THE ASSOCIATION OF CONNECTICUT FAIRS, INC. SCHOLARSHIP PROGRAM

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THE ASSOCIATION OF CONNECTICUT FAIRS, INC. SCHOLARSHIP PROGRAM To: All Fair Secretaries Re: Association of Connecticut Fairs Scholarship Awards AWARDS The Association of Connecticut Fairs, Inc. awards three (3) scholarships of $1,000.00 each to a graduating high school senior or a current college student to assist them with their education at an accredited institution of higher learning. One (1) $1,000.00 scholarship to a graduating senior or college student who will be pursuing a course of study in agriculture, home economics, or a related field during the next school year. One (1) $1,000.00 scholarship to a graduating senior or college student who will be pursuing a course of study in any field during the next school year. One (1) $1,000 scholarship to a graduating senior or college student to be chosen at the discretion of the Scholarship Committee. RULES The applicant must be a high school senior or a current college student and must be or have been an active participant or exhibitor in a member fair of The Association of Connecticut Fairs, Inc. Applicants may be required to be interviewed at the discretion of the Scholarship Committee. Applicants must return the completed application form to the sponsoring Fair Secretary by May 15, 2016. The sponsoring Fair Secretary is to forward screened and signed applications to the Chair of the Scholarship Committee by May 30 of that given year. (Address is at the bottom of the last page). IMPORTANT: Member fairs should submit ALL qualified applications for consideration by the Scholarship Committee. All questions on the application must be answered to be considered for an award. An official high school or college transcript must be attached in a sealed envelope. Scholarship recipients will be notified of their award prior to July 1 of that given year. Scholarships will be awarded at the Association of Connecticut Fairs, Inc. Annual (Fall) Meeting. (The meeting usually takes place in November. Winner need not be present but we hope you would be in attendance.) Applications will be judged on the following basis: Fair Participation 30% Scholastic Standing 25% Financial Need 25% Citizenship and Leadership 20% The Scholarship Committee reserves the right to not issue an award if no applicant adequately fulfills the requirements. Fairs should promote the scholarship program at fair meetings, other local events, in local newspapers and by contacting their local high school or college guidance department. Each fair should screen the applications to be sure all of the conditions listed above are met. Fairs should submit all qualified applications for consideration by the Scholarship Committee. SCHOLARSHIP COMMITTEE CHAIR Paul Burnham email: scholarships@ctagfairs.org 25 Pear Tree Lane South Windsor, CT 06074

THE ASSOCIATION OF CONNECTICUT FAIRS, INC. SCHOLARSHIP APPLICATION The Association of Connecticut Fairs annual scholarships are available to all students active in member fairs without discrimination as to race, color or creed. Applicants must be sponsored by a member fair of the Association of Connecticut Fairs, Inc. and be enrolled at an accredited institution of higher learning. THREE $1000.00 scholarships will be awarded annually to a graduating high school senior or a current college student. One scholarship will be awarded to a student pursuing a course of study in agriculture, home economics or a related field during the next academic year. One scholarship will be awarded to a student pursuing a course of study in any field during the next academic year. One scholarship will be awarded to a student to be chosen at the discretion of the Scholarship Committee The following factors will be considered by the selection committee: Fair Participation: 30% Scholastic Standing: 25% Financial Need: 25% Citizenship and Leadership: 20% Which scholarship are you applying for?: [ ] Agriculture, Home Economics or related field [ ] Any other course of study Your Name: Address: City, State & Zip: Email Address: Home Phone: Date of Birth: Fair you represent: High School Last Attended: cell phone: Age: Name of Parent or Guardian Occupation Employer -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Names of Brothers Live at home Dependent on family Attending College Name of college and/or sisters with you? income? ACF Scholarship AppLtr-2016 1

School Activities you have participated in (list any officer positions you may have held): Community Service: Church, Clubs, Organizations: Awards Received: School, Community, Clubs, Organizations: Work Experience: References Name Relationship Phone Number ACF Scholarship AppLtr-2016 2

Did your parents or guardian claim you as a dependent on their income tax last year?: Does anybody (other than yourself) depend on you for support?: Name of Dependent Live with you? Age Attending School? Name of School Annual Financial Need What is the yearly estimated cost for your schooling?: Financial resources available to you: Other scholarships/grants Received Award Name: (Is it refundable) Award Name: (Is it refundable) Award Name: (Is it refundable) Parents/Guardian Contribution: Applicant Contribution: Other Income: Total of all above resources: TOTAL: Name of College or University which you plan to attend or are attending Years Completed If you have not attended college, have you been accepted? Major Field of Study Degree Sought: Associate Bachelors Masters Other When do you expect to graduate? ACF Scholarship AppLtr-2016 3

ESSAY: What experiences have you had working on or exhibiting at a fair that you feel will help you with your future goals? (Approximately 50-100 words) (provide hours worked if volunteered, committee participation, exhibit area and years of participation if you are an officer) PLEASE ATTACH A SEALED HIGH SCHOOL OR COLLEGE TRANSCRIPT TO THIS APPLICATION. I/We hereby apply for a scholarship from The Association of Connecticut Fairs, Inc. and certify that all information in this application is true, correct and complete. I/We agree that if selected as the recipient of a scholarship the funds will be used for educational purposes only. I/We further agree that if selected as the recipient of a scholarship The Association of Connecticut Fairs, Inc. may use the recipient s name in its newsletter, press releases and similar publicity materials. Date Signature of Applicant: Signature of Parent or Guardian I certify that the above applicant is or has been an active participant in our fair in the following areas: Signature of Member Fair Secretary Member Fair Member fair please send all information to: Association of Connecticut Fairs Scholarship Committee SCHOLARSHIP COMMITTEE CHAIR Paul Burnham email: scholarships@ctagfairs.org 25 Pear Tree Lane South Windsor, CT 06074 ACF Scholarship AppLtr-2016 4