NATIONAL CHARITY LEAGUE, INC. Poway Chapter

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GAYLE KENNEDY MEMORIAL SCHOLARSHIP INFORMATION SHEET NATIONAL CHARITY LEAGUE, INC. is a nonprofit mother/daughter organization dedicated to the initiation and encouragement of charitable endeavors. The NCL Gayle Kennedy Memorial Scholarship Award is one of our philanthropic efforts to provide qualified senior girls with financial assistance to help further their education. Eligibility Requirements: 1. Senior girls who have a genuine desire to continue their education may apply. 2. Applicants must: Plan to pursue a career in education Demonstrate an interest in community service Show need of financial assistance Have a GPA of 2.5 or higher Have good moral character Attend a college or university in the United States Submit a National Charity League, application form Interview with 's Scholarship Committee (finalists only) 3. National Charity League members and their immediate family members are excluded from consideration. Instructions to Applicants: 1. Applications may be obtained from, and submitted to the Counseling Center of your respective high school. 2. The deadline for submitting the completed application form to your counselor is February 28, 2018. 3. Applicant interviews will be conducted in March 2018 (exact date pending room availability). 4. Scholarship award recipients will be notified the middle of April 2018. 1

NATIONAL CHARITY LEAGUE, INC GAYLE KENNEDY MEMORIAL SCHOLARSHIP APPLICATION CHECKLIST ***INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED*** Complete the following checklist to assist you in assembling the necessary information: 1. Application Completed: Synopsis with recent photo (pg.1) Family Financial Data (pg.2) Resume (pg.3) Certification (pg.4) 2. Autobiographical Statement 3. Transcripts 4. Two letters of Recommendation: Counselor Other Return completed application to your counselor by February 28, 2018! 2

APPLICATION FOR SCHOLARSHIP GRANT FOR WOMEN ATTENDING UNITED STATES SCHOOLS OF HIGHER EDUCATION All information on this application will be kept confidential SYNOPSIS Name Last First Middle Home Address Telephone ( ) High School Date of Birth Date of Graduation Counselor's Name US Citizenship: Yes No Colleges to which you have applied (circle your first choice): Your fields of interest Mount recent photograph here Pertinent Information GPA (9-12 without PE) SAT Scores and/or ACT Transcripts Plan to attend a 4-year school Plan to attend a 2-year/city college 3

FAMILY FINANCIAL DATA I currently live with: Both Parents One Parent Guardian Other Number of siblings living at home (not including you): Ages: Others currently living in the home: Number now in college: FATHER MOTHER Currently working? Yes No Currently working? Yes No Occupation Annual Income Occupation Annual Income Other sources of income received or anticipated (check all that apply): Social Security Permanent Disability Vocational Rehabilitation Veteran's Benefits Unemployment Insurance Child Support/Alimony Is your family receiving AFDC welfare payments? Yes No Other: Please explain why you need financial assistance and describe any special circumstances affecting your financial situation. Please use the back of this sheet or attach explanation. 4

COLLEGE PLANS Projected college expenses for next year: Tuition $ Room & Board $ Is there anyone else willing to help you with your college expenses? Yes No RESUME Please type a formal résumé and be sure to include ALL of the following information. Please specify dates and provide complete titles and descriptions related to each category. o Academic Record including official transcript o Cumulative Academic Grade Point Average o SAT and/or ACT Scores o Honors and Awards o Leadership Positions o Extra Curricular Activities o Community Service/Civic Involvement o Work Experience o Home Responsibilities 5

PLEASE SUBMIT WITH THIS APPLICATION: 1. An autobiographical statement to include a description of how/why you plan to pursue a career in education. 2. Two letters of reference: ne from your counselor; if you do not have a counselor, substitute another school administrator. One from any of the following: employer, teacher, minister, or person from the community who knows you well. PERSONS SUBMITTING REFERENCES ARE ASKED TO INCLUDE THE LENGTH OF TIME THEY HAVE KNOWN THE APPLICANT AND IN WHAT CAPACITY, PERSONALITY TRAITS OF THE APPLICANT, APPLICANT S ABILITY TO ACCEPT AND CARRY OUT RESPONSIBILITIES, AND ANY OTHER INFORMATION THAT WOULD BE HELPFUL IN CONSIDERING THE APPLICANT FOR THE SCHOLARSHIP AWARD. Is there any additional information you feel would be helpful to the committee in considering your application? (Use the space below or attach additional information.) CERTIFICATION I certify that all statements contained in this application are true and correct and that the applicant is in need of financial assistance. Applicant's Signature Parent's Signature Date 6