Apply Youth Advisory Council Application 1Scholarship2Applicant3Family4Activities5Work6Aid7Attachments8Submit ScholarshipsWhat type of scholarship are you applying for?* College Scholarship Enrichment Scholarship Which college scholarship do you want to apply for?* Aart VanElst Memorial Scholarship AAUW Patrice Elms Scholarship Amelia M. Stuart Trevelyan Scholarship Ann and Anthony La Pietra Scholarship Ayla Lankerd Scholarship for Dreams Beatrice Williams Scholarship Benjamin W. Dorr Memorial Scholarship BluFish Marketing Scholarship Bonnie Kay Rocco Community Kindness Scholarship Bruce, LeMoyne and Stephen Gray Scholarship Charles W. and Cheryl A. Groesbeck Scholarship Clyde and Marian Connelly Music Scholarship Coury and Kesselring Natural Resources Scholarship Dale Rosene Alaska Great Lakes Project Scholarship Don and Ruth Chadderdon Music Scholarship Dube and Katie Scholarship Ella “Gwen” Collins Nursing Scholarship Faye Berry Memorial Scholarship Frances Stevens Stuart Theater Production Scholarship Fraternal Order of Police Wayne B. Fitch Lodge 138 Scholarship George Sherman Scholarship Greene Family Scholarship Harvey Hoeltzel Memorial Scholarship Harvey Randall and Dr. Gwyn Randall Hartman Memorial Scholarship Herold and Retta Reuss Public Safety Scholarship Jack Sherman Scholarship Jeff Kittinger Memorial Scholarship Jeff Seybert Memorial Scholarship Joshua L. Parks Memorial MSU Scholarship Joyce L. Franke Memorial Scholarship Judy Lutz Davidson Scholarship K. John Lord Engineering and Science Scholarship Kari Hamaker Performing Arts Scholarship Kari On Memorial Scholarship Kevin and Kara Wills Family Scholarship LaVern Smith Scholarship Mae E. Sherman Scholarship Marie J. O’Mara Scholarship Marilyn Paskett Memorial Scholarship Marshall Community Foundation Scholarship Marshall Rotary Club Gauss Scholarship Merrily Jane Lloyd Memorial Scholarship Michael L. Hamaker Memorial Scholarship Milt and Irene Jenks Memorial Scholarship Nancy Hoeltzel Early Educational Scholarship Nicole Marie Burmeister Scholarship Peter C. Stuart Journalism Scholarship Rebecca L. Sadger Memorial Scholarship Richard and Anita Drake Scholarship Rolland and Dorothea Face Family Christian Ministry College Scholarship Ron Glant Memorial Art Scholarship Ruby Hamilton Henry Scholarship Serendipity Scholarship Twist Spartan Scholarship UAW Local 220 Scholarship Zink Family Scholarship Will you be a full-time student?* Yes No Current or anticipated major field of study:* What colleges/universities are you applying to (please list in order of your preference):*What is the name of the program you are hoping to attend? What is the cost of the program?When is the enrichment program?* When is payment due?* Applicant InformationApplicant Name* First Middle Last Permanent Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant Email* Applicant PhoneApplicant Gender* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current School*Provide the name of the school you are currently attending. Current Grade Classification*i.e. 6th, High School Freshman, not attending, etc. Family InformationYou are over 19 years old. Please proceed to the next page. HiddenAre you under the age of 19? - Archive Yes No Guardian 1* First Last Guardian 1 Address Copy Applicant Address Address Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Guardian 1 Email Guardian 1 PhoneGuardian 2 First Last Guardian 2 Address Copy Guardian 1 Address Guardian 2 Address Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Guardian 2 Email Guardian 2 Phone ActivitiesRecord the activities you have been involved in over the last 4 years.School ActivitiesExamples: Clubs, student government, national honor society, etc. Instructions: List 1 activity per line Include Details: Activity title - number of years, average number of hrs/yrCommunity ActivitiesExamples: Volunteer, scouts, faith activities, etc. Instructions: List 1 activity per line Include Details: Activity title - number of years, average number of hrs/yrFine Arts ActivitiesExamples: Music, drama, forensics, debate, etc. Instructions: List 1 activity per line Include Details: Activity title - number of years, average number of hrs/yrSportsInstructions: List 1 activity per line Include Details: Activity title - number of years, average number of hrs/yrOther ActivitiesInstructions: List 1 activity per line Include Details: Activity title - number of years, average number of hrs/yr Work ExperienceExperience ListRecord paid work experience, including self-employment, during the last four years. Instructions: List 1 work experience per line Include Details: Employer, Nature of work (Include Supervisory Positions), Hours/month, Type: [Seasonal or Yearly], Year: [1, 2, 3 or 4] Financial AidAre you applying for FAFSA?