SCHOLARSHIP APPLICATION

Transcription

1 Foundation SCHOLARSHIP APPLICATION The PACB Foundation is pleased to announce that the PACB Scholarship Fund is awarding $1,000 renewable Scholarships for the academic year. The top scholarship winner will also receive the Frank A. Pinto Scholarship for Excellence award of $500 the first year. The Frank A. Pinto Scholarship for Excellence is in recognition of Mr. Pinto s creation of and contributions to the PACB Foundation Scholarship Program. This scholarship program is designed to assist children of bank employees working a minimum of 1,000 hours or more per year and/or directors of PACB s member institutions. The eligibility requirements are attached. PLEASE PAY CLOSE ATTENTION TO THE DEADLINES BELOW FOR SUBMITTING COMPLETED APPLICATIONS. Incomplete or falsified information will invalidate the application. The application is designed to be self-explanatory, however, questions related to the completion of the application should be directed to your guidance office. Finalists will be notified by the end of March To determine the final scholarship recipients, individual interviews will be conducted at PACB headquarters in Harrisburg on Monday, April 28, If you are selected as a recipient, you will be notified in May 2016, and a check will be sent directly to your financial advisor at the accredited college or university you will be attending. BE SURE YOU HAVE COMPLETED: Page 1: Student/Applicant Information Page 2: Community Involvement / Financial Information / Essay Page 3: High School Scholastic Achievements (completed by your guidance counselor) Your completed application may be submitted to any of the following locations: Your high school guidance office, and then forwarded to the PACB Foundation; Your local community bank, and then forwarded to the PACB Foundation; or Mailed directly to : PACB Foundation, P.O. Box 5346, Harrisburg, PA NOTE: Application must be postmarked by Friday, February 12, The Pennsylvania Association of Community Bankers (PACB), located in Harrisburg, Pennsylvania, is an association of community-based financial institutions dedicated to the principles of community banking. PACB established the PACB Foundation in part to provide financial assistance to dependent children of PACB member employees and directors who wish to pursue courses of study at institutions of higher learning. PACB Foundation is a tax-exempt charitable organization pursuant to 501 (c) (3) of the Internal Revenue Code. Contributions to it will be used exclusively for charitable educational purposes and are tax deductible pursuant to Internal Revenue Code 170 (c). A copy of Form 990 Return of Organization Exempt from Income Tax for the PACB Foundation is available upon request for public inspection.

2 Foundation SCHOLARSHIP APPLICATION EligibilityRequirements PLEASE READ CAREFULLY BEFORE COMPLETING THE APPLICATION! 1. Applicant must be a dependent child of a parent working at least 1,000 hours per year, for a minimum of two years, for a regular member of the Pennsylvania Association of Community Bankers (PACB) as of the cutoff date of application for scholarships OR a child of a parent who was deceased no more than two years prior to the cutoff date of application for scholarships AND who was employed by a regular member of PACB for a minimum of five years. Applicant may ALSO be a dependent child of a member institution s director who meets the above guidelines. Employment or service need not be with the same regular member for the full twoyear period. Stepchildren must be in the custody of, and reside with, the parent affiliated with the PACB member institution. 2. Applicant must enroll as a full-time, undergraduate student, as defined by the accredited educational institution at which the applicant has enrolled (offering courses of study beyond the high school level). Enrollment at ONLY colleges, universities and community colleges will be considered. 5. Official transcripts of grades from the high school the applicant is attending must be included with the guidance counselor s portion of the application and must include the most recent two semesters weighted grade point average. A copy of the applicant s highest SAT or ACT score must be included with the guidance counselor s portion of the application. No application will be processed without these items. 6. PACB Scholarships are renewable. However, the recipient must maintain the grade point averages below, as well as continue to meet all eligibility requirements in order to continue to receive financial support from the PACB Foundation: Freshman Year 2.5 Sophomore Year 2.8 Junior Year 3.0 These GPAs must be maintained on a cumulative basis and must be reported, by July 15 th, directly to the PACB Foundation office by the recipient in a verified form from the institution at which the recipient is enrolled. 3. Should the recipient withdraw from the educational institution, any refund due should be returned to the PACB Foundation. 4. It is the responsibility of the applicant to notify the PACB Foundation office of other financial aid that has been awarded to the applicant. The PACB Scholarship award plus any financial aid received by the student will not exceed the total of tuition, books, fees, room and board.

