FAF Scholarship Application 2014

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SCHOLARSHIPS
February, 2014
Dear FHS Senior and Parents:
In this packet, you will find the FAF SCHOLARSHIP APPLICATION. Please review all enclosed information, as
well as the FAF/webpage/scholarship Section, regarding the scholarships and their requirements. If you are
interested in these named scholarships, please indicate by marking an X next to ANY and ALL scholarships
which you may qualify. Since each scholarship is different regarding academic performance, financial need,
activities, and career interests, PLEASE PAY CLOSE ATTENTION TO INDIVIDUAL SCHOLARSHIP
REQUIREMENTS AS SOME REQUIRE LETTERS OF RECOMMENDATION IN ADDITION TO THE APPLICATION.
We ask that you please complete the enclosed scholarship application, including the cover sheet, IN ITS
ENTIRETY, and MARK EACH SCHOLARSHIP YOU INTEND TO APPLY FOR. Please return the completed
application sheets along with all other requirements to the FHS Guidance Office no later than MONDAY,
MARCH 3, 2014.
IF YOU DO NOT WISH TO APPLY FOR ANY SCHOLARSHIPS, PLEASE COMPLETE
THE INTENT NOT TO APPLY FORM FOUND ON PAGE 8 OF THIS PACKET AND
RETURN IT TO FHS GUIDANCE BY MONDAY, MARCH 3, 2014.
Recipients of the various scholarships will be announced at the annual awards day held on Wednesday, May 7
at the FHS Auditorium. PLEASE NOTE: Winners of scholarships managed by FAF will receive their money
next fall; this money may be used for any academic expense once enrollment in college has been verified
although some scholarships will require enrollment in a specific major or field.
It is only by applying that you allow yourself the opportunity for consideration for these scholarship funds. A
little work can reap great rewards!
If you have any questions, please contact the FHS Guidance Office. You may also contact
Tina Pieplow
Chairperson FAF Scholarships/FAF President
(618) 678-4286 (home)
(618) 676-5558 (cell)
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COVER SHEET
FAF ID# __________________________________________
STUDENT NAME__________________________________________________________________________
PLEASE PRINT FIRST AND LAST NAME
HOME ADDRESS__________________________________________________________________________
STREET, OR PO BOX
CITY
STATE
ZIP
HOME PHONE_____________________________CELL________________________________
PARENT INFORMATION:
__________________________
FATHER
____________________________________
EMPLOYER AND JOB TITLE
___________________________
MOTHER
____________________________________
EMPLOYER AND JOB TITLE
COLLEGE INFORMATION:
WILL YOU BE ACCEPTED TO A COLLEGE BY SENIOR AWARDS DAY?
_____YES
_____NO
IF YES, WHAT COLLEGE DO YOU PLAN TO ATTEND? _______________________________________________
MAJOR/FIELD OF INTEREST___________________________________________________________________
THIS PAGE SHOULD BE SUBMITTED WITH ENTIRE PACKET
BUT WILL BE KEPT BY FHS GUIDANCE.
“I attest that my application is correct and complete.”
______________________________________________________________________________________
student signature
date
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2014 FLORA ACADEMIC FOUNDATION
SCHOLARSHIP APPLICATION FORM
FAF ID#_______________________________________
NO NAME JUST FAF # FOUND ON COVER PAGE
HOME ADDRESS__________________________________________________________________________
STREET, RR, OR PO BOX
CITY
STATE
ZIP
HOME PHONE_____________________________CELL________________________________
PARENT INFORMATION:
PLEASE DO NOT USE PARENTS’ NAMES!
___________________________________________________________________
FATHER’S EMPLOYER AND JOB TITLE
___________________________________________________________________
MOTHER’S EMPLOYER AND JOB TITLE
IF EITHER PARENT IS CURRENTLY UNEMPLOYED, PLEASE WRITE N/A IN THE BLANK.
