Berks County Community Foundation-Daley Application

Jim and Ruth B. Daley Fund Application
The purpose of the fund is to support Berks County residents furthering their education at an undergraduate or graduate school. The main distribution from the fund will be primarily for living expenses, professional testing fees, books, childcare, transportation, uniforms and other emergency needs. Preference is given for the payment of emergency and living expenses. Payment will not be made for tuition.

Preference will be given to students attending Berks County institutions, with a secondary preference expressed for students attending schools at Pennsylvania institutions located outside of Berks County. Priority will be given based on financial need. Special preference will be given to students studying Electrical Engineering.

This award is not eligible to high school seniors. Eligible individuals must have successfully completed at least one semester or term at an institution of higher education.

To be considered for this scholarship, complete and submit the form below electronically by April 1. In addition to submitting the form below electronically by April 1, you must mail in the following attachments postmarked no later than April 1. Your name must appear on all attachments:

A photocopy of your most recent transcript from the college/university/trade school you are attending.
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 Jim and Ruth B. Daley Fund
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:

Year graduated from high school:

College/University/Trade School you are attending:

Year/term or semester in which you are currently enrolled (i.e. second semester, sophomore year):

What is your intended major?

What is your intended career?

What type of educational expenses are you requesting funding for?

Amount of Request (amount of money you are asking the fund for):

To whom should the check be made payable to in addition to you? (Checks are sometimes payable to the individual and the school, bookstore, uniform company, service provider, etc.):

What is the basis of your need? (Explain the basis of your need in two paragraphs, including your personal circumstances, i.e. job loss, illness, unexpected expenses, etc.)

What are you doing to help contribute to ending your financial need?

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.