applicants who can give evidence of: 1)good academic achievement and promise. 2)financial need, and 3)sound character and commitment to Sigma Phi. Your application for a grant will receive full and fair consideration only if you adhere to the following rules--we cannot guarantee that any application not doing so will rrcentile Date first pledged to Sigma Phi: Date initiated into Sigma Phi: Current Status in Sigma Phi: Active Brother: Pledge: Alumnus: Inactive Brother: *Please give us your most likely school address in the fall if different from either of the above addresses: Street Address City State Zip Code 2 Name: Social Security Number: Mailing Address through June 1997: Beat Mailing Address after June*: Telephone : ( ) ( ) Sigma Phi Chapter: College to be attended in grant year: Degree to be pursued: Major: Date of enrollment for this degree: Expected date of completion: Number of units required: Units completed to date: Current or most recent cumulative GPA (this must be filled in:) Degree(s) already completed: Degree Major Date College Standardized tests completed Test Date Score 3 Personal Financial Statement as of (date): Assets Liabilities Cash and Bank Accounts Loans from banks, financial institutions Stocks, Bonds, Securities Loans from Family Real Property Loans from educational institutions Personal Property All other liabilities Automobiles TOTAL LIABILITIES All other assets NET WORTH* TOTAL ASSETS LIABILITIES AND NET WORTH NOTE:Net Worth is described as the difference between Total Assets and Total Liabilities. Thus, Total Assets should equal the sum of Total Liabilities and Net Worth, even if Net Worth is negative. Personal Employment History - List all employment you have had in the last five years: Employer: Type of job: Address: Dates of Employment: Full Time to Part Time Employer: Type of job: Address: Dates of Employment: Full Time to Part Time Employer: Type of job: Address: Dates of Employment: Full Time to Part Time 4 Educational Expense Information Expenses to be incurred: Grant Year (projected) Prior Year (actual) Tuition Housing Food-Board Fraternity-Social Books-Lab Fees Transportation Total Expenses (A) Resources available to meet expenses: Employment Savings Family Contribution Scholarships Loans Government Benefits Total resources to meet expenses:(B) If the amount on line (A) is greater than the amount on line (B), how will you meet these expenses if you are not selected for this scholarship? 5 Financial Aid Information Amount of assistance requested from this scholarship: $ List below any scholarship you are currently receiving: Source Amount Period of Award Basis of Award List below any loans which you are currently using to finance your education, as well as any loans which you expect to have available to you in the grant year: Source Amount Period of Loan Repayment Requirements List below any scholarships for which you have applied or for which you will apply to be used in the grant year: Source Amount Period of Award Basis of Award List below any income which you will receive during the grant year from any government benefits (e.g. Social Security, Veterans, etc..) Source Amount Duration of Benefits Basis of Entitlement Financial Aid Office of the college you expect to attend in the grant year: Address: Note: Most awards will no longer be made through the financial aid office, but directly to the awardee pending completion of the transcript waiver and other requirements which will be outlined in the letter nominating awardees. 6 Family Information Father Mother Address Address Occupation Occupation Employer Employer Address Address Total Income in previous year Total Income in previous year Will your parents claim you as a dependent on their federal tax income return in the grant year? Will your parents be financing the education of any of your brothers or sisters in the grant year? If so, please list them below: Name of Sibling Degree College or University Amount of Support College Activities Do you live in the Sigma Phi Chapter house? If not, why? Do you own a Sigma Phi badge (or pledge pin, if you are a pledge)? Please list any significant school and / or community activities: Activity Dates of Involvement Description of Activity, (including offices held) Additional paper may be used if necessary. 7 The following items must accompany your application for this scholarship and are incorporated into it as an integral part of your request for a grant (all of these items should be submitted on 8 1/2 x 11” paper): 1. An essay, typed and double spaced, which explains your motivation to seek the degree for which you are requesting assistance. Your essay should also elaborate on the personal attributes which you feel qualify you for this degree, your need for financial aid and your efforts to assist yourself, and your contributions and feelings towards Sigma Phi. And, if you received a Viele grant last year, please briefly describe how it helped you in the pursuit of your degree (3 pages maximum). 2. One letter of recommendation from someone other than a relative or Active brother commenting on your character and standing in the community. 3. An estimate of costs to be incurred in the pursuit of the degree for which you are requesting assistance as published by the educational institution which you will, or are most likely to attend. (Please photocopy the appropriate catalogue page.) 4. A copy of your most recent college transcript. Freshmen should submit copies of final high school transcripts. New graduate students should submit copies of final undergraduates transcripts. If you are nominated for an award, you will be asked to sign a waiver for transcripts to be mailed directly to the Trustee during the award year. 5. A written confirmation from the college which you will attend stating that you are in good standing and eligible to be enrolled for work toward the degree you are pursuing. If you are transferring, or are applying to graduate school and have not been accepted yet, you will be required to present such evidence as soon as it is available in the event that you are nominated for an award. Please read and sign the statement below: I certify that the information included in this document, as well as any other material which I may submit in support of my request for assistance is true to the best of my knowledge. I intent that this information will be used in the consideration of my request. Further, I understand that my submission of false information can be the basis for cancellation of a grant already made and the requirement that I repay the grant already received. Applicant’s Signature 1. Applications must be submitted to the address below and postmarked no later than April 1, 1997. (Note:don’t waste money on Federal Express, etc. First class postmarking by April 1 is sufficient.) 