Application 2 – to print
and complete by hand
CYPRESS-WOODLANDS JUNIOR FORUM
FOUNDING MEMBERS SCHOLARSHIP OVERVIEW
The Cypress-Woodlands Junior Forum (CWJF) is proud to offer graduating
senior women the opportunity to apply for a Cypress-Woodlands Junior Forum Founding
Members Scholarship. Scholarship recipients will be chosen from qualified applicants in all
high schools in the Conroe, Klein, Magnolia, Spring and Tomball public school districts and
from students who attend Cypress Creek, Cypress Woods, Cypress-Fairbanks, and Jersey
Village high schools in Cypress-Fairbanks ISD.
The Cypress-Woodlands Junior Forum Founding Members Scholarship is open
to all young women regardless of race, color, creed, or national origin. Each $1,000
scholarship will be awarded in May of the current school calendar year. All applicants’
information will be completely confidential. The scholarship recipient will be selected from
information submitted by application and through a personal interview process. If an
applicant is unable to attend her scheduled interview, consideration may be based on her
application only. An impartial panel of the Community Outreach Committee of the CypressWoodlands Junior Forum will administer the selection process. No relative of any CWJF
member is eligible for this scholarship.
QUALIFICATIONS ARE BASED ON THE FOLLOWING IN ORDER OF PRIORITY
1. COMMUNITY SERVICE: CWJF believes that community service builds strong
individuals committed to excellence and opportunity for all. Consideration will be
given to volunteer service in the community-sponsored as well as in school-sponsored
volunteer organizations. For example, volunteer service may be performed through
hospitals, religious or volunteer organizations and community-sponsored charitable
projects.
2. ACADEMIC PERFORMANCE: CWJF strongly supports academic excellence and
the discipline and hard work required to meet college admission standards, as well as
the ability to maintain full-time student status.
3. FINANCIAL NEED: CWJF believes in educational opportunity and access for all.
Each of the applications will be considered based on individual need.
The primary consideration in the selection process is to reward, honor, and
encourage students who have dedicated their time and energies to improving their
world through community service.
The Cypress-Woodlands Junior Forum is a non-profit, 501(c)(3), volunteer service organization. Founded in 1982,
CWJF is one of nine chapters of Junior Forums, Incorporated, which originated in Houston, Texas in 1946. CWJF
is a growing organization of women dedicated to providing volunteer services, leadership and philanthropy to
enrich the northern corridor of Houston. In partnership with individuals, families, schools, organizations and
corporations, CWJF strives to fulfill identified needs in an evolving community where the participation of its
members can be most effective encompassing education, crisis intervention, interactions with an aging population
and support for people with disabilities. CWJF is widely recognized for its compassion, integrity and steadfast
involvement in community outreach. CWJF is dedicated to making a difference in the lives of children, families,
and the elderly.
CYPRESS-WOODLANDS JUNIOR FORUM
FOUNDING MEMBERS SCHOLARSHIP APPLICATION
Directions:
Complete the 4-page application. Make a copy for your records.
Return the completed application packet to your school counselor by January 9, 2015.
Questions may be directed to your school scholarship coordinator or cwjfscholar-grants@sbcglobal.net
GENERAL INFORMATION
High School:
School District:
Applicant’s Name:
Cell Phone:
City & Zip:
E-mail
address:
Subdivision:
Date of Birth:
PARENTS:
Father’s Name:
Mother’s Name:
Address:
Address:
Occupation:
Occupation:
Phone:
Phone:
Do you have siblings currently enrolled in college? If so, what are their ages and where do they attend?
List ages of other siblings who also live in the home.
FUNDING
Will it be necessary for you to provide partial funding for your education?
Yes
No
Have you applied for or will you apply for any other scholarships? If so, please list:
What educational loans have you applied for or will you apply for (if any)?
ACADEMIC INFORMATION
S.A.T. Scores: Verbal
Class Ranking:
Math
Writing
Ranked
GPA:
A.C.T. Score:
in a class of
on a
scale.
students.
