Scholarship Application

Transcription

1 Scholarship Application

2 Buddy Pelletier Surfing Foundation Scholarship Application Mission: The Buddy Pelletier Surfing Foundation is to operate for the charitable, educational and humanitarian purposes. It will operate exclusively for these purposes as well as to engage in fund-raising endeavors and to also receive contributions in support of this Surfing Foundation. This Foundation has been established to support the Educational and Humanitarian needs of the East Coast surfing community and its youth. Eligibility: These scholarships will be limited to members of the East Coast Surfing community. Students of all ages are eligible. Rising Senior and Undergraduate Students or Returning Students may apply. Applicants and previous winners may reapply on a yearly basis. Distribution: Each scholarship will be All funds awarded will be sent directly to applicant s school. Application Process: Complete the following attached application and submit to: BPSF Scholarship Committee Attn: Lynne Pelletier 5121 Chalk Street buddypelletier@hotmail.com Morehead City, NC Phone: Attach two letters of recommendation. Current school transcripts or last school attended (returning students) One Essay (minimum 500 words) All material received must be legible. Application materials must be received by June 1 st. Awards will be announced August 1 st.. Date Received: Time Received: Signature: Lynne D. Pelletier

3 Application Form Buddy Pelletier Surfing Foundation Scholarship Application Name Last First MI Date of Birth Local Phone Local Address State Zip Code Address Major Application Year in College: Freshman Sophomore Junior Senior Colleges Applied to: Accepted Yes No Has applicant applied for financial aid? Yes No Has applicant been accepted for financial aid assistance? Yes No The Buddy Pelletier Surfing Foundation recommends ALL applicants apply for financial assistance, in addition to the Buddy Pelletier Surfing Foundation Scholarship. For more information visit:

4 Financial Information FINANCIAL INFORMATION TO BE COMPLETED WITH PARENT / GUARDIAN / SPOUSE Marital Status: Single Married Father, Guardian or Spouse (circle) Name Employer Occupation Total Annual Income (Before Taxes, including Social Security, Alimony, Child Support, Pensions, Etc.) Mother, Guardian or Spouse (circle) Name Employer Occupation Total Annual Income (Before Taxes, including Social Security, Alimony, Child Support, Pensions, Etc.) Other than yourself, how many other persons (children, siblings, etc.) are dependent on this income? How many dependents will be enrolled in higher education next year? Does Student work? Average hours per week weekly pay Will the student have a car at school? Year/Model FINANCIAL WORKSHEET Students estimated Personal Income during the next school year. Total cash on hand for personal use (checking, savings, etc.). Total annual expected contributions from Parent/Spouse/Guardian/Other. Scholarships already awarded for the upcoming year. Any additional income not already listed Outstanding Student Debt and Loans (Subtract) Amount Left for School and Living Expenses Sub-Total - Total

5 Financial Information Has applicant applied for financial aid? Yes No Has applicant been accepted for financial aid assistance? Yes No The Buddy Pelletier Surfing Foundation recommends ALL applicants apply for financial assistance, in addition to the Buddy Pelletier Surfing Foundation Scholarship. For more information visit: Are there any circumstances that you would like brought to the attention of the Scholarship Committee?

6 East Coast Surfing History Please write a brief summary of your surfing history, organizations, and volunteer activities. Community Involvement Please write a brief history of your community involvement outside of the surfing community.

7 Essay Information Please write and attach an essay concerning what plans you have for the future and how your education will benefit the surfing community, as well as the community at large. This is your chance for the members of the Buddy Pelletier Surfing Foundation Scholarship Committee to get to know who you are, beyond numbers and statistics, so we can have a better overall view of who you are and what you want to do with your education if you receive this Scholarship. Minimum 500 words. I hereby declare all the above information to be true and accurate to the best of my knowledge. Printed Name Date Signature