2. All applications and essays must be typed or printed from a computer, please. 3. Supporting documents (listed on page seven of the application) must be submitted on, or neatly attached to, 8 1/2 x 11” paper. 4. Please submit six copies of your application (or, five copies, plus the original). Each copy must be a complete, collated and stapled set of the entire application with all accompanying documents, beginning with page two of this form. (Do not return this page as part of your submission). We strongly recommend that you keep a copy for your own files. 5. Under the heading, “Best Mailing Address after June” (page two) please list the best place for you to be reached by mail during the summer. This is extremely important as we sometimes have a transcript waiver to be sent directly to the trustee prior to the release of funds in February 1998. If you have any questions, or need more copies of this application, please call me at (818) 797-1763 (Pacific Time) leaving a message, your name, address and phone number. Thank you, and good luck! Yours in the bonds, Edward R. Bosley III, I’73, Vice Chairman, Sigma Phi Society Francis S. Viele Scholarship Post Office Box 765 Pasadena, California 91102 Should be submitted on 8 1/2 x 11” paper): 1. An essay, typed and double spaced, which explains your motivation to seek the degree for which you are requesting assistance. Your essay should also elaborate on the personal attributes which you feel qualify you for this degree, your need for financial aid and your efforts to assist yourself, and your contributions and feelings towards Sigma Phi. And, if you received a Viele grant last year, please briefly describe how it helped you in the pursuit of your degree (3 pages maximum). 2. One letter of recommendation from someone other than a relative or Active brother commenting on your character and standing in the community. 3. An estimate of costs to be incurred in the pursuit of the degree for which you are requesting assistance as published by the educational institution which you will, or are most likely to attend. (Please photocopy the appropriate catalogue page.) 4. A copy of your most recent college transcript. Freshmen should submit copies of final hR o o t E n t r y I n f o r m a t i o n o applicants who can give evidence of: 1)good academic achievement and promise. 2)financial need, and 3)sound character and commitment to Sigma Phi. Your application for a grant will receive full and fair consideration only if you adhere to the following rules--we cannot guarantee that any application not doing so will receive such consideration from the selection committee. 1. Applications must be submitted to the address below and postmarked no later than April 1, 1997. (Note:don’t waste money on Federal Express, etc. First class postmarking by April 1 is sufficient.) 2. All applications and essays must be typed or printed from a computer, please. 3. Supporting documents (listed on page seven of the application) must be submitted on, or neatly attached to, 8 1/2 x 11” paper. 4. Please submit six copies of your application (or, five copies, plus the original). Each copy must be a complete, collated and stapled set of the entire application with all accompanying documents, beginning with page two of this form. (Do not return this page as part of your submission). We strongly recommend that you keep a copy for your own files. 5. Under the heading, “Best Mailing Address after June” (page two) please list the best place for you to be reached by mail during the summer. This is extremely important as we sometimes have difficulty notifying applicants. If your chapter has a local scholarship committee which reviews your chapter’s applications, you must submit this application to that committee in time for them to complete their review and, in turn, submit the applications with their recommendations to me by the April deadline. Check with your alumni president to see if this applies to you. Those nominated for an award, as well as those not nominated, will be notified by July 1, 1997. Award nominees will be asked to arrange for a transcript waiver to be sent directly to the trustee prior to the release of funds in February 1998. If you have any questions, or need more copies of this application, please call me at (818) 797-1763 (Pacific Time) leaving a message, your name, address and phone number. Thank you, and good luck! Yours in the bonds, Edward R. Bosley III, I’73, Vice Chairman, Sigma Phi Society Francis S. Viele Scholarship Post Office Box 765 Pasadena, California 91102 ly to the Trustee during the award year.5. A written confirmation from the college which you will attend stating that you are in good standing and eligible to be enrolled for work toward the degree you are pursuing. If you are transferring, or are applying to graduate school and have not been accepted yet, you will be required to present such evidence as soon as it is available in the event that you are nominated for an award. Please read and sign the statement below: I certify that the information included in this document, as well as any other material which I may submit in support of my request for assistance is true to the best of my knowledge. I intent that this information will be used in the consideration of my request. Further, I understand that my submission of false information can be the basis for cancellation of a grant already made and the requirement that I repay the grant already received. Applicant’s Signature Date