______Community Foundation

Scholarship Recommendation Form

COMPLIANCE:

Pursuant to the Pension Protection Act (PPA) of 2006, the ______Community Foundation (“CF”) Board of Directors (“Board”) must annually review and approve certain aspects of scholarship funds and/or funds making awards for scholarships. The aspects to be approved by the Board include: criteria for scholarship selection, procedure for selection and selection committee members. Further, the Board must review and approve the qualifications of the selection committee members and their relationship(s) to the scholarship fund donor. Selection committee members must disclose that neither they, nor their family or staff, are scholarship applicant(s). Donors, donor representatives, and/or representatives of outside entities (e.g., high schools, service clubs) may review applications and provide suggested ranking for recommended applicants to the selection committee for review with final approval by the Board pursuant to the requirements and procedures stated herein.

SCHOLARSHIPS: Fund Name and Number

SCHOLARSHIP SELECTION CRITERIA: List selection criteria specific to this scholarship fund.

PROCEDURE FOR SCHOLARSHIP SELECTION:

  1. The Compliance Certification Form will be completed to verify the selection committee members, selection criteria and procedure for selection. The Compliance CertificationForm will be approved by the CF Board.
  2. Donor(s), representative(s) of donor’s family or outside entity (e.g., high schools, service clubs) may recommend one representative to serve on the selection committee, serving in minority to CF staff.
  3. The donor(s), representative(s) of donor’s family or outside entity may review applicants based on the selection criteria and provide suggested ranking for the recommended applicants.
  4. The selection committee will review applications, vote on recommended applicant(s) and complete the Scholarship Recommendation Form.
  5. All members of the selection committee will sign the Scholarship Recommendation Form certifying that:

•All scholarship recommendations are made on an objective and nondiscriminatory basis using the selection criteria and process outlines above.

•Donors, and family or employees of the donor, do not control the selection directly or indirectly.

•Only advisory recommendations are offered for the CF Board’s final selection.

•No donor, family or employee of a donor to the scholarship fund is recommended to receive a scholarship award.

  1. The Board votes to approve awardees.
  2. Once approved by the Board, a scholarship notification will be sent to awardees requesting a current tuition bill and any other documentation required for the specific scholarship.
  3. Once tuition bill and documentation is received by CF, the award will be paid to the college/university on behalf of the recipient.

Recommendations for Scholarship Awardees:

  1. ______
  2. ______
  3. ______
  4. ______
  5. ______

SELECTION COMMITTEE CERTIFICATION:

We certify and confirm that:

  • All scholarship recommendations are made on an objective and nondiscriminatory basis using the selection criteria and procedure outlined above.
  • Donors, donor’s family and/or employees of the donor, do not control the selection of scholarship awardees directly or indirectly.
  • Only advisory recommendations are offered for final selection by the CF Board.
  • No donor, family or employee of a donor to the above named scholarship fund is recommended to receive a scholarship award from the above named scholarship fund.

Selection Committee Members:

SignatureDatePrinted Name

______

SignatureDatePrinted Name

______

SignatureDatePrinted Name

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