Apply Scholarship Application 1Scholarship2Applicant3School4Family5Activities6Work7Aid8Attachments9Review ScholarshipsWhat type of scholarship are you applying for?* College Scholarship Enrichment Scholarship Which College Scholarships Do You Want to Apply For?*Select one or more of the scholarships below. Aart VanElst Memorial Scholarship AAUW Patrice Elms Scholarship Amelia M. Stuart Trevelyan Scholarship Ann and Anthony La Pietra Scholarship Beatrice Williams Scholarship BluFish Marketing Scholarship Bruce, LeMoyne and Stephen Gray 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 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 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 K. John Lord Engineering and Science Scholarship Kari Hamaker Performing Arts Scholarship Kari On Memorial Scholarship Kevin and Kara Wills Family 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 Which Enrichment Scholarships Do You Want to Apply For?*Select one or more of the scholarships below. Don and Ruth Chadderdon Music Scholarship Kari Hamaker Performing Arts Scholarship Phillip R. Clissold Vocal Music Scholarship Success Fund for MPS Enrichment Scholarship Sullivan Family Enrichment Scholarship Tom and Lucy Franke Education Enrichment 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 enrichment program are you applying for? What is the cost of the program?How much are you applying for? Applicant InformationApplicant Name* First Middle Last Permanent Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant Email* Applicant PhoneApplicant Gender Male Female Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 School InformationName of School you are currently attending:* Current Grade Classification*i.e. 6th, High School Freshman, not attending, etc. Family InformationAre you claimed as an exemption/dependent?* Yes No Father/Guardian #1 First Last Father/Guardian #1 Relationship* Father Stepfather Other Father/Guardian #1 Address Same as Applicant Address Father/Guardian #1 Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father/Guardian #1 Email Father/Guardian #1 PhoneMother/Guardian #2 First Last Mother/Guardian #2 Relationship* Mother Stepmother Other Mother/Guardian #2 Address Same as Applicant Address Checkbox: Same as Father/Guardian #2 Address Same as Father/Guardian #2 Address Mother/Guardian #2 Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother/Guardian #2 Email Mother/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 Activities ListInstructions: 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.HiddenStudent Aid Report (first page only) - Hidden*Upload the first page only of the Student Aid Report (SAR) File Types: PDF, JPG, PNG, Max File Size: 3MB/fileAccepted file types: pdf, jpg, jpeg, png, Max. file size: 3 MB.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.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. HiddenFamily Member List Name Age Name of School currently attending Grade Level Completed Enrolled at least half time? Actions Edit Delete There are no Family Members. Add Family Member Maximum number of family members reached. Family Member List*Instructions: List 1 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: Attached DocumentsSchool 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. EssaysUpload corresponding essay(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. 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*Date MM slash DD slash YYYY Signature of Parent or GuardianDate of Parent or Guardian Signaure MM slash DD slash YYYY If you need further assistance, please call the office at 269-781-2273.
