Berks County Community Foundation-St. Andrew United Methodist Church Scholarship Application

The St. Andrew United Methodist Church Scholarship Fund Application
This scholarship was established at Berks County Community Foundation in 2006 by Dr. Deborah Patt to provide scholarships to members of St. Andrew United Methodist Church who are high school seniors and whose scholastic record indicates success in education. The recipients must demonstrate financial need, responsibility of citizenship, character and Christian attitude, and be furthering their education after high school as full-time students.

To be considered for this scholarship, complete and submit the following form electronically by April 1st.

In addition to submitting the form below electronically, you must mail in the following attachments postmarked no later than April 1st.

Three letters of recommendation from individuals other than family members. One of the three letters must be from a member of St. Andrew Church who influenced you in some way.

A copy of your most recent high school transcript.

A one page essay that explains “Why you have selected your field of study or profession; and describe an incident that illustrates your traits of citizenship, character and Christian attitude.”

Mail the above information to:

St. Andrew United Methodist Church Scholarship
Berks County Community Foundation
P.O. Box 212
Reading, PA 19603-0212

Please fill out the form below and submit electronically by April 1:

Applicant Name:

Prefix	First	MI	Last	Suffix

Street Address:

Address 2 (optional):

City:

State: Zip Code: County

Home Phone Number:

Email address:

County of Residence:

Age:

Are you a member of St. Andrew United Methodist Church?
Yes
No

Parents

Father's Name:

Father's Occupation:

Mother's Name:

Mother's Occupation:

Check one of the following that describes your family's annual income.

Less than $40,000
$40,000 - $70,000
$71,000 - $100,000
more than $100,000

List your brothers and sisters and their ages, grades and the schools they attend:

Education

Name of High School:

High School Address:

High School Graduation Date:

Number of students in class: Class Rank:

What educational institution do you attend or plan to attend?

Have you received or do you anticipate receiving any scholarships, grants, awards, etc. for the upcoming academic year? If so, please indicate which ones and the amount of each (do not include loans):

Expected cost of tuition for year:

Will you live: At home On campus

Expected cost of room and board for year:

Expected cost of books, transportation and uniforms for year:

Total cost for year:

Employment

Are you employed?

Yes
No

If yes, how many hours per week do you usually work?:

Name of Your Employer:

Position:

Activities, Awards and Honors

List any church activities in which you participate or have participated in the past four years:

List any school activities in which you participate or have participated in the past four years:

List any community activities in which you participate or have participated in the past four years:

How did you hear about the Community Foundation?

REMEMBER TO MAIL IN YOUR ESSAY AND OTHER ITEMS FOR RECEIPT BY APRIL 1.

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.