Polk Education Foundation Scholarship Application 2018 (for ESE students with testing waivers)

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Application must be postmarked by Monday, Feb. 12, 2018 and sent to: 1530 Shumate Drive Bartow, FL (863)

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Polk Education Foundation Scholarship Application 2018 (for ESE students with testing waivers) Scholarships offered to ESE students attending Polk public and charter schools. Please review the list of scholarships posted at polkeducationfounation.org, reviewing not only the list titled Countywide but the list specific to your home school (listed in alphabetical order by high school names.) On the last page of this application, please list all that you qualify to apply for. You will need to write an additional essay for any that require it, and attach reference letters if applicable. Please review the criteria, and select only those for which you are eligible. These awards are administered by the Polk Education Foundation. Application must be postmarked by Monday, Feb. 12, 2018 and sent to: 1530 Shumate Drive Bartow, FL 33830 (863) 534-0519 Students can submit to their counselor who can use the PCSB Courier Route E ALL APPLICATIONS MUST INCLUDE: Completed application - You will print and complete this application, sign it and attach all the required items listed below, as well as, any additional items required by an individual scholarship for which you are applying. Please secure all items to application with one staple. Headshot photo of applicant with name and school marked on the back A copy of school transcript A finalized copy of your SAR (Student Aid Report) obtained by FAFSA completion Essay Any additional essays required in scholarship descriptions Any reference letters required in scholarship descriptions

Computer generate or print application neatly in black ink. Name School Your mailing address City, ZIP Phone Email address Wght.GPA ACT score (if taken) SAT score (if taken) Mother s Name Employer Father s Name Employer # people living in your home # of family members attending college including you Your past and Present Employment History Selected college or institution Have you been accepted? Intended major List all other scholarships for which you have applied and/or received other than those on this form: Scholarship Name, Amount per year, and if it is received, denied or pending. 2

Essay #1 computer generate and attach to the application. Use this essay to provide information requested by each individual scholarship; personal financial need information, college and career plans, and any other information you feel would help in the selection process. Things like medical problems, divorce, and special family situations could all be considered when awarding scholarships. Most scholarships will be chosen solely on the information contained in this essay, so be specific and state your need clearly. Honors, awards, clubs, volunteer time, leadership roles and extra curricular activities may be included in your essay; however, do not send certificates, resumes or other documents as they are discarded and not considered. Minimum type size 10 point. Essay #2 only needed if required for any of the scholarships you selected. Please read each description to determine if an additional essay is required, and what that topic may be. 3

After reviewing the list of scholarships available, found on the PEF s scholarship page at polkeducationfoundation.org, please list below what you are applying for. Make sure to look at both the lists titled Countywide and that for your school (all are in the same document, and not all schools have a school list.) If the scholarship(s) you apply for require an additional essay or reference letters, you must attach those as well or will not be considered. List the name(s) of the scholarships you are applying for below. Add spaces if needed. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 4

SCHOLARSHIP STATEMENT I understand that: (a) if my application is incomplete or does not contain all items from the required list, my application will not be considered, acknowledged or returned, (b) many scholarships will be decided based solely on the essay, (c those other than Polk Education Foundation staff may review my application for the selection process, (d) only those chosen to be interviewed will be notified of interview date/time, (e) if requested, I must attend an interview or be disqualified, (f) only the recipients of the scholarships will be notified by graduation. I further understand and agree that if I am chosen as a recipient: (a) I will attend the Senior Awards program at my high school to receive the award(s), (b) I will send a thank you note to the sponsor(s) of my scholarship(s) and a copy of the same thank you note to the Polk Education Foundation, (c) my scholarship check will not be released until my College Information Sheet AND a copy of my thank you note has been received by the Foundation office, (d) the Foundation may use my name and photo to publicize my award without any further compensation, (e) if I change colleges, it is my responsibility to request that the balance of funds be transferred back to the Polk Education Foundation to be reissued to the college I will be attending. I will notify the Polk Education Foundation of this in writing, (f) all monies received from a one-time award must be used within five years of my graduation. Any money remaining after that time will revert back to the Polk Education Foundation, (g) all scholarship checks will be sent on/about July 1 for Fall enrollment IF the above mentioned paperwork is returned to the Polk Education Foundation. Student s Signature Date Parent s Signature Parent s Printed Name 5