Coastal Code Enforcement Association Of South Carolina
Scholarship Program
Application of
Application Deadline: October 1st, 2017
Town of Summerville ATTN: Richard Palmer
200 South Main St
Summerville, SC 29483
Instructions to Applicant
1.This application has been prepared to obtain necessary information regarding the applicant. The applicant is required to give all information requested (unless noted as optional). Read the contents careful and understand each question and all informationrequested.
2.It is recommended that you draft your answers on an extra form prior to completing the final application. Do not answer any question with a check mark. If the answer is none or does not apply, it should be so stated. If spaces are inadequate for some answers, use a separate sheet. Answers should belegible.
3.Include a financial statement of responsible parties. Tax returns are preferred.Also indicate, by title and amount, any other financial assistance you will bereceiving.
4.The following must be received by the CCEA no later than November1st.
a.Two recommendation letters which must be completed by teachersand/or faculty members oremployer.
b.An official transcript from the last schoolattended.
c.Copy of ACT or SATscores.
d.One page narrative from the applicant explaining why he/she shouldbe awarded thescholarship.
e.FinancialInformation
f.Application
Eligibility
Submit All Information To:
Town of Summerville
ATTN: Richard Palmer
200 South Main St
Summerville, SC 29483
Code EnforcementEmployees
Applicants shall be children (as defined below) of code enforcement agency personnel. The jurisdictional authority must be an active member of the Coastal Code Enforcement Association.
Children(Definition)
Children must be dependents as defined by the IRS. Typically, this includes birth children, stepchildren, legally adopted children, or a legal ward financially supported by the employee.
Selection Criteria
The applicant mustbe:
-Pursuing educational opportunities beyond the high school level at a recognized/accredited institution.
-Demonstrate a need for financial assistance.
-Provide evidence of satisfactory scholastic achievement including grades, test scores and teacher recommendations.
-Complete the Scholarship Application. A one-page narrative on why the applicant should be awarded the scholarship is also required.
I solemnly affirm that all information provided is correct to the best of my knowledge and that I have read and understand the information outlined above. If I am the recipient of a scholarship I agree to use the proceeds only for the furtherance of my education at an approved institution.
Applicants PrintedName
ApplicantsSignature
Applicant’sName:
(First)(Middle)(last)
HomeAddress:
(Street)(E-MailAddress)
(City)(State)(Zip)
HomePhone:Date ofBirth:
(Optional)
Applicant’s PresentOccupation:
If employed, name offirm:
Address offirm:
Parent: Employed by Governmental Member or Active Member
Name:
HomeAddress:
(Number, Street, City, State, Zip)
Name ofEmployer
Title of position orjob:
Length ofemployment:
I (applicant) herby apply for a scholarship, which will enable me to obtain/continue my educationat:
(College, University, TradeSchool,etc.)(City,State)
Beginningandending
(month/day/year)(month/day/year)
My class standing will be (Freshman, Sophomore, Junior,Senior):
My intendedvocationis:. The course of study I plan to major inis:
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Please list all schools attended:
SCHOOLLOCATIONDATES (FROM:TO:)
PLEASE INDICATE THE FOLLOWING:
Honorsreceived:
ProfessionalSocieties:
Clubs orFraternities:
Extracurricularactivities:
Hobbies:
ADDITIONAL SCHOLARSHIP OR FINANCIAL ASSISTANCE
ADDITIONAL INFORMATION
E-MailAddress
Scholarship award information should be sent to the following address:
(Please Note: If information is not provided, scholarship award information will be sent to the address listed in the home address section on the previous page.)
Name
Address
(Number, Street, City, State, Zip)
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