To what colleges have you applied:
1st choice:
Status:
2nd choice:
Status:
3rd choice:
Status:
Pages with space for additional information can be found at the end of this application.
EMPLOYMENT/INTERNSHIPS OR SUMMER ACTIVITIES IN HS
Employer/Sponsor
Ex: Whole Foods
Ex: Exchange Student
From
Mm/yy
06/10
06/12
To
Mm/yy
05/11
05/13
Hours/
Week
10
n/a
Job Title
Sacker: sacked groceries, helped customers
Spent one year with host family in Spain
.
EXTRACURRICULAR ACTIVITIES
Organization
Examples:
Speech/Debate
Basketball team
Your
Position
/Year
Examples:
Member/11th
Captain/12th
Elected
to
position?
( y/n)
Description of Activities
Examples:
Hosted speech tournament
Played forward
Hours per week/Weeks per
year
Example: 3/24
means
3 hours per week/24 weeks per year
9th
10th
11th
3/24
12th
4/32
TALENTS/AWARDS/HONORS (Community and School)
Talents/Awards/Honors
Examples:
Voice
Regional qualifier (Math)
All-State basketball team
Description
Examples:
Sang in school choir
1 of 3 chosen for reg team (UIL)
1 of 5 in state chosen for 1st team
Year Received
Mark with an ‘x’
Level
Examples:
Regional
State
State
9th
X
10th
X
11th
X
X
X
12th
X
X
X
COMMUNITY OR VOLUNTEER SERVICE AT YOUR SCHOOL
Organization
Examples:
Mu Alpha Theta
PALS
How did you find this
organization?
Examples:
Qualified to join
Class at school
Describe the volunteer activity
performed
Examples:
Tutored students
Mentored and tutored students
Hours
9th
0
0
10th
0
0
11th
10
32
12th
20
0
Grand Total
TOTAL
30
32
COMMUNITY OR VOLUNTEER SERVICE OUTSIDE OF SCHOOL
Organization
Examples:
Habitat for Humanity
Hospital Volunteer
How did you find this
organization?
Examples:
NHS
Self-initiated
Describe the volunteer activity
performed
Examples:
Helped build houses
Helped nurses and visited patients
Hours
9th
5
0
10th
0
20
11th
10
30
12th
10
15
TOTAL
25
65
Grand Total
References for Community Services: Current contact number and e-mail addresses are required.
School Personal Reference (Teacher, Coach or Counselor):
Name:
Title:
Phone:
E-mail:
Community Reference (Outside of School)
Name:
Title:
Phone:
E-mail:
Reference of Choice (Adult who is not a relative who knows you and your volunteer work)
Name:
Title:
Phone:
Tape a current photograph here
E-mail:
In addition to the photograph, please provide:
• An official transcript.
• An essay (150 words or less) explaining which
community service activity you enjoyed the most
and why.
• Completed 4-page application.
Please return completed application packet to your
school counselor by January 9, 2015.
SPACE FOR ADDITIONAL INFORMATION
Make additional copies if necessary
EMPLOYMENT/INTERNSHIPS OR SUMMER ACTIVITIES IN HS
Employer/Sponsor
From
Mm/yy
To
Mm/yy
Hours/
Week
Job Title
EXTRACURRICULAR ACTIVITIES
Organization
Your
Position
/Year
Elected
to
position?
( y/n)
Hours per week/Weeks per
year
Description of Activities
9th
10th
11th
12th
TALENTS/AWARDS/HONORS (Community and School)
Talents/Awards/Honors
Description
Year Received
Mark with an ‘x’
Level
9th
10th
11th
12th
COMMUNITY OR VOLUNTEER SERVICE AT YOUR SCHOOL
Organization
How did you find this
organization?
Describe the volunteer activity
performed
9th
10th
Hours
11th 12th
Total
COMMUNITY OR VOLUNTEER SERVICE OUTSIDE OF SCHOOL
Organization
How did you find this
organization?
Describe the volunteer activity
performed
9th
10th
Hours
11th 12th
Total