CHRIST EPISCOPAL CHURCH CHARITABLE FOUNDATION EDUCATIONAL GRANT APPLICATION FOR COLLEGE STUDENT

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400 San Juan Drive, Ponte Vedra Beach, FL 32082 2002 San Pablo Road, Jacksonville, FL 32224 904-285-6127 CHRIST EPISCOPAL CHURCH CHARITABLE FOUNDATION EDUCATIONAL GRANT APPLICATION FOR COLLEGE STUDENT

Guidelines Christ Episcopal Church Charitable Foundation Educational Grant THIS IS A NEED-BASED GRANT Purpose The purpose of the Educational Grant is to enable a high school or college student to attend the College or University of his/her choice when personal and family financial conditions would otherwise prevent them from doing so. Please note that, in general preference will be given to students who are attending public schools within the State of Florida College & University system. Students should: live in the Beaches community or be an active member of Christ Episcopal Church. have achieved excellence in their academic, community and spiritual lives. not qualify for a Christ Episcopal Church Foundation four-year tuition scholarship. Grant Procedure The student must complete and submit a grant application and other required forms, on or before March 1 of each year. The Foundation's Scholarship Committee will review the applications and select from among them, if any, those to receive educational grants based on the students' achievements, aspirations and financial need. Amount of Grant and Duration The Scholarship Committee will determine the amount of each grant. Reapplication of Grants Students may reapply by March 1 providing updated information on their grades, financial situation, etc. No request for renewal of grants will be considered without an official transcript of grades from the college or university and the most recent IRS Form1040 from the student's parent(s) or legal guardian(s). A student's ongoing financial need and academic performance will be key criteria. One or more members of the Committee may interview applicants and make recommendations to the Committee. Payment of Grants Payments of all grants will be made to the college or university which the applicant plans to attend, or in which the applicant is enrolled, and designated to be applied to the applicant's account for college-related expenses. Application The following documents must be submitted to the Christ Episcopal Church Charitable Foundation by March 1 to qualify: A form completed by applicant's parent(s) or legal guardian(s), including most recent IRS tax form 1040, FAFSA worksheet and most recent Florida 529 Savings Plan statement, if applicable. (Please black out SSNs). Official college transcripts. Submittals Please return the completed Grant Application and all documents requested on or before March 01, to the following:

Casey Slone Christ Episcopal Church 400 San Juan Drive Ponte Vedra Beach, FL 32082 Revised: February 2017

CHRIST EPISCOPAL CHURCH CHARITABLE FOUNDATION EDUCATIONAL GRANT (To be completed by a College/ University Applicant) Date: Name: e-mail: Address: Home Phone: Cell Phone: College / University: College email: A. Please attach a typed essay providing answers to the following questions: 1. Describe your aspirations, goals, activities. 2. Describe the way in which you maintain or enhance your physical, mental and spiritual well-being. 3. How do you demonstrate your responsibility to the community? 4. Explain why you need this grant to help with your college / university expenses? B. Financial Considerations 1. Cost of Attendance at the above institution: Tuition & fees Room Meals Books & Supplies Transportation Miscellaneous Total - - - - - - 2. Sources of Funds to pay costs of attendance Source Amount Bright Futures Pell Grant Florida 529 Plan funds Academic Grants / Scholarships Athletic Grants/ Scholarships Federal Direct Subsidized Loan Federal Direct Unsubsidized Loan Family Contribution Other Grants / Scholarships (cite source and amount) Applied for / Awaiting Decision Part-time job (describe and monthly amount) Other sources (describe and amount) Total Signature:

CHRIST EPISCOPAL CHURCH CHARITABLE FOUNDATION EDUCATIONAL GRANT (To be filled out by parent(s) or legal guardian(s)) Name: Phone: Email: Cell Phone: Address: Occupation: Employer: Name: Phone: Email: Cell Phone: Address: Occupation: Employer: Combined annual household income $ (Please provide IRS form 1040 from previous year tax returns. Application will not be considered without this document) If parents are divorced or separated both must provide a 1040. Other siblings in the family and age, excluding applicant: How many children in the family are currently attending college? If other children are currently in college, how are these expenses funded? Please describe any special family situations that are relevant to your financial situation. I certify that this information is accurate and I understand that the information contained in this application will only be shared with the Scholarship Committee of the Christ Episcopal Church Foundation. Signature Signature Printed Name Printed Name