The Corinne Jeannine Schillings Foundation by 7G13Xd36

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									                                INITIAL ACADEMIC SCHOLARSHIP APPLICATION

                    APPLICATIONS MUST ARRIVE NO LATER THAN 5:00PM CST, ON THE DEADLINE DATE!
                                        APPLICATIONS WILL NOT BE ACCEPTED PRIOR TO MARCH 15
                               APPLICATION AND ALL SUPPORT MATERIALS SHOULD BE SHIPPED IN ONE PACKAGE.



PERSONAL INFORMATION
Full Name _______________________________________________________ SS# ___________________
Permanent Address __________________________________________________________
                     __________________________________________________________
Telephone # ______________________                    Cell phone # ______________________

Email Address ___________________________________________                          Date of Birth ________________
  *NOTE - Email Address REQUIRED all future correspondence will be through email.


GIRL SCOUT INFORMATION

I received the □ Silver Award on _______________                □ Gold Award on _______________
Name of Local GSUSA Council _____________________________________________________
Council Address _________________________________________________________________
                 _________________________________________________________________
Council Telephone # ____________________
Name of Local Council’s E.D./C.E.O. _________________________________________________
                                                                *NOTE
                              *You MUST provide proof verifying your receipt of the Silver or Gold Award.
            *You MUST submit a letter of recommendation from a Girl Scout volunteer or staff member who is not a relative.
              *The letter of recommendation MUST be written within the past six months, specifically for this scholarship.



EDUCATIONAL BACKGROUND

NEXT YEAR I will be a college:        __ Freshman               __ Sophomore                __ Junior          __ Senior

Name of High School ________________________________________________________________
Address of High School ______________________________________________________________


Year Graduated from High School __________
Complete the section below that applies to you:
__ I am not yet attending a college/university, but will be starting on _______________ (date).
        My high school grade point average is: __________
        I will be attending:
                College/University: ______________________________________________________
                Address: ______________________________________________________________
                           ______________________________________________________________
                My major will be: ________________________________________________________
                My minor will be: ________________________________________________________
                The foreign language(s) I will study is/are: ____________________________________
                                                               *NOTE
                           *You MUST provide a copy of your acceptance letter from the college/university.
                               *You MUST provide proof that your major/minor is in a foreign language.
                                                 **************************

__ I am currently attending a college/university.
        I am attending:
                College/University: ______________________________________________________
                Address: ______________________________________________________________
                           ______________________________________________________________
                My major is: ___________________________________________________________
                My minor is: ___________________________________________________________
                The foreign language(s) I am studying is/are: __________________________________
                          My current grade point average is: __________
                          My current grade point average in my foreign language(s) is: __________

                                                               *NOTE
                                        *You MUST provide a copy of your current transcript.
                               *You MUST provide proof that your major/minor is in a foreign language.
               *You MUST provide proof that you are a full-time student in good standing, progressing toward a degree.




___________________________________________                             ____________________
Signature of Applicant                                                  Date
___________________________________________                             ____________________
Signature of Parent/Guardian                                            Date
___________________________________________
Printed Name of Parent/Guardian
___________________________________________
Address of Parent/Guardian
_____________________________________________________________________Telephone _________________
ESSAY
        We want to know about you, your past, your present, and your dreams for the future. In an essay, not to exceed
5 pages (MUST be typed, 12 pt. type, double spaced, 1 inch margins, numbered pages, and stapled in the upper left
hand corner), answer the following questions.

        1. Who are you? (You MUST include, but are not limited to: your interests; experiences that have shaped who
           you are; impact of Girl Scouting on your life; activities outside of Girl Scouting.)

        2. Why have you chosen to major/minor in a foreign language?

        3. How do you plan on utilizing your language skills?

        4. Why do you feel you should receive support from the Corinne Jeannine Schillings Foundation?



                   APPLICATIONS MUST ARRIVE NO LATER THAN 5:00PM CST, ON THE DEADLINE DATE!
                              APPLICATIONS WILL NOT BE ACCEPTED PRIOR TO MARCH 15.
                            APPLICATION AND ALL SUPPORT MATERIALS SHOULD BE SHIPPED IN ONE PACKAGE


                  [Applications arriving after the deadline, for any reason, WILL NOT be considered!]

                                                        Due Dates
                                           Friday, May 17, 2013 (5:00 pm, CST)

                                           Friday, May 16, 2014 (5:00 pm, CST)

                                           Friday, May 15, 2015 (5:00 pm, CST)

                                           Friday, May 20, 2016 (5:00 pm, CST)

                                           Friday, May 19, 2017 (5:00 pm, CST)

                                           Friday, May 18, 2018 (5:00 pm, CST)

                                           Friday, May 17, 2019 (5:00 pm, CST)

                                           Friday, May 15, 2020 (5:00 pm, CST)

                                (NO fax or electronic applications will be accepted.)



                              Applications must be sent directly to the foundation at:

                                  CORINNE JEANNINE SCHILLINGS FOUNDATION
                                            10645 Nebraska St.
                                       Frankfort, Illinois 60423-2223

                                                   *******************
                                      Contact Information: www.cjsfoundation.org
                                                dschillings1@comcast.net
                                             815-534-5598 or 630-886-0507

								
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