* Yes No Expected Family ContributionComplete the FAFSA at fafsa.gov. Print the first page only of the Student Aid Report (SAR) which includes your Expected Family Contribution (EFC). Upload this form below.Student Aid Report (first page only)*Upload the first page only of the Student Aid Report (SAR) Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, Max. file size: 3 MB, Max. files: 1. No FAFSA Explanation*Please explain the reason you are not applying for FAFSA.Please describe the financial need for the scholarship.*If your request is for partial funding, please explain how you will assist in raising money to attend this program.Family Members Please add the information below for all appropriate family members. If you can be claimed as a dependent you must include: Yourself Your Parent(s) or Legal Guardian(s) Your parents’ (legal guardians’) other dependents if they will provide more than half of their support. If you cannot be claimed as a dependent you must include: Yourself Your Spouse (if applicable) Any children or other dependents now living with you if you will provide more than half of their support. Family Member List*Instructions: List one family member per line Include Details: Name, Age, School Currently Attending or Last Attended (K-12, College, or University), Grade Level Completed, Enrolled at least half time? [Yes or No]Financial HardshipsPlease list any unusual financial circumstances or financial hardships in your household not reflected above: DocumentsImportant! Most enrichment and college scholarships require at least one essay as well as letters of recommendation. Please reference the scholarship descriptions for a list of criteria.School TranscriptsUpload your official school transcript including test scores. This is only required for college scholarship applications. Drop files here or Select files Accepted file types: pdf, Max. file size: 2 MB. Essay 1Essay 2Write a paragraph describing the program in which you wish to participate. Include copies of the printed materials from this program.*Describe your current, past and anticipated studies in this field.*Recommendation Letter(s)Upload recommendation letter(s) for each application. Before upload, please name your files clearly. Example File Name: Scholarship-LastName-FirstName-EssayTitle.pdf Drop files here or Select files Accepted file types: pdf, Max. file size: 2 MB. Additional MaterialsUpload additional materials for each application. Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, Max. file size: 3 MB. Related Link 1 Related Link 2 Related Link 3 Related Link 4 ReviewReview the checklist below before submitting the scholarship application. Completed all sections of the application (Steps 1-6, Review Below). Completed the Financial Aid page if required (Step 7). Uploaded Official School Transcripts (Step 8). Uploaded required Essays for each scholarship (Step 8). Uploaded required Additional Materials requested for each scholarship (Step 8). Uploaded required Recommendation Letters form each scholarship (Step 8). {all_fields}Certification*The undersigned hereby acknowledges that the information provided on this application, including attachments, is true and correct to the best of their knowledge. The undersigned consents that this information may be provided and disclosed to the Marshall Community Foundation, to the Foundation Trustees/Officers, and to any other person authorized by the Foundation to review the information. Verification may be obtained from any source. Also, we hereby release from liability any person submitting information to the Foundation for use in the selection of scholarship recipients. I affirm that the information provided in the application is accurate and complete to the best of my knowledgeApplicant Signature* Reset signature Signature locked. Reset to sign again Date of Signature MM slash DD slash YYYY Signature of Parent or Guardian Reset signature Signature locked. Reset to sign again Date of Parent or Guardian Signaure MM slash DD slash YYYY If you need further assistance, please call the office at 269-781-2273.
