2014 Community Foundation for Brevard Scholarship Application Packet

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1 Packet ELIGIBILITY Applicant must reside in Brevard County. Applicant must have completed at least ONE SEMESTER of college. Applicant must be committed to pursuing a college degree from an accredited college or university whose geographic location is defined in the scholarship description. Applicant should have a demonstrated financial need. Applicant must submit all required application documents by the deadline. Applicants should demonstrate a desire to advance their community through volunteerism. Scholarship awards will be up to 2 semesters, starting January 2015, with the second semester contingent on maintaining a 3.0 average. APPLICATION INFORMATION DEADLINE: Tuesday, November 11, Extensions will not be granted. Incomplete or late application materials will result in ineligibility. Please read the eligibility criteria for each scholarship in the packet carefully to determine whether you are eligible to apply. Applicants may not be eligible for every scholarship offered through the Community Foundation for Brevard. It is understood that scholarship checks will be forwarded directly to the institution of learning in which the recipient is enrolled. Scholarship packets must contain the following (please check the box indicating you have completed each item): APPLICATION Complete a separate application for each scholarship for which you are applying. Applications must be completed by the student only. RESUME UNOFFICIAL TRANSCRIPT(S) (one copy per application) FAFSA EFC # (Expected Family Contribution Number) or copy of current years Tax Return LETTERS OF RECOMMENDATION (3 as indicated in each scholarship) ESSAY TOPIC (Typed, single spaced, 12-pt. font). Please note: Essay must be completed by the applicant, in the applicant s own words. Send completed applications to: Applicant questions and other inquiries should be ed to Lisa Davidson, Grants & Program Manager, or call (321) Award amounts are determined annually. The Community Foundation for Brevard cannot make any guarantees about the amount to be awarded or the number of awards to be given. Determination of which scholarship to be awarded will be based on the information provided on the application and at the sole discretion of the selection committee. Application must be submitted by Tuesday, November 11, In accordance with the Community Foundation for Brevard scholarship policy, no scholarship shall be awarded to any member of the Community Foundation's Board of Directors, any substantial contributor to the Community Foundation, any employee of the Community Foundation, or any other disqualified person as defined in IRC 4946(a) with respect to the Community Foundation, or, with respect to scholarships from a particular Fund, any Donor advisor or substantial contributor to such Fund or any member of a selection committee to such Fund, or for a purpose that is inconsistent with the purposes described in IRC 170(c)(2)(B).

2 Norma S. Annabal Scholarship A Fund of the Community Foundation for Brevard The Community Foundation for Brevard Scholarship awards are made possible by revenue generated from the Norma S. Annabal Scholarship Fund and will be awarded to college attendees who reside in Brevard County and attend Eastern Florida State College, Florida Institute of Technology, the University of Central Florida, or Rollins College. Upon completion of the first year, scholarship recipients may apply for a second year scholarship. Both the amount and number of scholarships will be recommended by a review committee with final approval by the Foundation s Board of Directors. If you are applying for the Norma S. Annabal Scholarship, please check off the items to ensure eligibility. This scholarship may be used only at Eastern Florida State College, Florida Institute of Technology, University of Central Florida, or Rollins College. Scholarship is to be used only for tuition, books, and lab fees. The applicant must have completed at least one semester of college. The applicant must demonstrate a need for financial assistance. Eligibility for this scholarship is based upon residency and preference will be given for those who attended a Brevard County high school or who have lived in Brevard for more than a year. The applicant must attach three letters of recommendation. Recommendations may not be submitted by family members. It is understood that all scholarship checks will be paid directly to the institution of learning in which the recipient is enrolled. Required Essay: Typed, single spaced, 12-pt. font. Please address the following topic: o Please describe how you see yourself in the next 5 (or 10) years. Include your role in business, your home life, and how you plan on serving your community.

