Application for The Fairfield Glade Ladies Club
Pam Biggs Scholarship Award
Student Instruction Sheet (You may keep this page)*
You will be eligible for this scholarship if you……
1. Are a resident of Cumberland County, TN
2. Have been accepted at, or are attending, an accredited college, university, or
technical school
3. Have a demonstrated financial need
4. Have participated in community or volunteer service
5. Have good recommendations
6. Submit your completed application package (all components noted below included)
Scholarship Selection Criteria
Candidate must meet eligibility guidelines noted above
CRITERIA
MAXIMUM POINTS
ACADEMICS (if currently enrolled)
15
PERSONAL RECOMMENDATIONS
15
COMMUNITY INVOLVEMENT/EXTRA-CURRICULAR ACTIVITIES
15
REQUIRED PERSONAL STATEMENT
20
DEMONSTRATED FINANCIAL NEED
35
Total……………..85 points (if not currently enrolled)
Total ………….100 points (if currently enrolled)
Materials Needed to Complete Your Application Package….
1. Pages 1-2 of this application
2. Three personal recommendations. Consider a teacher, volunteer service leader,
employer, or church leader, someone who can speak to your worthiness. Do not use
family members.
3. Academic transcripts (if currently enrolled)
4. Personal statement (see page 2 of the application for guidelines)
5. A copy of the Adjusted Gross Income Statement from the most recent tax return for
all in your household who contribute to the household expenses.
6. A recent photo of yourself
*If you have questions about requirements or the application process, please email
[email protected]
Pam Biggs Scholarship Award Form
Applicant Information Sheet
FINANCIAL NEED WORKSHEET (You may keep this page)
Use this worksheet for your notes and to enter requested
information on the Application Form
College/School Projected Cost:
Tuition/Fees
Room/Board or Commuting
Books/Computer
Other Expenses:
_________________
_________________
_________________
_________________
_________________
_________________
Total Expenses:
______________
___
AvailableResources:
Personal Savings (estimate)
Family contribution
Tuition Reduction for Employees
Scholarships Awarded
_________________
_________________
_________________
_________ _____ _
_________________
Pell or Other Grant Awards
Total resources:
Other scholarships applied for:
,
,
_________________
_________
_______
,
,
,
_.
Anticipated Financial Need:
(the difference between total expenses and total resources)
Pam Biggs Scholarship Award Form
Applicant Financial Need Work-Sheet
Application for The Fairfield Glade Ladies Club
Pam Biggs Scholarship Award
(Submit this two-sided form)
Applicant Information:
Name
.
Mailing Address
.
Email Address
.
Home Phone
Birthdate
Mobile Phone
Social Security #
# of Family Members in your Household:
Sex
.
Marital Status
.
# of Family Members in College
.
Applicant’s Financial Information: (Use the worksheet for information in this section):
Projected Total Costs of College/University for 2013-2014: $
.
Student’s Estimated Resources:
Personal Savings:
Veteran’s Benefits:
.
Social Security Benefits:
Welfare Benefits:
.
Other Income:
.
Scholarships (Estimated):
Total Household Annual Income as shown on Adjusted Gross Income Form: $
.
Have you completed the FAFSA(Free Application for Federal Financial Aid)?
.
If yes, have you been notified if you qualify for a Pell Grant/Work Study, etc.?
.
If yes, what was your EFC (Estimated Family Contribution)? $
.
Will your tuition be discounted based on the employment of family member(s)?
If so, what is the percentage discount?
%.
.
Please estimate your earnings from all sources Jan 1-Dec 31, 2014: $
.
How much does your family plan to contribute to your next year’s expenses? $
.
Student’s Estimated Financial Need for Academic Year 2014-15: $
.
Please add any other information that would show your financial need below:
Pam Biggs Scholarship Award Form
Page 1
Applicant’s Personal Statement: Please tell us about yourself, your experiences and your
goals:
1. What college, university, or technical college do you plan to attend? What is your
anticipated start date?
2. What career or major you plan to pursue?
3. Which community or volunteer services or activities in which you have
participated:
4. List any awards or honors you have received
5. And, most importantly, how will a scholarship from the Fairfield Glade Ladies Club
help you to reach your career goals? (Attach a separate page for this question)
Recommendations: Please provide the attached personal recommendation form to three
persons who know you well but are not related to you. These forms must be mailed to you
in a sealed and signed envelope by the person making the recommendation. Include the
unopened envelopes with your application package.
Signing Statement:
By signing this application you are stating that all of the above information is true and
correct. Any misinformation will be subject to the Ladies Club Scholarship Committee’s
authority to reject your application.
Applicant:
Parent/Guardian (if applicant is a minor):
Date:
.
Date:
.
Return your completed application package (this form, unopened letters of
recommendation, and other materials noted on your Student Instruction Sheet) to:
Scholarship Committee, Fairfield Glade Ladies Club, PO Box 2004, Fairfield Glade, TN
38558, postmarked no later than March 15, 2014.
Pam Biggs Scholarship Award Form
Page 2
Fairfield Glade Ladies Club Pam Biggs Scholarship Award
Recommendation Form
To be completed by the applicant:
Full Name:
.
Mailing Address:
.
Date:
Signature:
.
To be completed by the recommender: (Use reverse side if needed)
How long have you known the applicant?
In what capacity?
.
Describe briefly why you believe the applicant should be considered for this scholarship.
In addition to your more general comments and per the capacity in which you know the
applicant, you may want to comment on the applicant’s attendance and dependability,
ability to learn, and demonstration of initiative.
Signature:
Date:
.
Please print your full name:
Address:
Phone: (
.
Occupation:
)
.
Thank you for completing this form.
Please return this form NO LATER THAN MARCH 1, 2014 in a sealed and signed
envelope to the student applicant who will include it with the application package
and submit the total to the Scholarship Committee.
Pam Biggs Scholarship Award
Recommendation Form
.