Renaissance Scholarship Applications must be received or postmarked by 5:00 p.m. on June 30 at the DeKalb County Community Foundation, 475 DeKalb Ave, Sycamore, IL 60178 For Questions Contact: Becky Zantout, Grants & Community Initiatives Manager [email protected] or 815-748-5383. The Renaissance Scholarship is administered by the DeKalb County Community Foundation. This scholarship program allows the Foundation to award a scholarship to a DeKalb County resident who is in the work force and wants to re-enter the academic world. The student should be active in public and civic affairs and be able to demonstrate a need for scholarship assistance. The scholarship can be applied toward education expenses (tuition and fees) at any recognized university or community college for undergraduate study. After the initial scholarship, the award can be renewed for three succeeding years. Yvonne Johnson, retired Sycamore teacher, originated the Renaissance Scholarship in 2007. Ms. Johnson works with the Foundation to establish a Renaissance Scholarship selection committee composed of citizens of DeKalb County to work independently to review all applications and select the scholarship recipient. They will make their selection free of political consideration and bias. The scholarship committee reserves the right not to fund the scholarship during any given year. Description and Eligibility • • • • A one-year $1,000 scholarship at any recognized university or community college for undergraduate study which will be renewable for three additional years provided the applicant is eligible. The applicant must be a resident of DeKalb County. Applicants in any field of study can apply, but evidence of interest in the area of study must be demonstrated. Student’s activity in public and civic affairs is a determining factor in selection. Application Process and Instructions 1) 2) 3) 4) 5) Complete this entire application form Submit this form by mail or in person If needed, one additional page can be attached with reference the applicable question(s) Handwritten applications will not be accepted Applications must be postmarked or hand delivered no later than 5:00 p.m. on the application due date Please arrange to have two letters of recommendation sent on your behalf to the following address: Renaissance Scholarship DeKalb County Community Foundation 475 DeKalb Avenue Sycamore, IL 60178 Application Check List: Complete this application form Unofficial or official transcript of courses of all college and undergraduate study Two letters of recommendation included with this application or mailed to the Foundation (address above) Applicant Information Full Name (First Middle Last): Birth Date (mm/dd/yyyy) Mailing Address (Street Number, City, State, ZIP) Preferred Phone Number Secondary Phone Number E-mail Occupation (if applicable) Educational Information Have you graduated high school or obtained your GED? Yes No Name of the educational institution you will attend or are attending for undergraduate studies: Have you applied to this college/university? Yes No Have you been accepted to this college/university? Yes No If you have not been accepted, please explain your anticipated dated of acceptance. What degree or field of study are you pursuing? Expected approximate date of graduation from the institution you will be attending What is the anticipated school cost (tuition & fees, excluding room and board) of your education for the forthcoming year? How do you intend to pay for your education for the forthcoming year? What are your career goals after you complete your degree? If applicable: list any undergraduate institution(s) you have attended in the past. Include the name of the institution, the field of study you were pursuing, how many years you attended, and your GPA Other Scholarships and Awards Complete the following section if you have received other scholarships or awards to financially aid your education in the forthcoming year. In the box below, describe the college scholarship awards have you already received to assist you in paying for your education this forthcoming year? Include: - Name of the scholarship and organization offering the award - Amount of the scholarship award - Restriction on the use of the scholarship funds (i.e. only for tuition, not for room and board, or unrestricted) - All scholarships from which you have received funding for your forthcoming education What other assistance are you applying for? Employment History In the box below, describe your employment history starting with your current or most recent work. List only your two most recent positions. Include: - Name of the company or organization - Dates of employment - Typical number of hours per week worked - Brief description of your work and responsibilities Do you plan to work while attending school? Elaborate on your answer. Activities in Public and Civic Affairs Are you registered to vote? Yes No Have you voted? Yes No If you have voted, how frequently have you voted? Do you participate in any public school or community activities? If yes, please describe your involvement. In what community organizations or clubs are you involved? What leadership roles have you held and what awards and honors have you received? Why do you feel you should be awarded the Renaissance Scholarship? Describe any personal or family circumstances which you feel should be brought to the attention of the selection committee. Signature By signing my name in the field below, I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. Signature Date
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