CHURCHES HOMES FOUNDATION, INC.

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1 CHURCHES HOMES FOUNDATION, INC. GENERAL GUIDELINES FOR SUBMITTING SCHOLARSHIP APPLICATIONS The Churches Homes Foundation is committed to promoting access to post-secondary education for students in the Atlanta metropolitan area as defined by the Atlanta Regional Commission. Counties included in this region are: Cherokee DeKalb Forsyth Henry Clayton Douglas Fulton Rockdale Cobb Fayette Gwinnett Churches Homes Foundations, Inc., operates with a policy of nondiscrimination and considers scholarship applications without regard to race, color, creed, religion, national origin, gender, age or disability. Eligible applicants MUST be: Georgia residents living in of one of the counties listed above Have a minimum 2.5 GPA Demonstrate financial need Show evidence of a commitment to community service Show evidence of enrollment in/or proven acceptance to an accredited post-secondary institution APPLICATION DEADLINES Board Meeting January 21, 2016 Deadline - December 18, 2015 Board meeting July 21, 2016 Deadline - June 17, 2016 Board meeting October 20, 2016 Deadline September 16, 2016 Your completed scholarship application and all supporting documentation must be received by the application deadline for the semester for which scholarship funds are requested.

2 CHECKLIST: Application package MUST include the following: 1. Completed, signed student application 2. A recent photograph 3. A one page essay describing your academic and career objectives, your commitment to community and your need for financial assistance 4. Current official transcript of grades 5. Letter of acceptance from the school you plan to attend, if you are a high school graduating senior planning to enter college 6. Signature of the College Financial Aid Officer on your application form, verifying your financial information INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. Scholarship Awards: Checks in the amount of the award will be forwarded to the student's designated academic institution's Financial Aid Office to be credited to the student's account. Please contact the Financial Aid Officer of your school to determine if an award was given. Applicants are encouraged to keep a copy of all documents related to this application for their personal files. Submit Application to: Ms. Faye White Churches Homes Foundation c/o MARSH 3560 Lenox Road- Suite 2400 Atlanta, Georgia Phone: (404) Fax: (404)

3 CHURCHES HOMES FOUNDATION SCHOLARSHIP APPLICATION ELIGIBILITY CRITERIA Resident of Metro Atlanta Counties (see guidelines) Minimum 2.5 GPA. Demonstrated financial need. Commitment to community service. Enrollment in or acceptance to an accredited academic institution. Graduate students not eligible. Have you applied to this scholarship before? Yes No What year(s) did you apply? Previous recipients are encouraged to re-apply, but must obtain and submit the current year s application form. Previous recipients are not guaranteed additional awards. Grants are limited to one per 12 months. There is a lifetime cap on awards to individual students. Churches Homes Foundation operates with a policy of non-discrimination and considers scholarship applications without regard to race, color, creed, religion, national origin, gender, age or disability. Student Information Student Name: Mailing Address Last First Middle Permanent Home Address: Phone: State of Residence: How Long? Date of Birth: Social Security Number: High School Data School Name: Graduation Date/ GPA: Address: College/University Data Name of college/university you plan to attend/are attending: Address: Year in post-secondary program next school year: Major: GPA: Anticipated Graduation Date

4 Activities, Awards Please list all school activities in which you have participated during the past four years (e.g., student government, music, sports, etc.). Note all special awards, honors and offices held. Community Involvement Please list community organizations such as service, volunteer, and religious organizations you are now active or have previously been active in over the past four years. Note all special awards, honors and offices held. Include dates of service and/or awards.

5 PARENT/GUARDIAN INFORMATION 1) Last First Middle Day Phone: Relationship to Applicant: Address: City: State: Zip: Place of Employment: Occupation/Title: Annual Income: $ 2) Last First Middle Day Phone: Relationship to Applicant: Address: City: State: Zip: Place of Employment: Occupation/Title: Annual Income: $ Number of siblings at home: Siblings in College: Family Income: $ Student s Employer & Income: $ Student s Signature Date Note: If you are married, financial information applicable to you and your spouse should be shown in place of parent information. If you are an independent student please provide your financial information. Additional Comments to support request:

6 FINANCIAL INFORMATION Student Name: To the University Financial Aid officer: Please list the name and annual amount of all scholarships, grants and other financial aid the above named student has been awarded/will be receiving for the upcoming aid year only, including the HOPE Scholarship. Residency status (check one) Resident of CHF Metro Atlanta eligible counties(see guidelines) Non-resident of Georgia Federal (i.e. Pell/SEOG/Federal Loans) State (i.e. HOPE/Zell) Institutional Scholarships Private Scholarships (i.e. Gates Millennium) Total Aid Package Expected Family Contribution Budget/Cost of Attendance Unmet Financial Need I certify that the financial aid information submitted on this application is accurate and complete. Signature of Financial Aid Officer Printed Name Date

7 IMPORTANT PLEASE NOTE: To be considered for a scholarship you must attach ALL of the following documents to this application form. a) Completed, signed student application. b) A recent photograph c) A letter outlining your academic and career objectives, your commitment to community and your need for financial assistance d) Current Complete Official Transcript(s) of Grades e) Letter of acceptance from the school you plan to attend (if a recent high school graduate). f) Signature of the College/University Financial Aid Officer, verifying your Financial Information Incomplete applications will not be considered. Mail Application to: Ms. Faye White Churches Homes Foundation c/o MARSH 3560 Lenox Road- Suite 2400 Atlanta, Georgia Phone: (404) Fax: (404)

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