Cora B. Parkhurst

MemorialScholarship

Cora B. Parkhurst Memorial Scholarship

The Cora B. Parkhurst Scholarship is administered by the Berrien Community Foundation

Application Instructions

Before preparing this application, please review the criteria outlined below.

The application and all support material must be submitted to the Guidance Office by March 6, 2017.

The application MUST be typed, no staples. Please do not put the completed application package in any type of binder. Simply paper clip pages in upper left hand corner.

Incomplete applications will not be considered.

Scholarship Purpose: This scholarship acknowledges students from Berrien Springs High School.

Scholarship Criteria: This is a $1,500 renewable scholarship (up to an additional 3 years) for a Berrien Springs High School graduating senior who demonstrates academic excellence (GPA of 2.5 or above), leadership, and community involvement. This scholarship can be used at a U.S. college/university of choice anywhere for tuition, books, fees, and other costs related to attending but not for room and board.

To complete your application, provide the following in order:

Signed Application

Three letters of recommendation, one from a teacher, former teacher or school official, one from a community member and one from a personal reference other than a relative

A one page personal essay, typed, stating your career goals and how a scholarship would help you accomplish these goals

High school transcript, and if not included on this transcript, ACT or SAT transcript

Evidence of financial need. A copy of FAFSA Determination Letter with Estimated Expected Family Contribution.

The application MUST be typed, no staples. Please do not put completed application in any type of binder, simply paperclip pages in upper left hand corner.

All applications must be returned to the Guidance Office by March 6.

If you have any questions, email or call (269) 983-3304 x 4. School counselors will be notified by the Foundation in May regarding the scholarship recipient(s). In mid-May, scholarship recipients will receive invitations to the Foundation’s scholarship event in June. At this event, certificates will be presented. An official memo with information on how to access the scholarship will be sent by the Foundation to recipients by the end of June. The scholarship will be paid directly to the college/university on the student's behalf by early September, if this information is provided.


Cora B. Parkhurst Memorial Scholarship

Name: Click here to enter text.

Address: Click here to enter text.

City: Click here to enter text.State: Zip:

Primary Phone:Click here to enter text. Cell Phone: Click here to enter text.

Email: Click here to enter text.

Date of Birth (mm/dd/yyyy):Click here to enter text.

Are you a U.S. Citizen?☐Yes ☐No (proof of citizenship or authorization to be in the U.S. will be required, if a scholarship is awarded)

If not a U.S. citizen, what type of visa do you hold? Click here to enter text.

Name of Parents/Guardian: Click here to enter text.

Phone Number: Click here to enter text.

High School Information:

High School:

GPA: Click here to enter text. ACT score: Click here to enter text.

School Counselor: Click here to enter text.Email: Click here to enter text.

Phone:Click here to enter text.

Rank: in a class of

Ranking computed on the basis of:☐all subjects taken; ☐college prep subjects only

Graduation Date (mm/dd/yyyy): Click here to enter text.

School Awards Ceremony (include date & time): Click here to enter text.

Scholarship Celebration Availability (Please note, failure to attend may result in loss of scholarship.)

Are you available to attend the Scholarship Celebration on June 22, 2017? Yes ☐No ☐

College/University/Technical School Information

List the U.S. schools to which you have applied for admission in order of preference:

1. Click here to enter text. Were you accepted? Yes ☐No ☐Pending ☐

2. Click here to enter text. Were you accepted? Yes ☐No ☐Pending ☐

3. Click here to enter text. Were you accepted? Yes ☐No ☐Pending ☐

School, Church and Community Leadership Activities

Using the space below, please list school, church or community activities in which you have participated during the past four years. Please list the activities in order of importance to you. You may attach additional information if necessary.

Organization / # of Years / Leadership Position, Awards and Recognition
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Signatures - Cannot be electronic signatures. Must submit a signed hard copy.

Certification:

I acknowledge that the information in this application is correct to the best of my knowledge. I fully understand that if an award is given to me, it is for the purpose of post-high school education. In the event that I do not enter a post-high school program, terminate the program prior to using the award, or receive other financial assistance (Pell grants, scholarships, tuition grants, etc.) that cover, in its entirety, any tuition, room and board, or class material costs, I will relinquish claim to the award in order that it might be given to another student. I also acknowledge that distribution of all scholarships is contingent upon funds available.

This scholarship, like all scholarships awarded through the Berrien Community Foundation, is made at the discretion of the Board of Trustees. The Berrien Community Foundation Board of Trustees reserves the right to rescind any or all of this scholarship due to unanticipated circumstances.

Signature of Applicant: ______Date: ____/____/____

Permission to Release Information:

We accept the terms of this scholarship program and permission is granted to the Berrien Community Foundation to seek verification of any information provided in this application from any source, for review by the officers and trustees of the Foundation or any other person authorized by the Foundation. We hereby release from liability any person submitting information to the Foundation for use in the selection of scholarship recipients.

Signature of Applicant: ______Date: ____/____/____

Parent’s or Guardian’s Signature: ______Date: ____/____/____

Submit this application to the Berrien Springs High School Guidance Office by March 6.

If you have any questions, call (269) 983-3304 x 4.

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