COLLEGE INFORMATION:
WILL YOU BE ACCEPTED TO A COLLEGE BY MAY 7?
_____YES
_____NO
IF YES, WHAT COLLEGE DO YOU PLAN TO ATTEND? _______________________________________________
MAJOR/FIELD OF INTEREST___________________________________________________________________
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I. FINANCIAL NEED: In the space below, please select the range of the household’s ADJUSTED GROSS
INCOME from LAST YEAR’S FEDERAL TAX FORM. (This is very important for the selection process).
_____________________ Under $15,000
_____________________ $16,000 - $20,000
_____________________ $21,000 - $25,000
_____________________ $26,000 - $30,000
________________________
________________________
________________________
________________________
$31,000 - $35,000
$36,000 - $50,000
$51,000 - $100,000
Over $100,000
Funds received from other sources (child support, SSI) __________________________________________
Total number of family members now living in household________________________________________
Number of dependents (as listed on LAST YEAR’S FEDERAL TAX FORM) in your household INCLUDING
YOURSELF_______________________
# OF CHILDREN________________________
AGES__________________________________
# ATTENDING COLLEGE BESIDES YOURSELF_________________
Please explain any other financial information/family situations that affect your ability to pay for college.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
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II. PLEASE CHECK ALL SCHOLARSHIPS FOR WHICH YOU QUALIFY AND WOULD LIKE TO SUBMIT YOUR
APPLICATION. PLEAS REFER TO THE ENCLOSED FACT SHEET FOR ANY ADDITIONAL SCHOLARSHIP
INFORMATION. Even though a specific GPA is not required for some scholarships, your grades indicate your
determination, commitment to excellence, and reflect your aptitude for a committed college experience.
Bryce Rinehart Memorial Scholarship – open to students pursuing a degree in higher
learning and MUST HAVE PARTICIPATED IN A SPORT FOR 4 CONSECUTIVE YEARS, with
secondary factors based on need and grade point average. THE FAMILY APPROVES THE
RECIPIENT.
Corinna L. Dodge Memorial Scholarship – open to students pursuing a degree in higher
learning with study focused on GRAPHIC DESIGN OR COMMUNICATIONS. If none in those
majors, then those pursuing a degree in art, architectural design, or web page design. THE
FAMILY APPROVES THE RECIPIENT.
“Dode” Briscoe Scholarship – OPEN TO ALL STUDENTS pursuing a degree from an
institution of higher learning
Trent Briscoe Memorial Scholarship – The student must be pursuing a degree in
agriculture and enrolled in an institution of higher learning. THE FAMILY APPROVES THE
RECIPIENT.
Dorothy Davis Scholarship – open to students who have enrolled in Spanish classes at FHS.
PREFERENCE WILL BE GIVEN TO THOSE SEEKING A DEGREE IN FOREIGN LANGUAGES.
Dr. Eugene D. Foss Medical Scholarship – open to students pursuing a MEDICAL DEGREE
(MD). A GPA of 4.00 on a 5.00 scale is required.
Flora Lumber Co. Scholarship – Students must have at least a 3.0 GPA, community
involvement, and extracurricular activities to apply for this scholarship.
Floyd Henson Scholarship – open to all students going into the field of EDUCATION.
Floyd C. Smith Scholarship – open to all students going into the field of EDUCATION; a
provision is made for consideration of FHS faculty pursing an advanced degree.
Fred Cycholl Memorial Nursing Scholarship – open to students who are pursuing a
nursing career.
Jan and Doug Phillips Scholarship – open to students pursuing a degree in higher
education with an urgent financial need and average grades.
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Jerry Jennings Memorial Scholarship – open to students pursuing a degree in higher
education who have participated in the high school track program with at least a B average;
students who have participated in an athletic program may be considered.
Leona Stanford-Vollintine Scholarship – student pursuing a degree in higher education.
The major criteria for consideration is financial need.
