Beckley Area Foundation

2016-2017

Scholarship Program

‘Your Next Step’

General Information

Scholarship Application

Guidelines and Forms

Pages 4 through 8 must be completed,

detached andsent as part of your packet.

Beckley Area Foundation Scholarship Program

General Information

Beckley Area Foundation Scholarship Programhas 168 separately namedfunds established by individuals, firms andorganizations.

Eligibility

Using the BAF Scholarship Catalog Quick Reference Worksheet on pages 3 thru 8, create your list of potential scholarships by residence, high school, college attending and field of student. From this list read each scholarship’s criteria and application methods. If you do not meet criteria for a particular scholarship DO NOT apply for it. General criteria applying to most funds are as follows:

  • Must be a resident of West Virginia, unless otherwise specified by the criteria
  • Must be a full time student (minimum of 12 hours)
  • Must demonstrate academic achievement (2.5 GPA), unless otherwise specified by the particular fund

Application

  1. Use the correct application form! Submit to the correct organization.
  2. If using the Beckley Area Foundation you will need to submit one application for eachscholarship you are seeking.
  3. Beckley Area Foundation fillable application is available for download.It cannot be submitted electronically.
  4. Make sure to save the application on your computer prior to completing.
  5. Attach all required documents and information. Incomplete or improperly submittedapplication packets will not be considered.
  6. DO NOT STAPLE your application.
  7. All information received from applicants will be treated as confidential. Selection committees will adhere to BAF’s required confidentiality and conflict of interest policies.

Timeline

BAF application packet must be delivered or postmarked by April 1st.

  1. Some scholarships have a different application form and deadline noted in the criteria catalog description. Read Carefully for these details.
  2. Applicants receiving awards will be notified during their school awards ceremony or by Beckley Area Foundation via email.
  3. Selected applicants must confirm their information and school they are entering by contacting BAF 304-253-3806 or .
  4. Scholarship award payments are made directly to the college beginning in early August.
  5. If a student transfers to another institution or drops out prior to scholarship’s expiration they must notify BAF and an attempt to re-capture remaining scholarship awards will be made.

Are these scholarships taxable? Monies received for tuition, fees and books may not incur tax liability while monies applied to room and board may be considered taxable income. These awards are to be applied to direct college expenses at the institution, such as tuition, fees and books. The recipients are responsible for any tax liability incurred as a result of these awards. The Beckley Area Foundation does not provide tax information to the student or the Internal Revenue Service. The student is fully responsible for all tax reports.

If I am awarded a scholarship, how much will I receive? Awards are based upon available income from an endowment; the amount of scholarship from a given fund can vary from year to year. Some, not all, scholarships are renewable.

May I receive scholarships from more than one fund? Yes, however you must submit a separate application packet for each scholarship for which you are applying.

Does the Beckley Area Foundation make the decisions about who is awarded a scholarship? Each scholarship fund has its own selection committee. The Beckley Area Foundation processes the application materials for the committees that make the recommendations for the Board of Directors approval.

If I receive a scholarship for one year, will I automatically receive that award for the following year? No. Renewals, where applicable, are at the Foundation’s discretion. If you are eligible for a renewal, you must complete renewal form.

Beckley Area Foundation

Scholarship Guidelines______Academic Year 2016 -2017

Deadline: Applications must be received by 5:00 p.m. or postmarkedApril 1, 2016. There will be NO EXCEPTIONS!

All materials must be sent together as a single packet.

Your application must be typed or hand printed.

The Foundation assumes no responsibility for procuring the information.

This application is fillable but cannot be submitted electronically. Before entering information download and save to your computer or cloud account.

Do not staple applications. Incomplete packets will not be considered!

Complete application packet checklist

Application Form (pg. 4 & 5)– Original plus 1 copy Grade Transcripts

Application Form Copy only pages 4 & 5Activities Form – Original

Financial Form – Original Letter of Recommendation - Sealed

Grade Certification Form – Original

Transcript – DO NOT SEND TRANSCRIPTS SEPARATELY!

