2016 Acef Scholarship Application
2016 Acef Scholarship Application
2016 Acef Scholarship Application
2016 Application
First Time Applicants
Date of Submission:____________________________
Directions: Please type or print (using blue or black ink). Illegible applications will not be considered.
PERSONAL INFORMATION
NAME:
Last
First
AGE:
Middle
SEX:
M [
F [
Date of Birth
ADDRESS:
Street
CONTACT: (
City
State
Zip
)
Phone Number
e-mail Address
FAMILY INFORMATION (you may attach another sheet of paper if you need more space)
Yes [
No [
CONTACT: (
City
State
Zip
)
Phone Number
Number of siblings:
e-mail Address
High school/GED:____
Associates:___
Bachelors:____
Graduate Degree:___
EDUCATIONAL INFORMATION (you may attach another sheet of paper if you need more space)
What high school do you currently attend?
GPA:
ACT:
SAT:
Application Page 1
2016 Application
First Time Applicants
Date of Submission:____________________________
Directions: Please type or print (using blue or black ink). Illegible applications will not be considered.
FINANCIAL INFORMATION (you may attach another sheet of paper if you need more space)
Approximate expenses you plan to incur per semester:
Tuition:
Books:
Personal:
Student Loans: $
Family: $
Date
Application Page 2
2016 Application
First Time Applicants
Date of Submission:____________________________
Directions: Please type or print (using blue or black ink). Illegible applications will not be considered.
HONORS, AWARDS, & ACTIVITIES (you may attach another sheet of paper if you need more space)
Please list/describe academic or community honors/awards you received during high school:
Please list/describe any sports, clubs, hobbies, outside interests, etc you had during high school:
Please list/describe any community service or leadership activities participated in during high school:
Please list/describe any work experience (including unpaid) and the dates worked:
Application Page 3
2016 Application
First Time Applicants
Date of Submission:____________________________
Directions: Please type or print (using blue or black ink). Illegible applications will not be considered.
PERSONAL STATEMENTS
Please choose one of these questions to write a 1-2 page essay on:
1. Describe a person or event that has had a major impact on your education, and how
that will influence you as you begin college.
OR
2. Describe the role community involvement/service has had in your life and how it has
shaped your college and career goals.
Your essay should be typed, double spaced, and 12-pt Times New Roman font. Please carefully
proofread your essay to ensure there are no grammatical errors.
APPLICATION CHECKLIST
Completed Application Form (4 pages, typed or neatly printed in blue or black ink)
Personal Essay (1-2 pages, typed, double spaced, 12-pt Times New Roman font)
Two (2) Letters of Recommendation (at least one of these must be from a high school
teacher, counselor, or principal)
Most Recent Official High School Transcript (photocopy is acceptable if signed by principal
or guidance counselor)
Community Service Hours (please document at least 20 hours of community service during
your time in high school; these should be signed by a program supervisor)
Proof of College Acceptance (if you have not yet received this, any award you receive will
be conditional upon proof of admission) [ ] I have not yet received my acceptance.
STATEMENT of ACCURACY
I hereby affirm that the above information provided by me is true and correct to the best of my
knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary to
promote the Foundations scholarship program.
I understand that if chosen as a scholarship recipient, I must provide evidence of enrollment/registration
at the post-secondary institution of my choice before scholarship funds can be awarded
Student Signature:
Date:
Date:
Application Page 4