3 Foundation SCHOLARSHIP APPLICATION ALL STUDENT AND PARENT INFORMATION IS REQUIRED STUDENT INFORMATION Name: Male/Female: Street Address: City: State: Zip: Phone #: 1. List two references, other than relatives, who know you and your capabilities well enough to give an evaluation if required. One reference must be a teacher or guidance counselor. A. (Name, address and telephone number) B. (Name, address and telephone number) 2. To which college(s) have you applied for admission? 3. To which college(s) have you been accepted? 4. If accepted to more than one college, which will you attend? 5. What is your proposed major area of study in college? PARENT INFORMATION Parent s Name: Title/Position: Bank: Date of Employment/Service: Employee or Director: (Please check one) Employee Director Bank s Address/City: Bank s Telephone #: Page 1 of 3 DID YOU COMPLETE EVERY PORTION OF THIS APPLICATION?

4 Foundation SCHOLARSHIP APPLICATION APPLICANT S COMMUNITY INVOLVEMENT 1. EXTRACURRICULAR ACTIVITIES - Please list organizations, clubs, extracurricular and community activities you have participated in during your Junior and/or Senior years only. (Please fill out this page completely before continuing on additional paper.) ACTIVITY DATES OF PARTICIPATION LEADERSHIP POSITIONS, HONORS, AWARDS, ETC. 2. WORK EXPERIENCES - Please list work experiences during Junior and Senior years only. (Include summer employment and other work activities such as helping on family farm, at home, or with family business.) JOB EMPLOYER DATES OF EMPLOYMENT 3. FINANCIAL INFORMATION - Please check the income level that indicates your family s adjusted gross income from last year s federal tax return: under $20,000 $20-$30,000 $30-$40,000 $40-$50,000 over $50, ESSAY - The essay segment is an important piece of this application. It allows you an opportunity to demonstrate your creativity, critical thinking and written communication skills. On a separate sheet of paper, please provide your comments in essay format to the following statement using 1,000 words or less: With $1,000, describe how you would solve one significant issue in your community. Be creative and specific. 5. To the best of my knowledge, this application is complete and accurate. I realize that if it is determined that any part of this application has been willfully falsified, the entire application will be invalid and I will be disqualified as a potential PACB scholarship applicant. Applicant s Signature Date Page 2 of 3 DID YOU COMPLETE EVERY PORTION OF THIS APPLICATION?

5 Foundation SCHOLARSHIP APPLICATION PLEASE HAVE YOUR GUIDANCE COUNSELOR OR PRINCIPAL COMPLETE THIS PAGE. EVERY PORTION of the form must be filled out COMPLETELY for the application to be accepted! Student s Name: High School/Town: 1. College Entrance Exam Score: (At least ONE score must be reported AND a copy of the official score sheet MUST be attached!) SAT Combined Score: ACT Composite Score: 2. Student s cumulative high school GPA (on a 4-point scale, please) excluding spring semester of their senior year: GPA: out of a possible Please list the student s classes for the terms indicated below. Please use an * to denote any Honors or elective classes. JUNIOR YEAR GRADE SENIOR YEAR GRADE 4. Please attach an official high school transcript of grades and an ACT/SAT score sheet to this completed form and mail to PACB Foundation, P.O. Box 5346, Harrisburg, PA Signature/Title of Person Completing This Form Page 3 of 3 Date DID YOU COMPLETE EVERY PORTION OF THIS APPLICATION?