Roger L. Wells Scholarship – open to students pursuing a degree in higher
education in business, preferably with an emphasis in BANKING or FINANCE.
Shannon Orel Memorial Scholarship – open to FHS seniors who have been an athlete in
any sport all 4 years. Emphasis on Golf interest/athletics. A one page essay
explaining your interest and participation in that sport must
accompany this application. Selection is approved by the family.
NAL Scholarship for Excellence – students interested in pursuing a degree in engineering
or business related field. A cumulative GPA of 2.5 or more. Requires TWO letters of
recommendation from school administration, a letter outlining financial need, and a cover
letter expressing the importance of advanced education to the applicant. SEE SEPARATE
ENCLOSED INSTRUCTION SHEET.
Flora Academic Foundation Endowment Scholarships – students pursuing a degree in
higher education with grades that indicate a likelihood of success in a college program. Proof
of acceptance at an institution of higher learning is required; financial need, community
service, and school involvement will be considered.
Mary Beth Stine FCCLA-Family and Consumer Sciences Scholarship - students
eligible for this scholarship must be pursuing a degree in the field of Family and Consumer
Sciences or Early Childhood Education K-5and have been active member of FCCLA for two
years and have completed 3 credits in the Family and Consumer Science Dept.
Hella-Walter Genthe Memorial Scholarship – open to students pursuing a four year
degree in engineering or related technical discipline; consideration of financial need,
academic, community service, and citizenship criteria for the scholarship. Preference is given to
eligible dependents of Hella employees.
NAL-Walter Genthe Memorial Scholarship – open to students pursuing an engineering
or business degree; at least a GPA with a B average, evidence of financial need, and
community service are also required.
Joe and Treva Russell Scholarship – open to students pursuing a degree in any medical
field. Recipients will be chosen based on financial need and GPA. Selection is approved by the
family.
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Walter Sledge Scholarship – open to students with a passion for golf.
III. Extra-curricular activities: Organizations, clubs, athletics – please show years of involvement and any
offices held. You may use additional sheets.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Honors and Awards:_________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Community or Other Activities:________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Are you employed now?__________________ Work Experience_____________________________________
__________________________________________________________________________________________
IV. REQUIRED ATTACHMENTS:
1. Copy of high school TRANSCRIPT
2. PERSONAL ESSAY – WITHOUT USING PROPER NAMES, write a 1-2 page typed essay
describing yourself, your goals for the future, and reasons FAF Scholarships would benefit you
at this time. Please include any life situations that would merit receiving extra financial
assistance. Write your FAF ID # at the top of the essay.
3. Other requirements specified for applied scholarships.
__________________________________________________________
Ms. Todd
Date
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INTENT NOT TO APPLY FORM
If you elect NOT to apply for any FAF sponsored scholarships, please complete,
sign, and return to FHS GUIDANCE OFFICE.
Thank you for sending me, ___________________________________, and my family the FAF Scholarship
Packet.
PRINT STUDENT’S NAME HERE
We do understand help is available upon request to complete the applications and that many of these
scholarships are awarded based on financial need and not dependent on a high grade point average. Even so,
we have chosen NOT TO APPLY FOR ANY FAF SCHOLARSHIPS listed in this packet.
PLEASE CHECK THE REASON(S) FOR DECLINING FAF SCHOLARSHIPS. MARK
ALL THAT APPLY.
___________ We have already made financial arrangements for college and no further assistance is desired
or needed from FAF Scholarships.
___________ The above named student has no plans to attend college at this time.
___________ Other reasons (PLEASE EXPLAIN – ex. military) ______________________________________
______________________________________________
STUDENT SIGNATURE
FAF #
______________________________
DATE
______________________________________________
PARENT/GUARDIAN SIGNATURE
______________________________
DATE
PLEASE RETURN COMPLETED FORM TO FHS GUIDANCE
NO LATER THAN MONDAY, MARCH 3, 2014.
THANK YOU!

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