and true. I also certify that the personal statement is my own work. I authorize my school to provide the Awards Advisory Committee with any and all requested information concerning my enrollment, grades, SAT/ACT scores or any combination of the above, and any other information deemed necessary by the Awards Advisory Committee to enable them to make an informed decision regarding the selection of recipients. I give Wells Fargo Bank/CSA permission to list my name as a scholarship recipient on the Wells Fargo Bank/CSA website if I am chosen as a recipient. I understand that this is a competitive scholarship program. Scholarships shall be awarded on an objective and non-discriminatory basis, with neither race, creed, color, sex, age, religion, national origin nor disability being considered. Selections are based on information received from the application and the additional materials postmarked by the deadline. Decisions of the committee are final and justification for recipient selection(s) by the Awards Advisory Committee, CSA, Wells Fargo Bank staff will not be disclosed under any circumstances. I understand that if I do not submit all the required materials by the postmark deadline that I will not be considered for a scholarship. I have read the above terms and certify that I am eligible to apply for a scholarship and that I will abide by these terms. YOU MUST PRINT AND SIGN THIS PAGE. INCLUDE THE SIGNED FORM IN THE APPLICATION PACKET. _______________________________________ _______/_______/_______ Signature Date _______________________________________ Print Name By signing your name you certify that you agree to the terms of this scholarship process.