CIBROWSKI FAMILY FOUNDATION - PDF Free Download

CIBROWSKI FAMILY FOUNDATION Stanley T. Cibrowski, Settlor 6059 South Quebec Street, Suite 202 Trustee Englewood, Colorado 80111 Deon E. Fitch, CPA (303) 740-9497 (303) 740-9593 (Fax) deoncpa@att.net December 2014 Dear Career Counselor Re: University of Denver and Colorado School of Mines Scholarships for Engineering and Chemistry Students The Cibrowski Family Foundation is proud to announce the availability of two non-discriminatory scholarships for high school seniors who intend to pursue careers in engineering or chemistry at the Colorado School of Mines or the University of Denver in the fall of 2015. The Foundation was formed in early 1994 and has issued approximately $260,000 in engineering and chemistry scholarships over the years to students attending the Colorado School of Mines or the University of Denver. The aim of our program is to encourage qualified students with the talent and commitment to succeed to pursue careers in engineering or chemistry. Accordingly, the Foundation is extremely interested in each applicant's individual goals, academic achievements, community involvement, work ethics, etc. and may require an interview during the selection process. Although the scholarships are awarded on an annual basis, continuing scholarship recipients who maintain academic, community and work standards will receive preferential consideration for their sophomore, junior and senior years. Please reproduce copies of the enclosed guideline and scholarship application and distribute them to prospective qualified students. The Foundation sincerely appreciates your assistance and will be available to answer your questions as they arise. Very truly yours, Deon E. Fitch, Trustee Enclosure

SCHOLARSHIPS IN ENGINEERING AND/OR CHEMISTRY AT THE UNIVERSITY OF DENVER AND COLORADO SCHOOL OF MINES DEADLINE FOR APPLICATION: APRIL 20, 2015 The following guidelines have been established for application for scholarship for high school seniors and continuing undergraduate college students who intend to pursue a career in engineering and/or chemistry at the University of Denver and Colorado School of Mines. Please read these instructions carefully and fulfill all of the requirements prior to the submission of your application request. If questions arise that your counselor cannot answer, please contact the Cibrowski Family Foundation at the address or telephone number shown below. Scholarships Scholarships will be awarded on a nondiscriminatory basis to qualified recipients based on academic achievement, community service and work ethic by the Cibrowski Family Foundation. Scholarships, which include tuition and books, shall be awarded to the following: University of Denver (One freshman scholarship) Freshman $3,000, Sophomore $3,000, Junior $3,000, Senior $3,000 Colorado School of Mines (One freshman scholarship) Freshman $ 1,000, Sophomore $ 1,000, Junior $ 1,000, Senior $ 1,000 Scholarships must be applied for on an annual basis and preference will be awarded to prior scholarship recipients who continue to maintain academic, community and work standards as established by the Foundation. Recipients must attain a minimum 2.75 grade point average during the fall/winter sessions of the academic year and maintain full-time enrollment in the schools of engineering and/or chemistry to receive funding for the spring session. Student Eligibility Requirements The Foundation wishes to encourage qualified students with the talent and commitment to succeed to pursue careers in engineering and/or chemistry and has established the following criteria for evaluation: Must be a high school senior or undergraduate college student and a citizen of the United States at the time of application. Must have at least a 3.5 grade point average (based on a 4.0 scale) for the 10th and 11th grades or at least a 3.0 accumulated college grade point average for undergraduate college students. Must intend to earn a degree in engineering and/or chemistry and plan to enter the practice of engineering and/or chemistry after graduation. Must be enrolled at the University of Denver or Colorado School of Mines prior to the awarding of the scholarship. High school seniors must have attained minimum test scores on either of the following standardized tests, Scholastic Aptitude Test (SAT) or the American College Testing Program (ACT). Test results may not be mixed to obtain minimum thresholds. Verbal/English Math/Quant ACT: 25 29 SAT: 500 600 Evaluation Standards The Foundation will evaluate applications based on individual goals, academic achievements, community service, work ethic, letters of recommendation, etc. in awarding scholarships. Supplemental credit may be awarded for honors, advance placement, college-level courses, community service or unusual circumstances. Finalists may also be scheduled for an interview with representatives of the Foundation. Scholarship recipients will be announced in August 2015. ON COMPLETION, PLEASE RETURN TO YOUR COUNSELOR FOR FINAL REVIEW PRIOR TO MAILING TO THE: CIBROWSKI FAMILY FOUNDATION, DEON E. FITCH, CHAIRMAN, 6059 S. QUEBEC ST., STE 202, ENGLEWOOD, CO 80111 (303) 740-9497 (303) 740-9593 (FAX) deoncpa@att.net

