REYNOLDS E. MOULTON FAMILY STUDENT ATHLETE ACHIEVEMENT AWARD
Guidelines
History and Purpose: The Reynolds E. Moulton Family Student Athlete Achievement Award was established in 2000 by Reynolds E. Moulton, Jr. The fund provides scholarship assistance annually to a graduating senior of Cape Elizabeth High School who plans to attend a four-year college or university and has demonstrated outstanding athletic and academic abilities.
Eligibility Requirements: To be eligible for the annual Award, a student must be: 1) a graduating senior from Cape Elizabeth High School; 2) acccepted at a four year post-secondary school; and 3) have combined outstanding interscholastic athletic achievement at Cape Elizabeth High School with above above average academic performance. Financial need will only be considered in evaluation of equally qualified applicants.
Awards: Each year, the program will award scholarships of an amount determined by the Board of Directors of the Maine Community Foundation in consultation with the advisory committee and will be based on the income available from the fund that year
The award money may be used for tuition, room and board, books, lab fees and equipment. However, award monies used for expenses other than tuition, books and supplies must be reported as taxable income by the recipient. It will be the responsibility of the recipient to report and pay any tax liability.
Administration: A committee consisting of the principal and athletic director of Cape Elizabeth High School and the donor’s sisters, or their designees as selected by the then remaining children of the donor, shall be appointed to review the applications received and make their recommendation to the Board of Maine Community Foundation as to the recipient of the award.
All applications must be postmarked no later than April 15th. Incomplete applications or those postmarked after this date will not be processed. All information received from applicants will be treated as confidential. Award winners will be notified by June 15th.
Each award will be mailed to the school in December. Checks will be made payable jointly to
the student and the school and applied to the second semester expenses.
Reynolds E. Moulton Family Student Athlete Achievement Award Application
The Scholarship Fund provides scholarship assistance to a graduating senior of Cape Elizabeth
High School who is pursuing a four year post-secondary degree and has demonstrated outstanding high school athletic achievement and academic performance.
Applications must be postmarked by April 15th.
Student 'sName: ______
HomeMailing Address: ______
Home Phone: ______
Date of Birth: ______/______/______Male ( ) Female ( )
Social Security Number: ______-______-______
If parent/guardian will claim you as a dependent this year, please list their name and social security number:
Name:______SS#:______-______-______
Name of current High School or College: ______
Address of High School or College: ______Grade point average______Student Ranks______in a class of ______
Most recent SAT scores (optional): Math: ______Verbal: ______
Post-Secondary School for which aid is requested: ______
Degree Anticipated: BA___ BS___ other______
MajorField of Study: ______
Financial Aid Information:
1. Have you been accepted to the college of your choice? _____yes _____no
If yes, make sure you have attached a copy of your financial aid award letter.
2. Date FASFA filed:______
List any academic award/honors
Award/honorDescriptionDate received
______
______
______
______
List athletic participation and any awards/honors
Sport/PositionAward/honorDates of participation
______
______
______
______
List of School Activities (attach additional sheet if necessary)
ActivityNumber of years participating Special honors, offices
______
______
______
______
In a Personal Statement of 500 words or less, describe your aspirations and how your educational and athletic plans and achievements relate to them. (Attach a separate sheet).
I certify that I am a legal resident of the State of Maine and that all information on this form is true and complete to the best of my knowledge.
Signature of Parent/Guardian:______
Signature of Applicant:______
Your application must include: a copy of your most recent high school or college transcript, a letter of reference from a teacher and a coach or someone who knows you athletically, a copy of your college financial aid offer (if you have received it by the time of submission).
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