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THE GREATER EAST ST - Greater East St. Louis Community Fund

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					 THE GREATER EAST ST. LOUIS COMMUNITY FUND
        2012 – 2013 SCHOLARSHIP APPLICATION
    Merit Scholar                                                Dr. Garrett Fellowship
  High School Seniors                                            College Seniors


                APPLICATION DEADLINE – April 16, 2012
NOTE: All Applicants must be residents of East St. Louis or Brooklyn

                                HOW TO APPLY
1. Submit completed original application to the Greater East St. Louis Community Fund. It
   must be typed or printed legible in black ink. Request additional applications if needed. Answer
   all questions completely. If a question does not apply to you write N/A (not applicable). Leave
   no questions unanswered.
2. Submit two (2) Letters of Recommendations. Recommendation letters are required. At least
   one recommendation must be from a teacher or counselor at your school. Reference letter
   format is attached.
3. A copy of your Letter of Acceptance from college you plan on attending. Must be
   submitted with application.
4. Personal Essay must be enclosed with your application. The essay must be no more than
   250 words. Questions are noted on page 4 of the application.
5. A photocopy of your Student Aid Report (SAR) from your University/College must be sent
   to the Greater East St. Louis Community Fund office. Your SAR must cover the same
   academic year as the application for Award.
6. You must submit a copy of your “2012-2013 Federal Student Aid Report” (FAFSA).
   Applications are accepted as of January 1, 2012 until funds are depleted. All Scholarship
   Applicants are encouraged to submit their FAFSA immediately. Visit their website at:
   www.fafsa.ed.gov for deadlines and instructions.
7. Dependent Students must include parent financial information. If you will not be 24 years
   of age by Dec. 31st , 2012, but wish to apply as an independent, you MUST verify that you fit
   one of the following criteria:
                An orphan or ward of the state
                A parent with legal dependents
                A married student
8. Official Transcript - All applicants must arrange for an official academic transcript be sent
   directly from your high school guidance office to the Greater East St. Louis Community Fund
   office. The transcript must show 2011-2012 fall semester grades.
9. Copy of Utility Bill – to verify residency in East St. Louis or Brooklyn. This must be included
   with your application.
                                  Documents must be submitted to:
                            Greater East St. Louis Community Fund
                                             P.O. Box 547
                                    East St. Louis, Illinois 62202
                                       Phone: (618) 271-2200
                          or electronically at www.geslcf@sbcglobal.net
                   GESTLCF SCHOLARSHIP APPLICATION
                                              Date:

                                     APPLICANT INFORMATION

 1. Last Name:               First Name:               Middle:


 2. Permanent Address:                      City:           State:                  Zip:

 3. Home Phone:              Cell Phone:              Sex: M         F       Age:          DOB:

 4. U.S. Citizen: Yes      or No

 5. Personal E-Mail:

 6. Employer:              Job Title:                 Phone:

                                 Parental Information

 7. Father:             Job Title:             Employer:

 8. Mother:             Job Title:            Employer:

 9. Legal Guardian:             Job Title:            Employer:

      Describe any special circumstances in your home or family that affect your educational
      goals. This may include physical conditions, disability, or family instability. Use
      additional page.

 10. Living arrangement during coming academic year:

      Parents    Own Home            Dorm      Apartment         Relatives


 11. College you plan to attend in fall 2012. If undecided, list your top two choices to which you
     have applied. Note: You will have to submit a copy of your acceptance letter before final
     scholarship consideration is given.
12.    Name of School                        City & State                       Accepted
                                                                            Yes or No
                                                                         Unknown
                                                                            Yes or No
                                                                         Unknown
               APPLICANT’S EDUCATIONAL INFORMATION
13.    Student Classification in the Fall 2012: (check one)
                     Freshman     Sophomore     Junior   Senior
                          st                 nd
                         1 year Graduate    2 year Graduate

14.     Total number of hours enrolled for 1st Semester:
           1. # of Hours:

15.    Major or course of study?

16.    Degree you are pursing: Associate       Bachelors       Masters     PhD

17.    I am an applicant for financial aid at the college I plan to attend
               YES      or NO ? If NO, attach a note and explaining why not.


Current and anticipated financial aid resources: Source and Amounts
  RESOURCES                                 ANTICIPATED          APPROVED or
                                               AMOUNT               PENDING
  1. WORK STUDY
  2. VETERANS OR SOCIAL SECURITY
  3. SEOG
      4. ILLINOIS MONETARY
      5. AWARD PROGRAM
      6. PELL GRANT
      7. SCHOLARSHIP GRANTS
      8. STAFFORD LOAN (GSL)
      9. PERKINS LOAN (NDSL)
      10. OTHER (describe source)
                                    TOTAL        $                    $

18. Where did you learn about this scholarship?

19. List two local persons who are not members of your household who will know your address after you
    leave school and are authorized to disclose it to us and give us their e-mail address.

1. Name:           Address:          City        State        Zip         Phone
   Email:
2. Name:           Address:          City        State        Zip         Phone
   Email:
                                   Personal Essay
Personal Essay must be enclosed with your application. The essay must cover each of the
following topics:

   21. Describe your professional and personal goals.

   22. Describe circumstances or people that have influenced you or had an effect on your
       achievement, and/or unusual hardships you have had to overcome or will overcome to
       achieve your goals.

   23. Describe volunteer involvement in community service work you have done. Concentrate on
       those most important to you, and would you be willing to provide community service in
       East St. Louis and/or Brooklyn during the coming years and if so where?

   24. Submit two personal letters of reference must be submitted for your application to be
       complete. Use the attached reference letter form. These letters must also be submitted by
       April 16, 2012.

   25. Submit a copy of a current utility bill to verify residency.

   26. REQUIRED AUTHORIZATIONS I authorize The Greater East St. Louis Community Fund
       and its agents to examine, verify and discuss my academic and/or financial records and other
       information which applies to me. I also understand that an unsigned or incomplete application will
       make me ineligible for consideration for an award.

Student’s Signature: ______________________             Date: ____________________

   27. I certify to The Greater East St. Louis Community Fund that all information here is true and
       complete to the best of my knowledge and that I understand that the committee makes the decision
       regarding my participation in this program, in reliance upon the truth and correctness of the
       information I provide.

Student’s Signature___________________________          Date: ____________________



                  DEADLINE FOR ALL APPLICATION IS April 16, 2012

                                  SEND ALL INFORMATION TO:
                  THE GREATER EAST ST. LOUIS COMMUNITY FUND
                                 P. O. Box 547
                                        EAST ST. LOUIS, IL 62202
                                  For questions call (618) 271-2200
                                                 Or
                                    E-mail: geslcf@sbcglobal.net

				
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