3 Ella Josephine Goodman Horn Fund Scholarship A Fund of the Community Foundation for Brevard The Community Foundation for Brevard Scholarship awards are made possible by revenue generated from the Ella Josephine Goodman Horn Fund and will be awarded to college attendees who reside in Brevard County and attend Eastern Florida State College, Florida Institute of Technology, the University of Central Florida, or Rollins College. Upon completion of the first year, scholarship recipients may apply for a second year scholarship. Both the amount and number of scholarships will be recommended by a review committee with final approval by the Foundation s Board of Directors. If you are applying for the Ella Josephine Goodman Horn Trust Fund Scholarship, please check off the items to ensure eligibility. This scholarship will be used only at Eastern Florida State College, Florida Institute of Technology, the University of Central Florida, or Rollins College Scholarship is to be used for tuition, books, lab fees and room and board (only if the room and board is paid to the college or university and for no other purpose). The applicant must have completed at least one semester of college. The applicant must demonstrate a need for financial assistance. Eligibility for this scholarship is based upon residency and preference will be given for those who attended a Brevard County high school or who have lived in Brevard for more than a year. The applicant must attach three letters of recommendation. Recommendations may not be submitted by family members. It is understood that all scholarship checks will be paid directly to the institution of learning in which the recipient is enrolled. Required Essay: Typed, single spaced, 12-pt. font. Please address the following topic: o Please describe how you see yourself in the next 5 (or 10) years. Include your role in business, your home life, and how you plan on serving your community.

4 The Pablo Enriquez Memorial Scholarship A Fund of the Community Foundation for Brevard The Community Foundation for Brevard Scholarship awards are made possible by revenue generated from The Pablo Enriquez Memorial Scholarship Fund and will be awarded to college attendees who graduated from a Brevard County high school. Upon completion of the first year, scholarship recipients may apply for a second year scholarship. Both the amount and number of scholarships will be recommended by a review committee with final approval by the Foundation s Board of Directors. If you are applying The Pablo Enriquez Memorial Scholarship, please check off the items to ensure eligibility. This scholarship may be used at any accredited college or university. Scholarship is to be used for tuition, books, lab fees and/or campus based room and board. The applicant must have completed at least ONE year of college with a GPA equivalent average of B or higher. The applicant must demonstrate a need for financial assistance. Eligibility for this scholarship is based upon residency and preference will be given for those who attended a Brevard County high school for four years and graduated. The applicant must attach three letters of recommendation. Recommendations may not be submitted by family members. It is understood that all scholarship checks will be paid directly to the institution of learning in which the recipient is enrolled. Required Essay: Typed, single spaced, 12-pt. font. Please address the following topic: o Please describe how you see yourself in the next 5 (or 10) years. Include your role in business, your home life, and how you plan on serving your community.

5 The Geraldine L. Cabic Charitable Fund Scholarship A Fund of the Community Foundation for Brevard This Community Foundation for Brevard Scholarship award is made possible by revenue generated from The Geraldine L. Cabic Charitable Fund and will be awarded to college attendees who reside in Brevard County and attend Eastern Florida State College. Upon completion of the first year, scholarship recipients may apply for a second year scholarship. Both the amount and number of scholarships will be recommended by a review committee with final approval by the Foundation s Board of Directors. If you are applying for the Geraldine L. Cabic Charitable Fund Scholarship, please check off the items to ensure eligibility. This scholarship may be used only at Eastern Florida State College towards the College of Nursing or the Health Sciences Institute. Scholarship is to be used only for tuition, books, lab fees, room and board if said room and board is paid directly to the school. The applicant must have completed at least one semester of college. The applicant must demonstrate a need for financial assistance. Eligibility for this scholarship is based upon residency and preference will be given for those who attended a Brevard County high school or who have lived in Brevard for more than a year. The applicant must attach three letters of recommendation. Recommendations may not be submitted by family members. It is understood that all scholarship checks will be paid directly to the institution of learning in which the recipient is enrolled. Required Essay: Typed, single spaced, 12-pt. font. Please address the following topic: o Please describe how you see yourself in the next 5 (or 10) years. Include your role in business, your home life, and how you plan on serving your community.