  • High school students provide a transcript that includes your GPA and Cumulative GPA from August 2015 through January 2016 (fall semester).
  • College students provide a transcript that includes grades for the Fall 2015semester

Letter of Recommendation–Your letter of recommendation should be…

… completed by someone other than your parents, immediate family or school counselors.

… signed and returned in a sealed envelope which has the author’s signature across theflap.

Any recommendation received with a broken seal will be rejected.

…and include the following:

  • Student’s name
  • Evaluator’s relationship to applicant & length of their relationship
  • Evaluator’s name, telephone number, and address

Mail in time to assure an April 1st postmark to:For additional information:

Beckley Area Foundation Call: 304-253-3806

129 Main Street, Suite 301Email:

Beckley, WV 25801

Scholarship for which you are applying:

Note: If you apply for more than one scholarship you must submit a separate and complete application for each scholarship.

Application Packet Checklist:

Application Form – Original (pages 4 and 5) Financial Form - Original

Additional copy of pages 4 and 5 Activities Form - Original

Grade Certification Form - Original Transcripts - Original

Letter of Recommendation –Original & Sealed

Deadline: April 1, 2016 Send the original. Do not staple

Name:

LastFirstMiddle

Permanent Address:

Street of PO Box City State Zip Code

ContactNumber: Work Number: Date of Birth Sex: Male Female

Email:

Are you a United State Citizen? Yes No Are you a West Virginia resident? Yes No County

Name of high school currently attending: Cum GPA

If diploma attained via GED, indicate City/State and date obtained:

College you plan to attend or currently attend:

City/StateDates Attended GPA (if enrolled)Cum GPA

Housing plan: on campus off campus (not home) commute from home unknown

Have you been accepted? Yeso Anticipated major or area of study:

What class will you enter in the fall of 2016? Freshman Sophomore Junior Senior Other

Will you be applying for a “Promise Scholarship” for the 2016-2017 academic school year? Yes No

Did you receive a “Promise Scholarship” for the 2015-2016academic school year? Yes No

Are you a student served through the Individuals with Disabilities Education Act? Yes No If yes, please specify (ex: visual or hearing impairment, learning disability, etc.):

The following questions pertain to criteria for specific scholarships:

Maddison Faith “Maddy” Bennett Scholarship: Years you attended Park: and years served on cheer squad:

Other schools and cheer squads? Specify:

John M. Greenwald/Clear Fork District Scholarship Fund: Indicate years you attended Clear Fork Elementary

Genevieve Bowling Lilly Memorial Fund: Indicate what years you attended DanielsElementary School

Gloria Mills Mallamas & James Vincent Mallamas Jr.: Indicate your WV county of birth: Raleigh Mercer Neither

Maxwell Hill Community Fund: Indicate what years you attended MaxwellHillElementary School

John Howard McCulloch Memorial Fund: Name and current position of the parent who is an employee of the City of Beckley:

Charles D. Meadows Memorial Scholarship: Are you a female? Yes No Indicate the years you attended Shady Spring Middle

School: What varsity sport have you participated in during enrollment at Shady Spring High School:

Christie H. Meadows Family Memorial Scholarship: Are you a FFA member? Yes No at

Indicate number of years as an FFA member and any offices held

Parent’s name and position who is/or has been an employee of the Raleigh County Board of Education Transportation as driver or

mechanic

Rena Pitotti Memorial Scholarship: Indicate years you attended St. Francis de Sales school:

Anticipated field of study:Health Related Education

Malvin C. Ross Scholarship: Indicate years you attended StrattonElementary school:

Byrd-Prillerman Scholarship Fund: Do you live in the “MainGulf?” Yes No Are you a descendent of a student teacherof Bryd-Prillerman High School? Their name:

Years they were at Byrd-Pillerman: Relationship to you?

