Alpine Winter Foundation Scholarship

2016application

Submission of this application for the Alpine Winter Foundation Scholarship authorizes the Foundationortheir agent to contact anyone to verify information submitted. The Alpine WinterFoundation reserves the right to withdraw the scholarship or discontinue installments.

NOTE: If the selected applicant is awarded another major scholarship such as the Jackson Ferree or the Tahoe Mountain Resorts, this scholarship will be withdrawn.

This application is due in the counseling office no later than Monday, April 4, 2016

Please print. Late or incomplete applications will not be considered

Student Name:

Address

Phone numberCitizenship:

SPECIFIC QUESTIONS:
(If the answer is YES to any of these, please explain and provide details on a separate sheet)

a. Are you the beneficiary of any trust funds? YESNO

b.Do you have any relatives (Grandparents, Aunts, Uncles, Siblings, step-parent) who help with your financial needs? YES NO

c.Have you ever been convicted of possessing or selling illegal drugs? YESNO

d.Does your family have a College Savings Plan (529, Coverdell etc.) funded for you?

YESNO

e.Did you apply for financial aid? YESNO

If you obtained a financial aid award, please provide details and the dollar amount of your family’s

expected contribution (EFC)

$

f. Parent’s combined adjusted gross income for 2015 if the 2015 tax return is not provided. If your parents are separated or divorced, provide the gross income for each parent and indicate the parent you live with.

g. What is the date and total score of your last SAT and/or ACT?
______

TestDateTotal Score

GENERAL QUESTIONS

{Please type answers. More than one answer can occupy a single page.}

  1. FAMILY: Please describe your family. Include number of siblings, their ages, activities your family participates in together, how long you have lived in Truckee, and both parents’ occupations and highest education level achieved by each parent.
  1. COMMUNITY INVOLVEMENT:Include church youth groups,scouts, service programs, social or lodge groups,etc., that you participated in for more than 20 hours during your High School years. Indicate the school year of involvement, honors and/or positions held and hours per month.Please provide names and telephone numbers of the program directors who are familiar with your involvement.
  1. SCHOOL INVOLVEMENT:List memberships in clubs and student body offices. Also includeathletics,music,drama,journalism, and other interests. Include honors and/or positions held, dates of involvement, and hours per month.Please provide names of the teacher, coach or counselor directing this activity.
  1. PERSONAL ESSAY:Please write an essay, [ Max of 1,000 words/short & concise is best] telling us about yourselfand your college plans,[including where you have applied], your goals, and why you qualify for this award.

REQUIRED SIGNATURES

We certify that the information provided in applying for this scholarship is true and correct and that the financial information provided is complete and accurate. We understand that falsification of information will result in termination of any scholarship granted. By signing this application, we authorize the Alpine Winter Foundation to seek any information needed to determine suitability for this scholarship award and forever release any entities seeking or providing such information from any and all claims or damages we may or actually do sustain as a result of seeking or providing such information.

Student signature:______Date______

Parent signature: ______Date ______

Parent signature: ______Date ______

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This student is in good standing and is on track to graduate in June, 2016

School Counselor’s signature: ______Date ______