6 Applying for: Norma S. Annabal Scholarship Ella Josephine Goodman Horn Fund Scholarship The Pablo Enriquez Memorial Scholarship The Geraldine L. Cabic Fund Scholarship Personal Information Name: First Middle Initial Last Legal Residence/Address: City State Zip Telephone: Date of Birth: How long have you lived in Brevard County? Applicant Employment Information Please attach resume or fill in below: Employer From To Household Information Name Relationship to Applicant Occupation/Title Employer s Name Number of years with current employer Spouse/Parent/Guardian/Other Spouse/Parent/Guardian/Other

7 Please list all persons under age 18 living in the home other than student/applicant: Name Age Relationship Last Grade Completed Education Name of High School you attended: Years Attended: Year of Graduation: Student s GPA: Weighted: Unweighted: Standardized Test Scores: ACT Test Date Composite Score SAT Test Date Writing Critical Reading Math List all colleges or vocational schools you have attended, or are currently attending: College/Vocational School Dates of Attendance Accepted/Attending Completed Course GPA What college grade level are you in? Freshman Sophomore Junior Senior What is your current major/course study? I plan on attending college: Full-Time Part-Time I plan on: Living on campus Living off campus/commute

8 Extracurricular Activities, Community and Church Activities and Awards and Honors: Include detailed years of participation, total hours per week/month/year, and specific leadership and other activities/positions held (captain, president, etc.). May attach an additional sheet(s): Statement of Financial Need Estimated Cost to attend School Amount First Semester Tuition $ $ Fees $ $ Books $ $ Room &/or Board $ $ TOTAL ESTIMATED COST OF SCHOOL: $ $ Financial Assistance Received: Other Scholarships Awards Received $ $ Other Financial Assistant Received (Pell Grants, etc.) $ $ TOTAL FINANCIAL ASSISTANCE RECEIVED: $ $ Amount Second Semester Unmet Financial Need (Difference between costs & financial assistance) $ $ Do you/your family receive public assistance (please list below)? Yes No Have you applied for financial aid using the FAFSA? Yes No If you have not received a letter from FAFSA, please indicate the amount you and your family can contribute per year for your college education: $ Has your financial situation changed in the last six months where extenuating circumstances would adversely affect your ability to pay for your continuing education? If yes, please provide a brief explanation. Additional explanation can be given in the essay topic portion of the application. Yes No

9 Consent for Publicity: If selected as a recipient of a scholarship administered by the Community Foundation for Brevard, I agree to allow my name and/or photograph to be utilized in news releases and publicity materials of the Community Foundation for Brevard. If applicant is a minor under the age of 18, parent/guardian must also sign this consent for publicity. Student Signature Date Parent/Guardian Signature (if under 18) Date Required Essay for All s Please address the following essay topic. Limit each response to one to two pages, using a 12-point font size. Essay must be written by the student. Topic: Please describe how you see yourself in the next 5 (or 10) years. Include your role in business, your home life, and how you plan on serving your community. Applicant s Signature Date Parent s or Guardian s Signature (if under 18) Date I hereby certify that the information given in this application is accurate and complete to the best of my knowledge. The financial information given is correct and verifiable in the event that the applicant is awarded a scholarship. I understand that the selection committees will keep this information confidential.

10 School Information & Evaluation First Name MI Last Name Authorization To comply with the provisions of the Family Educational Rights and Privacy Act of 1974, your school must obtain signed authorization before it can release information for use in scholarship programs. By signing below, you are giving school officials permission to release secondary school records, including class rank and test scores, and any other requested information for consideration in scholarship decisions. I understand that it is my responsibility to ensure that my school releases the requested information so that it can be received by the Community Foundation for Brevard s Scholarship Committee no later than Tuesday, November 11, Applicant s Signature: Date:

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