Donald L. Rasmussen-Paul J. Kaufman Memorial Fund: Are you a Southern West Virginia coal miner? Yes No

Are you a descendant of a Southern West Virginia coal miner? Yes No Name and Relationship:

Employed at:

SophiaHigh School Memorial Scholarship: Are you a descendent or relative of an individual who attended SophiaHigh School

Yes No Name:

Relationship: Dates they attended Sophia High School:

Sureka P.G. Scholarship Fund: Relationship to BARH employee:

Judy G. Thomas: Indicate years you attended Beckley-Stratton Middle School: Did you know Ms. Thomas?

The Applicant hereby affirms that all the information he or she has provided in this scholarship application is true and correct to the best of his or her knowledge. Additionally, the applicant has read the “Scholarship Application and Guidelines” section and understands submission procedures, deadline requirements and agrees that the completion of this application does not guarantee receipt of scholarship funding and that the decisions made by the Beckley Area Foundation, Inc. are final.

Signature: ______Date

Return Complete Application with required documents to:

Beckley Area Foundation, 129 Main Street, Suite 301, Beckley, WV 25801 Phone: (304)253-3806

Financial Information

If you are a dependent student, please have your parents complete this form using information from their Federal Income Tax Return.

If you are independent, information about you and your spouse (if applicable) must be included.

Figures should be taken from your Federal Income Tax Return.

The applicant is a Dependent Independent

I am using numbers from my 2015 tax return I am using numbers from my 2014 tax return

Have you completed the Free Application for Federal Student Aid? Yes No

If yes, what is your Estimated Family Contribution (EFC) from FAFSA Report Summary? $

1. Annual adjusted household gross income$

2. Do you receive anyuntaxed income/benefits (AFDC, ADC, SSI, etc.)? Yes No$ (annual)

List source of benefit

3. Total number in household: What is number of children attending college during the 2016-2017 academic years:

4. List other sources of financial aid and amounts (including scholarships, loans, etc.) which you havealready been awarded:

Parent’s current marital status: single married separated divorced widowed

Applicant’s current marital status single married separated divorced widowed

Certification: I (we) certify that all the information on this form is true and complete to the best of my (our) knowledge. If asked by any authorized official of The Beckley Area Foundation, I (we) agree to give documentation for information given on this form. I (we) realize that failure to comply with a request for further information may prevent the applicant from receiving any aid.

Applicant’s signature ______Date

Parent’s signature ______Date

* On separate sheet, please note any extenuating circumstances for a significant change income since tax return used in preparing this application.*

Grade Certification Form

This section is to be completed by an advisor/counselor. Only transcripts with the fall semester

(August 2015—January 2016) information will be accepted and must be included with the application. This certification form is to be included in the complete scholarship application packet.

Student’s Name:

School Name:

At the close of the most recent semester, the applicant ranked in a class of

At the close of the most recent semester, applicant’s cumulative GPA wason a scale of 4.0.

Please indicate SAT and/or ACT scores from one testing:

SAT Scores:ACT Scores:

ReadingEnglish:

Math: Math:

Writing: Reading:

Combined: Science

Composite Score

Person completing this form: Title:

Signature: ______Date:

AN OFFICIAL TRANSCRIPT

INCLUDING FALL SEMESTER 2015 GRADES

MUST ACCOMPANY THIS APPLICATION.

DO NOT SEND THIS INFORMATION SEPARATELY!

Activities Form: Using only the space provided below, please list all extracurricular, community, and personal activities in which you have participated during the past three years as well as activities you are planning for the current year. Include clubs, debate, school sports, student government, fine arts, volunteer work, youth programs, athletic programs, music, scouting, etc. Please do not send a resume.

Extracurricular Activities / Positions Held
Community & Volunteer Activities / Positions Held
Work Experience / Position/Job Description
Awards & Honors / Describer the Honor & Why Given

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