Nancy L. Hinkley Memorial Scholarship Application

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Nancy L. Hinkley Memorial Scholarship Application Application Due Date: May 15 th, 2018 Scholarship 2018 1. DEADLINE for scholarship applications is May 15 th, 2018. 2. Refer to application process below for a list of the supporting documents. Incomplete applications will not be considered. 3. If any question does not apply to you in this application please put N/A in the space. 4. Type or print legibly. Illegible applications will not be considered. 5. You will be notified by phone or email if you have been awarded scholarship funds. 6. If you have any questions about the application, please contact Mike Hinkley by email at mhinkley@literacyandbeyond.org PURPOSE The Nancy L. Hinkley Memorial Scholarship Fund was established in 2017 to support women/mothers in their quest to attain post-secondary degrees. The mission of the scholarship is to provide financial assistance to women/mothers who are enrolled in degree programs at community colleges, and universities. Preference will be given to students who attend St. Clair County Community College. The Nancy L. Hinkley Memorial Scholarship Fund principally targets mothers who have a desire to earn college degrees after taking time off to raise their children. SCHOLARSHIP AWARDS The Nancy L. Hinkley Memorial Scholarship Fund awards scholarships on the basis of a comprehensive process. Areas that are reviewed by the committee include, but are not limited to the following: Academic Accomplishments, Community Service, References, and Financial Need. The fund pays scholarship funds directly to the college the applicant is enrolled in. The Nancy L. Hinkley Memorial Scholarship Fund is awarded without regard to race, color, ethnicity, or sexual orientation. Scholarships are awarded annually provided funds are available. Repeat scholarship applicants must apply yearly for funds. CRITERIA Applicants must have earned a high school or high school equivalency (GED) diploma. Applicants must be accepted either as a full or part time student (minimum 6 credit hours) at a community college or university beginning classes during the Fall 2018 academic semester. If scholarship money is awarded, this is the only program that will receive the funds on behalf of the applicant. Applicants must be a citizen or legal permanent resident of the United States. TIMELINE Applicants must complete and submit a Scholarship Application by May 15 th, 2018 Candidates may be asked for an interview by the Scholarship Committee conducted in early/mid-june. Applicants are notified via email if awarded a scholarship by late June. 1

Application Process SCHOLARSHIP APPLICANTS MUST PROVIDE: Completed application form. Copy of high school diploma, high school equivalency (GED) diploma, and/or previous college transcripts. A letter of academic reference from a guidance counselor, teacher or other educational contact. A completed reference letter from an employer or other community member (no family members please). Proof of acceptance and enrollment in a degree program at a community college or university. SCHOLARSHIP AWARDS. Applicant must provide their student ID and the correct mailing address of the institution where they will attend. Scholarship funds can only be used for tuition, fees or books and will be mailed to the institution. Award amounts will be distributed annually after all requirements are met. Please mail application to: Literacy and Beyond Nancy L. Hinkley Memorial Scholarship Fund 3110 Goulden Street Port Huron, MI 48060 2

Please check one of the following: Application 2018-must be filled out by applicant. New Scholarship applicant Repeat Scholarship Applicant Please type on a separate sheet or print your answers below. If application is illegible it will not be considered. 1 Last Name: First Name: 2 Mailing Address: Street: City: State: ZIP: 3 Daytime Telephone Number: ( ) Email address: 4 High School Attended: GED Program Attended: Number of years attended HS/GED: 5 I will be attending the following school in the Fall of 2018: Address/ Phone 6 What year will you enter school? Freshman Sophomore Junior Senior Graduate Level 7 Will you be a full time student? If not how many hours will you attend per semester? 8 Grade Point Average (GPA): (On a 4.0 scale) Attach proof of GPA; your most recent official school transcript required or GED transcripts. Did your mother and father graduate from high school? Mother: Father: 9 Did your mother and father attend and finish college? 10 Mother: Father: 11 List the name of any college you have attended Began Ended Graduated Type of Degree Received A. B. 3

Please list the following information on a separate sheet if needed. 12 SCHOOL EXTRA-CURRICULAR ACTIVITIES: Please list school extra-curricular activities in which you have participated. Note leadership roles and dates. 13 AREA OF STUDY: What do you want to study and why? 14 ORGANIZATIONS: Please list community organizations such as service, volunteer and religious organizations in which you are now active or have previously been active. 15 DO YOU HAVE CHILDREN? IF YES HOW MANY? ARE YOU SINGLE? 16 DO YOU HAVE STABLE HOUSING? DO YOU HAVE RELIABLE TRANSPORTATION? 17 FINANCIAL NEED: Have you sent for your FAFSA? IF SO WHAT IS YOUR EFC? 18 CAREER PLANS: What are your career plans and what would you like to be doing in 10 years? 4

19 A. The following items must be attached to this application in order for the application to qualify to be reviewed by the scholarship committee. B. Your application will be returned to you if these items are not attached to this application. (No exceptions.) C. Circle YES or NO to be sure you have attached each item as required. YES NO Two reference forms (educator/ personal). Your references will mail these to: Literacy and Beyond Nancy L. Hinkley Memorial Scholarship Fund 3110 Goulden Street Port Huron, MI 48060 YES NO Proof of college acceptance or current student enrollment and student ID. A letter of college acceptance or program acceptance is required for receipt of funds. YES NO High School/GED diploma and transcripts and/ or college transcript. YES NO Answers to questions 1-19 STATEMENT OF ACCURACY I hereby affirm that all the above stated information provided by me to the Nancy L. Hinkley Memorial Scholarship Committee is true, correct and without forgery. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the Nancy L. Hinkley Memorial Scholarship Program. I hereby understand that if chosen as a scholarship winner, according to scholarship policy, I must provide evidence of enrollment/registration at the post-secondary institution of my choice before scholarship funds can be awarded. Signature of scholarship applicant: Date: The deadline for this application to be received by Literacy and Beyond is May 15 th, 2018. 5