6 ATTENTION: Human Resources Department 2016 PACB Foundation Scholarship Program Information & Application Enclosed It is important that the enclosed information be forwarded to the appropriate person within your bank for prompt distribution to your employees. Please place the poster in a prominent location. Your immediate attention is greatly appreciated. Thank you! Foundation 2405 N. Front St. PO Box 5346 Harrisburg, PA phone: fax:

7 ATTENTION: High School Principals 2016 PACB Foundation Scholarship Program Information & Application Enclosed The scholarship program is only available to graduating seniors. Because many guidance departments are specialized, it is critical that these materials be forwarded to the appropriate guidance counselor in your high school. Your immediate attention is greatly appreciated. Thank you! Foundation 2405 N. Front St. PO Box 5346 Harrisburg, PA phone: fax:

8 ATTENTION: 2016 PACB Foundation Scholarship Program IMPORTANT DEADLINE REMINDER Your completed application can be submitted to any of the following locations: Your high school guidance office Your local community bank, or Mailed directly to: PACB Foundation, P.O. Box 5346, Harrisburg, PA NOTE: Application must be postmarked by Friday, February 12, Thank you! Foundation 2405 N. Front St. PO Box 5346 Harrisburg, PA phone: fax:

9 Dear Community Banker: PACB FOUNDATION PENNSYLVANIA ASSOCIATION OF COMMUNITY BANKERS 2405 N. FRONT STREET P.O. BOX 5346 HARRISBURG, PA The PACB Foundation is delighted to present the PACB Scholarship Program for the academic year, which is open to high school seniors. The response to the scholarship program during the last several years has been tremendous, and we are very proud of the difference it has made to all our merit and scholarship winners. Enclosed is a packet of information on this year s scholarship program. This packet includes several pieces that will acquaint parents, students, guidance counselors, and bankers with the PACB scholarship program. Inside you will find the following documents: 1. Eligibility and Requirements - detailing the eligibility and selection guidelines 2. The 2016 PACB Scholarship Application 3. A poster announcing the availability of the scholarship for use in your bank Please be sure to forward these materials on to the appropriate person/department in your bank so that the information can be properly disseminated to your employees. You will find only one scholarship application enclosed. Please feel free to make additional copies as needed! In addition, applications may be printed off PACB s website, Additional posters are also available by request. Should you need more, please contact PACB at We hope you are just as excited about this project as we are! This is just one more way of expressing how much we value all of your employees, directors and their families. Sincerely, Dominic D. DiFrancesco President/CEO PHONE: IN PA: FAX:

10 Dear Guidance Counselor: PACB FOUNDATION PENNSYLVANIA ASSOCIATION OF COMMUNITY BANKERS 2405 N. FRONT STREET P.O. BOX 5346 HARRISBURG, PA The Pennsylvania Association of Community Bankers (PACB) has established the PACB Foundation that provides scholarships to children of PACB member institutions employees and directors. The scholarships are available to high school seniors who are planning to attend an accredited college, university, or community college on a full-time basis. Enclosed is a packet of information on this year s scholarship program. This packet includes several pieces that will acquaint parents, students, and guidance counselors with the PACB Foundation scholarship program. Inside are the following documents: 1. Eligibility and Requirements - detailing the eligibility and selection guidelines 2. The 2016 PACB Scholarship Application (which may be photocopied) 3. A listing of all PACB member financial institutions 4. A poster announcing the availability of the scholarship for use in your school Please be sure to screen the applications before they are mailed back to the PACB Foundation office. Make sure that all questions are answered completely and concisely. Please check the application to validate that the indicated bank is a PACB member institution. Incomplete applications will not be accepted. Your office must complete the section requesting grades and test scores. Please forward the completed applications, postmarked no later than 2/12/16, directly to the PACB Foundation office at: PACB Foundation P.O. Box 5346 Harrisburg, PA Thank you for your assistance and support! Sincerely, Dominic D. DiFrancesco President/CEO PHONE: IN PA: FAX:

11 A Allegheny Valley Bank, Pittsburgh Altoona First Savings Bank, Altoona Ambler Savings Bank, Ambler Armstrong County B&L Assn., Ford City Atlantic Community Bankers Bank, Camp Hill B Bally Savings Bank, Bally Bank of Bird-in-Hand, Bird-in-Hand Bank of Landisburg, Landisburg Beneficial Bank, Philadelphia Brentwood Bank, Bethel Park Bryn Mawr Trust Company, Bryn Mawr C C&G Savings Bank, Altoona CFS Bank, Charleroi Chelten Hills Savings Bank, Abington Citizens Savings Bank, Clarks Summit Clarion County Community Bank, Clarion Clearfield Bank & Trust Co., Clearfield Community Bank, Carmichaels Community First Bank, Reynoldsville Community State Bank of Orbisonia, Orbisonia County Savings Bank, Essington Covenant Bank, Doylestown Cresson Community Bank, Cresson CSBank, Coatesville D Dime Bank, Honesdale E East River, Philadelphia Enterprise Bank, Allison Park ESSA Bank & Trust, Stroudsburg Member Listing 2405 N. Front St. PO Box 5319 Harrisburg, PA phone: fax: F Farmers and Merchants Trust Co., Chambersburg Farmers Building & Savings Bank, Rochester Farmers National Bank of Emlenton, Emlenton FHLBank Pittsburgh, Pittsburgh Fidelity S&L Assn. of Bucks Co., Bristol First Columbia Bank & Trust Co., Bloomsburg First Community Bank of Mercersburg, Mercersburg First Federal S&L of Greene Co., Waynesburg First National Bank & Trust Co., Newtown First National Bank of Fredericksburg, Fredericksburg First National Bank of Mifflintown, Mifflintown First National Bank of Port Allegany, Port Allegany First Northern Bank & Trust Co., Palmerton First United National Bank, Fryburg Fleetwood Bank, Fleetwood G Greenville Savings Bank, Greenville H Harleysville Savings Bank, Harleysville Hatboro Federal Savings, Hatboro Hyperion Bank, Philadelphia I Indiana First Bank, Indiana Investment Savings Bank, Altoona Iron Workers Bank, Aston J Jim Thorpe National Bank, Jim Thorpe Jonestown Bank & Trust Co., Jonestown L Liverpool Community Bank, Liverpool

12 M Manor Bank, Manor Marquette Savings Bank, Erie MCSBank, Lewistown Mercer County State Bank, Sandy Lake Meridian Bank, Malvern Mid Penn Bank, Millersburg Milton Savings Bank, Milton N Neffs National Bank, Neffs New Tripoli Bank, New Tripoli P PeoplesBank, A Codorus Valley Co., York Phoenixville Federal Bank & Trust, Phoenixville Port Richmond Savings, Philadelphia Progressive-Home Federal S&L Assn., Pittsburgh Prudential Savings Bank, Philadelphia R Riverview Bank, Marysville S Scottdale Bank & Trust Co., Scottdale Sewickley Savings Bank, Sewickley Sharon Savings Bank, Darby Slovak Savings Bank, Pittsburgh Slovenian S&L of Canonsburg, Strabane Slovenian S&L of Franklin/Conemaugh, Johnstown Somerset Trust Company, Somerset Standard Bank, PaSB, Monroeville T The Gratz Bank, Gratz The Victory Bank, Limerick Tioga-Franklin Savings Bank, Philadelphia Turbotville National Bank, Turbotville Member Listing 2405 N. Front St. PO Box 5319 Harrisburg, PA phone: fax: U UNB Bank, Mount Carmel Union B&L Savings Bank, Beaver United Bank of Philadelphia, Philadelphia United Savings Bank, Philadelphia United-American Savings Bank, Pittsburgh W Washington Financial Bank, Washington Washington Savings Bank, Philadelphia West View Savings Bank, Pittsburgh Westmoreland Federal S&L Assn., Latrobe William Penn Bank, FSB, Levittown Woodlands Bank, Williamsport