CALIFORNIA COMMUNITY FOUNDATION
THE MARK BINGHAM LEADERSHIP FUND SCHOLARSHIP
2006-2007
The Mark Bingham Leadership Fund Scholarship was established at the California Community
Foundation" to honor Mark Bingham, an American hero of September 11th, 2001 aboard Flight 93.
The scholarship’s mission is to help a U.C. Berkeley student with monetary support for needs such
as tuition, room and board or other school-related expenses.
For this year, the 2006-07 academic year, the Mark Bingham Leadership Fund Scholarship will
select one student from the University of California, Berkeley, who will be awarded between
$3000-$5000 for tuition, room and board or other school-related fees. Scholarship awards will be
paid directly to the university and will be designated for the eligible expenses listed below.
Selection Criteria:
• Student enrolled as a full-time, undergraduate student at the University of California,
Berkeley.
• Student must have completed 1 full year at the University of California, Berkeley or be a
transfer student of Junior status.
• Submit application, including a student statement, an essay, and a letter of recommendation
Eligible Expenses: Students may apply the grant amount toward tuition, room and board or other
school-related expenses.
Application Procedure: Eligible candidates may apply for the scholarship by submitting the
attached application along with the additional information requested.
Scholarship applicants will be notified by early May 2006.
The Mark Bingham Leadership Fund Scholarship
Application Form
Mark Bingham was a hero onboard Flight 93 on September 11th, 2001. This scholarship was
established in his name to promote the characteristics of Leadership, Heroism, Teamwork, and
Sociability that Mark demonstrated in his life. Mark attended the University of California at
Berkeley from 1989 – 1993 obtaining his BA degree in 1993..
I. Student Information
Name ____________________________________________________________
Last
First
Middle Initial
Address____________________________________________________________
Street
___________________________________________________________
City
State
ZIP
Telephone (area code and number)_______________________________________
Cumulative GPA ____________
Major or Intended Major _______________
Expected Date of Graduation ____________
Social Security Number _________________
Parent/Guardian Information
Name ____________________________________________________________
Last
First
Middle Initial
Address____________________________________________________________
Street
___________________________________________________________
City
State
ZIP
Telephone (area code and number)_______________________________________
II. Financial Need and Expenses
Please fill out the following financial worksheet for the 2006-2007 school year (estimate
amounts based on 2005-2006 year)
Educational Expenses
Available Income/Subsidy
Tuition/Fees
$ _____________
Scholarships/Grants $_____________
Room/Board
$ _____________
Loans
$_____________
Books/Materials
$ _____________
Family Support
$______________
Personal Expenses $ _____________
Employment
$______________
Transportation
Other
$______________
$ _____________
EXPENSES TOTAL $______________
SUPPORT TOTAL $________________
Financial Information
Student is:
Dependent ____________
Independent _____________
*An independent student is either 24 years of age or older, or has not been claimed on his/her
parents’/guardians’ federal income taxes for the previous year.
Number of people in household ____________
Number of people in household attending college full-time this next year_____________
Family income
Family Gross Income
$ ________________
Other Income
$ ________________
III. Additional Information
A) Honors or Awards Received
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
B) Extracurricular/Athletic/Community/ Philanthropic Activities
Dates
Activity/Project
C) Student’s Statement (1 page; please type and attach to your application.)
Please write a small essay about yourself. Use 1 page to help us get to know
something about you.
D) Student Essay (2 pages or less; please type and attach to your application)
How do you feel you can contribute to a new generation of leaders and how would this
scholarship enable you to do so?
E) Additional Information
The administrators of the Mark Bingham Leadership Fund Scholarship would like to
know each applicant personally. To whatever extent you’re comfortable, please feel
free to provide any additional information that would help us know the real you.
In past applications we have had everything from songs on CDs, picture
albums/collages, and videos. Creativity is encouraged.
Certification Statement
I certify that the information provided is complete and accurate to the best of my
knowledge. If requested, I agree to provide additional information for verification
purposes.
Student Signature __________________________________________
Parent/Guardian
Signature
__________________________________________
Date
__________________________________________
Attachments
Please attach:
-
Personal statement
-
Essay
-
And if possible A copy of Notice/Letter of financial aid application
Application Due Date:
April 21st, 2006
Please mail application to:
The Mark Bingham Leadership Fund Scholarship
1410 Shrader Street
San Francisco, CA 94117
Please note that California Community Foundation employees and family members are not eligible
for this scholarship.