The Hall Education Fund, Inc

THE HALL EDUCATION FUND, INC.

9 Bayard Street ▪ New Brunswick NJ 08901

SCHOLARSHIP FUND APPLICATION

Cover Sheet

Please complete every part of every section of the Application Form. A complete application will include all of the following:

The contact information and academic institution sheet.

Financial information. You may complete the page we have given you, or you may attach your FAFSA (Free Application for Federal Student Aid) or SAR (Student Aid Report). Applications lacking this information will not be considered.

Activities sheet.

Essay.

Two (2) sealed letters of recommendation.

High school transcript.

THE HALL EDUCATION FUND, INC.

9 Bayard Street ▪ New Brunswick NJ 08901

SCHOLARSHIP FUND APPLICATION

SECTION I—CONTACT INFORMATION

Applicant’s Name

______

Street Address ______

City ______State ______ZIP______

Home Phone ______Cell Phone______Other ______

Email Address ______SS#_____-_____-_____

Person to contact if we cannot reach you:

Name______Relationship______

Phone______Email______

SECTION II—FAMILY INFORMATION

Parent (Check if living) Parent 1  Parent 2 Stepparent

Name of Parent 1, Stepparent or Guardian (please circle) ______

Occupation______Employer ______

If deceased, please give the date______

Name of Parent 2, Stepparent or Guardian(please circle) ______

Occupation______Employer ______

If deceased, please give the date ______

Number of dependent children in family_____ Ages ______

Number of children in college next fall______

Section III -- ACADEMIC INSTITUTION INFORMATION

Please list in order of preference the colleges and/or vocational training programs to which you have applied:

Institution

Accepted (Yes/No)

First Year Cost

(tuition, room, board, and transportation)

THE HALL EDUCATION FUND, INC.

9 Bayard Street ▪ New Brunswick NJ 08901

SCHOLARSHIP FUND APPLICATION

Page 2

Section IV—FINANCIAL INFORMATION

[NOTE: If FAFSA or SAR forms are attached, please skip to Section V—ADDITIONAL INFORMATION.Otherwise this section must be completed in its entirety.]

Annual taxable family income before deductions:

Parent 1, Stepparent, or Guardian $______

Parent 2, Stepparent, or Guardian$______

Are you, the Applicant, working? _____ Where?______How long? ______

Funds available for school next year, beginning in the fall:

Source of Funds

Amount (in dollars)

Section V—ADDITIONAL INFORMATION

Please state any special circumstances the Hall Education Fund’s Scholarship Committee should be aware of:

THE HALL EDUCATION FUND, INC.

9 Bayard Street ▪ New Brunswick NJ 08901

SCHOLARSHIP FUND APPLICATION

Page 3

Please list your scholastic activities:

Organization

Number of Years in organization

Leadership position/year

Honor or Award year

Please list your school-related extra-curricular activities:

Organization

Number of Years in organization

Leadership position/year

Honor or Award year

Please list your civic and religious activities:

Organization

Number of Years in organization

Leadership position/year

Honor or Award year

THE HALL EDUCATION FUND, INC.

9 Bayard Street ▪ New Brunswick NJ 08901

SCHOLARSHIP FUND APPLICATION

Page 4

Essay:Attach additional pages if necessary.

1. What are your career goals and aspirations? Why are you attracted to them?

2. Tell us about a time you have had to make a significant personal decision. What was important to you as you made your choice? What did you learn about your priorities and values?

THE HALL EDUCATION FUND, INC.

9 Bayard Street ▪ New Brunswick NJ 08901

SCHOLARSHIP FUND APPLICATION

Page 5

References:

Please include two sealed letters of recommendation, including at least one from a teacher and one from an employer, counselor, mentor, or minister. These should not be relatives of you or of your family. Please also write their names and contact information below:

Name______Relationship ______Phone ______

Address ______City______State_____ZIP ______

Email______

Name______Relationship ______Phone ______

Address ______City______State_____ZIP ______

Email______

------

Applicant and Parent/Guardian Certification and Authorization

Applicant’s Signature______Date ______

Parent/Guardian Signature(s) ______Date ______

------

Class Rank ______Grade Point Average______

Guidance Counselor’s Signature ______Date ______

PLEASE ATTACH AN OFFICIAL COPY OF APPLICANT’S HIGH SCHOOL TRANSCRIPT