CIBROWSKI FAMILY FOUNDATION SCHOLARSHIP APPLICATION FORM PERSONAL INFORMATION DEADLINE FOR APPLICATION: APRIL 20, 2015 Name, (Last) (First) (Middle) Birth date: / / Citizenship: US (Yes or No) (Applicant must be a U.S. citizen at time of application) Address Apt. # City State Zip Code Telephone ( ) email COLLEGE PREFERENCE Student Status -Fall, 2014 University of Denver Freshman Sophomore Junior Senior Accepted/Date Pending/Date Submitted Continuing Student Colorado School of Mines Freshman Sophomore Junior Senior Accepted/Date Pending/Date Submitted Continuing Student ACADEMIC INFORMATION Accumulative Grade Point Average on a scale of Your Scores (Freshman applicants only): SAT: Verbal Math ACT: English Math HS Class Rank, if available: CERTIFICATION APPLICANT I hereby certify, to the best of my knowledge, that all of the information submitted by me is current, complete and my own. I understand that submitting non-factual information will automatically disqualify me from any consideration for a scholarship. By submitting this application, I authorize my high school/college counselor to make available to the Cibrowski Family Foundation information concerning my academic records. Signature Date COUNSELOR I hereby certify that the academic information and summary of school activities submitted in this application are correct, and that this applicant meets eligibility requirements as outlined. Signature Date Phone email On completion of the application, please compile your essay, letters of recommendation and official transcript and submit to your counselor for final review prior to mailing to the following: Cibrowski Family Foundation, Deon E. Fitch, Chairman 6059 South Quebec Street, Suite 202, Englewood, CO, 80111 (303) 740-9497 (303) 740-9593 FAX deoncpa@att.net

List all Schools you have attended including secondary schools, summer schools, and colleges. List current institution first. If necessary, please attach an additional sheet of paper. Name of School City and State Dates of Attendance Date of Graduation Please list any scholastic honors and /or discuss any situation or special circumstances which have influenced your academic performance. If necessary, please attach an additional sheet of paper. ACTIVITIES AND INTERESTS List your extracurricular, community, and recreational activities. (*) Activities you intend to pursue at College If necessary, please attach an additional sheet of paper. Years of Hours per Activity Participation Week Positions Held or Awards Received List any full-time or part-time jobs you have held in the last four years: If necessary, please attach an additional sheet of paper. Type of Work Employer Hours per Week Dates of Employment Please provide any additional information about you or your family which you feel may be of assistance to us in evaluating your application. ESSAY As part of your application, please prepare a short, double-spaced typewritten essay (one page maximum) describing your experience in and exposure to engineering and/or chemistry to date. Please highlight significant events, activities, classes, etc. that influenced your decision to pursue a career in engineering and/or chemistry and include your name at the top of the essay. LETTERS OF RECOMMENDATION Please provide at least two letters of recommendation using the accompanying form.

SCHOLARSHIP APPLICATION FORM LETTERS OF RECOMMENDATION Cibrowski Family Foundation, Deon E. Fitch, Chairman 6059 South Quebec Street, Suite 202, Englewood, CO 80111 (303) 740-9497 (303) 740-9593 FAX deoncpa@att.net SUMMARY AND RECOMMENDATION The aim of our program is to encourage qualified students with the talent and commitment to succeed to pursue careers in engineering and chemistry. In addition, the Cibrowski Family Foundation is a perpetual entity and has been uniquely structured to provide scholarship recipients with the opportunity to serve as future trustees. Accordingly, the Foundation is extremely interested in each applicant's individual goals, qualifications and achievements, community involvement, interest in and assistance to others and work ethic. Your recommendation will be used to evaluate the applicant's qualifications and information concerning the applicant's character, maturity, independence, study/work habits, analytical ability, motivation, initiative and special circumstances or unusual events that may have had an impact on the applicant will be helpful. Your remarks will not be disclosed to the applicant and will only be available to those making scholarship decisions. This report will be destroyed when no longer needed for scholarship purposes. You may attach a separate sheet of paper, if you prefer. Applicant's Name (Last) (First) (Middle) Reference Name Address State Zip Code Relationship to Applicant Phone ( ) email -------------------------------------------------------------------------------------------------------------------------------------------------------- Signature Date On completion, please seal in an envelope and return to applicant for processing.