Scholarship Application Requirements A Committee established by the Foundation officers will review all Applications for approval for the James D Cassell Jr. Memorial Scholarship. All scholarship applicants must meet the following requirements: * Student eligibility will be based on financial need. * A minimum GPA of 3.0. * Clear and concise description of scholarship needs. * Verification of the applicant's enrollment to the institution of learning should be provided (i.e. report card, if you have changed schools then provide admittance letter) * All payments for tuition are to be made directly to the institution of learning. * In the case of books and other school expenses, a decision can be made on how to make those funds available to the scholarship recipient. INSTRUCTIONS TO COMPLETE THIS FORM Please carefully read and follow these instructions. 1. Please fill out form completely. If you have any questions or concerns, send an email to rcff@rcff1.org. 2. Education Information: Complete only the section that is relevant to your grade level. 3. Deadline: This application form and all other required documentation must be received by August 15th for the upcoming school year. Send all documents to the Richards & Coleman Family Foundation’s email at rcff@rcff1.com. APPLICANT’S PERSONAL INFORMATION First Name _________________________ MI _____ Last ______________________________ Gender: ? Female ? Male Date of Birth: ________________________ Country of Birth: ________________________ Home Address: Street: _______________________________________________________________________ City ________________________________ State/County __________________________ Country ____________________________ Postal/Zip Code (if applicable) _____________ Telephone __________________________ Email: _________________________________ Mother’s Name ______________________ Annual Income _________________________ Father’s Name _______________________ Annual Income _________________________ Guardian/Benefactor’s Name ___________________ Annual Income ________________ EDUCATION INFORMATION Kindergarten – 12th Grade: School enrolled (current) _________________________________________________________ Street _______________________________________________________________________ City ______________________________ State/County __________________________ Country: __________________________ Postal/Zip Code (if applicable) _____________ Telephone ________________________ Email ________________________________ Last grade completed _______________ Current Grade Point Average ____________ For Current College/University or Trade School Students: School enrolled (current) _________________________________________________________ Street _______________________________________________________________________ City ______________________________ State/County __________________________ Country __________________________ Postal/Zip Code (if applicable) _____________ Telephone ________________________ Email ________________________________ Last grade completed _______________ Current Grade Point Average _____________ Credit Hours Earned to Date __________ Anticipated Graduation Date _____________ Major and/or Minor or Trade_____________________________________________________ SPECIAL ACHIEVEMENTS/HONORS AND RECOGNITIONS _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ OTHER REQUIREMENTS ? Attach one (1) Letter of Recommendation from an Educator, Employer or member of your community who is familiar with your background. ? High School (9th – 12th grade) or College Student ONLY: Please include an essay no longer than one page: * Explain your family background, personal interests, area of study describing outside, and why you should be considered for this scholarship. * Include any extra-curricular activities and/or work experiences. * Include any special projects, community involvement, church work, career plans, and leadership experience. ? Attach an up-to-date Report Card or Transcript of your Academic Record. APPLICANTS SIGNATURE: ______________________________________________________ If Minor: Parent/Guardian/Benefactor’s Signature: _________________________________________ DATE: ______________________________________________________________________ *************************************************************************** Richards Coleman Foundation use ONLY APPROVAL BY SCHOLARSHIP COMMITTEE: ? Yes ? No APPROVAL DATE: _______________________________________________________________ APPROVED FOR ACADEMIC SCHOOL YEAR: ___________________________________________ COMMITTEE MEMBERS SIGNATURES: _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ 01