Privacy Policy


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2017 APPLICATION FOR STUDENT SCHOLARSHIP GRANT
Open ONLY to students entering their second, third, or fourth year of college

Please note that this scholarship application may be filled out and submitted online. Be advised, however, that the online application cannot be saved as a work in progress. Applicants should be sure to have all required information in hand before filling out this form as it can be submitted only as a completed document.

 

STUDENT'S NAME: Please enter your name.

TEL: CELL: EMAIL: Please enter your email address.Please enter your email.

LOCAL ADDRESS:

 

In addition to the application, please submit the following materials by June 5, 2017 by mailing them to: College Scholarships, Scarsdale Foundation, PO Box 542 Scarsdale, NY 10583. Your application is complete only when all materials have been received. Please indicate below that the following materials are being mailed:

Most recent college transcript (Original official transcript, including 2017 Spring term grades, must be sent directly from your college or university. Unofficial or online copies are not accepted.)

Copy of parents' most recent 1040 income tax return as filed and signed, including all schedules and attachments. (Students filing their own tax returns should submit their signed tax returns also.) If the return has been filed by an accountant, it must be signed by the accountant. If the return has been e-filed, please sign the paper copy that you send to the Foundation.

AND

Copy of processed FAFSA (Free Application for Federal Student Aid). All pages including loan history and Expected Family Contribution (EFC) must be provided or the form will be considered invalid; a signed Student Aid Report is not sufficient.

OR

Copy of International Student Financial Aid Application (if applicable)

Please submit this completed online application (by pressing the "Submit" button at the end) by Monday, June 5, 2017. Applications will not be accepted after June 5, 2017. We cannot process your application until all documents have been received.

COLLEGE ATTENDING: 2017/2018 year: Sophomore:          Junior:          Senior:

ADDRESS: CITY: STATE: ZIP:

HIGH SCHOOL: YEAR GRADUATED: YEARS LIVED IN SCARSDALE:

If you did not enroll in college directly after graduation from high school, please describe what you did:



FATHER'S NAME: OCCUPATION:

MOTHER'S NAME: OCCUPATION:

MARITAL STATUS OF PARENTS: Married:         Divorced:          Separated:          Widowed:         

NUMBER OF SIBLINGS:

NAMES AND AGES OF SIBLINGS:

NAME: AGE:
NAME: AGE:
NAME: AGE:
NAME: AGE:
NAME: AGE:

SIBLINGS IN COLLEGE: Specify school now attending and how tuition is being financed:

STUDENT FINANCIAL DATA:

Summer Employment:

Summer Income:

Other Employment Income:

EMPLOYMENT INCOME:

AMOUNT OF STUDENT'S INCOME TO BE USED FOR COLLEGE EXPENSES:

LOANS, SCHOLARSHIPS, OR MONETARY GIFTS YOU RECEIVED THIS PAST YEAR:


BUDGET WORKSHEET

STUDENT'S COSTS
  Current Academic Year Next Academic Year
Tuition & Fees
Room & Board
Books & Supplies
Personal Expenses
Transportation Costs
Other Costs (specify)  
TOTAL COSTS

 

FINANCIAL AID AND OTHER RESOURCES

COLLEGE FINANCIAL AID PACKAGE
 
Current Academic Year
Next Academic Year
Work / Study Program
Loans (Federal, subsidized
or unsubsidized)
Scholarships
PARENTS' CONTRIBUTION
  Current Academic Year Next Academic Year
From income
From savings
From loans
STUDENT'S CONTRIBUTION
  Current Academic Year Next Academic Year
From savings/investments
From jobs
From other income
From loans
OTHER SCHOLARSHIPS / AWARDS
Name of award
Current Academic Year Next Academic Year
TOTAL FUNDING

AMOUNT OF SCARSDALE FOUNDATION AID REQUESTED:

Parents/Student Summary of Financial Information

ASSETS
PARENTS
STUDENT
TOTAL
Bank Balances (Checking, Savings, Money Market)
Investments (Stocks, Bonds, Mutual Funds)
Home (Estimated Market Value)
Other Real Estate (Estimated Market Value)
Business Ownership Value
Pension Assets (401-K, IRA)
Other Assets (Specify)
TOTAL ASSETS
LIABILITIES
Short Term Credit Card or Bank Debt
Investment Debt
Mortgage(s) or Other Real Estate Debt
Home Equity or Home Improvement Loans
Business Debt

Student Loans. Specify:

Other Liabilities (Specify):
TOTAL LIABILITIES:
NET WORTH (TOTAL ASSETS MINUS TOTAL LIABILITIES)


ESTIMATED ANNUAL FAMILY INCOME:
 
Current Year
Next Year
From Wages:
From Investments:

Does your family own its own home? :

If so, what was the original purchase price? When was it purchased?

 

ADDITIONAL COMMENTS AND/OR INFORMATION:


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WRITTEN STATEMENT

As the final part of your application, in the space below, please submit an essay (500 words maximum) telling the Foundation Scholarship Committee about your personal interests, future goals and college activities. Include an explanation of any extraordinary family circumstances and the family finances that require you to apply for scholarship aid.

Make sure that extenuating circumstances such as disability, alimony, child support or business failure are described in your essay. You should also include any additional information that you feel may be relevant to your scholarship application.

Please enter a statement.


Both applicant: Please enter your name. and parent or legal guardian: Please enter your parent's or guardian's name. certify that all sources of financial help have been indicated and that all information in the application, including the documents provided, is accurate and complete to the best of our knowledge. By checking the "Certify and Accept" box below, we affirm that we so certify and that we have read the application and abide by all its requirements.

Certify and Accept: Please make a selection.

(Please note that if there is a material misstatement in this application, the Foundation reserves the right to withdraw its scholarship award.)