Berks County Community Foundation-Eppihimer Application

The Eppihimer Scholarship Fund Application
One or more scholarships will be awarded annually to graduating high school seniors who are residents of the City of Reading who will be pursuing vocational or technical training that will lead to employment in the computer, mechanical or industrial trades, or who are pursuing an education to enter the nursing profession.

Scholarship applicants shall exhibit a commitment to academic achievement and/or demonstrate a special talent in the vocational/technical trade, and be actively involved in school and/or community activities. The intent is to acknowledge and encourage those individuals who have demonstrated the level of personal responsibility necessary to attend and succeed at a continuing education institution.

To be considered for this scholarship, complete and submit the following form electronically between January 15th and April 1st. In addition to submitting the form below electronically by April 1, you must mail in the following attachments postmarked no later than April 1. Identify your name on all mailed submissions:

A copy of your most recent high school transcript.
A letter of recommendation from an individual who can provide information in regard to your financial need. This letter should be from a teacher, school official, clergy, employer, advisor, community leader or other person who knows you well.

Mail the above information to:
The Eppihimer Scholarship
Berks County Community Foundation
P.O. Box 212
Reading, PA 19603-0212

Please fill out the form below and submit electronically:

Applicant Name:

Prefix

First

MI

Last

Suffix

Street Address:

Address 2 (optional):

City:

State: Zip Code: County

Home Phone Number:

Email address:

Township/Borough:

Birth Date:

High School Name:
Reading High School
Holy Name High School
Central Catholic High School

Graduation Date:

Post-Secondary Plans

What educational institution are you planning to attend?

Educational institution location:

Have you been accepted? Yes No

Briefly describe the course of study you will pursue:

What is your intended career?

Expected cost of tuition per year:

Expected cost of transportation per year:

Expected cost of room and board per year:

Expected cost of books and fees per year:

Other expected costs per year:

Have you received or do you anticipate receiving any other scholarships, grants or financial awards? If yes, indicate which ones and the amount of each (do not include loans you must pay back):

Activities, Awards and Honors
List all school activities in which you have participated in the past four years:

List all community activities in which you have participated in the past four years:

Indicate all special awards, honors and offices held, including those related to computer, mechanical, industrial or nursing trades:

Please attach a one-page essay that describes why you are choosing a computer, mechanical, industrial or nursing field as your career and what your career goals include.

How did you hear about the Community Foundation?

Note: Berks County Community Foundation employees, board members and/or committee members are not eligible to apply or be nominated for a grant or scholarship, nor are their immediate family members. Immediate families include spouses, children, stepchildren, grandchildren, and stepgrandchildren. The ineligibility period for Berks County Community Foundation board members or employees extends five years after board service or employment terminates. The ineligibility period for committee members who are not Berks County Community Foundation board members or employees is in effect only during their term of service.