APPLICATION FORM

Rolling Hills Scholarship for College Students

Sponsored by Slovak American Charitable Association (SACA)

Providing Charitable Outreach

Scholarship Application Year______(Fall Enrollment Only)

Organizational Mission

The Slovak American Charitable Association, guided and empowered by its charter, exists to provide charitable outreach. We serve those in need as we represent the values of our heritage by loving and caring for each other, and those individuals and organizations which strive for dignity, respect and care within the community.

Our Philosophy

SACA is a not-for-profit organization that owns and operates Rolling Hills Campus in Zion, IL. Rolling Hills Manor provides skilled care and rehabilitation services to the elderly. Rolling Hills Place is a senior independent and assisted living residence. The organization supports charitable causes and serves individuals without ethnic discrimination.

Name ______

Permanent Address ______

City, State, Zip ______Telephone #______

Email______Cellular # ______

Anticipated or Declared Major ______

Undergraduate _____ Graduate______Degree Seeking______

College or University Attending ______

Address ______

Telephone # of Financial Aid Office ______

How did you learn of the Rolling Hills Scholarship?

Please list any other scholarships, awards or loans you have applied for or that have been approved:

Applied Approved Applied Approved

______

______

I hereby affirm that I am a U.S. citizen or permanent resident, and a permanent resident of Illinois or Wisconsin. I will be attending the above mentioned college or university. I also understand and meet the eligibility and application requirements and agree to the scholarship fund distribution rules if selected for a scholarship. I am submitting a 2 page essay with this application.

____ If I am awarded a Rolling Hills Scholarship, I hereby give permission for Slovak American Charitable Association to publish my name, the name of the school I will be attending, the city where I permanently reside, my academic major and the amount of the scholarship award in the Rolling Hills Campus News, which is mailed to members and supporters of Rolling Hills Campus and SACA.

Applicant’s Signature ______Date ______

This completed application form, essay, certified transcript and letters of recommendation should be mailed to the following address; No incomplete or late submissions will be considered. Deadline April 1stPostmarked

Rolling Hills Scholarship Committee Chairperson

C/o Lucia Stefo

647 Brierwood Court

Antioch, IL 60002

847-456-3800

Rolling Hills Scholarship for College Students

Sponsored by Slovak American Charitable Association (SACA)

Providing Charitable Outreach

Amount: $1,000

Eligibility*: To be considered for the Rolling Hills Scholarship, applicants must:

  • Be a United States citizen or permanent resident
  • Be a permanent resident of Illinois or Wisconsin
  • Have completed a minimum of 15 credit hours of undergraduate study
  • Be enrolled in an accredited 2 or 4 year college or university in the U.S. for

undergraduate or graduate study and be pursuing a health-care related degree

  • Have a cumulative grade point average of at least 2.5 or equivalent on a 4.0 scale for

the most recent 15 hours of college credits received

  • Register for a minimum of 8 credit hours per term

Provisions: Each scholarship will be:

  • Awarded on a yearly basis; the same individual may reapply for a maximum of one

additional year

  • Based on GPA,submission of an application form, a 2-page essay (800-900 words) describing how the applicant’s career goals, work experience and community service experiencerelate to the mission and philosophy of SACA as stated on page one and two letters of recommendation on letterhead stationery, one which must be from a faculty member or employer
  • Based on the final decision of the scholarship committee

*Members of the Board of Directors of Slovak American Charitable Association and their families are not eligible.

Rolling Hills Scholarship for College Students

Sponsored by Slovak American Charitable Association (SACA)

Providing Charitable Outreach

Scholarship Application Requirements

  • Scholarship applications will be accepted between March1 and April 1 to be considered

for the fall term of that year.

  • Applications will be reviewed by the scholarship committee and will be awarded by

June 1.

  • Applicants must submit a certified transcript of coursework for the most recent academic

year of study in which a total of at least 15 credit hours have been awarded.

  • Upon receipt, all applications will be considered the property of SACA and will be kept

confidential.

  • Any expenses incurred with filing this application will be borne by the applicant.
  • All decisions of the committee are final.

Scholarship Fund Distribution Rules

The disbursement of the scholarship will proceed as follows:

  • One scholarship will be awarded per year to each of two currently enrolled college

students who have completed at least 15 credit hours of undergraduate study.

  • The $1,000 will be prorated over the number of terms of the academic year.
  • The scholarship recipient will submit the tuition bill to SACA for payment directly to the

school

  • Any remaining funds will be paid to the student to be used toward room and board,

books, fees and transportation

  • Withdrawal from school or failure to maintain a 2.5 GPA for a minimum of 8 credit hours each term of study will terminate the scholarship.