Berks County Community Foundation - Ralph H. and Florence Moyer Fund application

The Ralph H. and Florence Moyer Fund Application

This fund was established at Berks County Community Foundation in 2008 through the Estate of Ralph H. Moyer.

The purpose of the fund is to provide apprenticeship awards or vocational training to

Berks County youth who have demonstrated a financial need and potential, although such potential need not to be demonstrated solely from test scores or academic performance.

Applicants must be Berks County residents who are at least 18 years of age, but no older than 30 years of age, at time of application. Applicants must have completed one of the United Community Services (UCS) Pre-Apprenticeship programs and must have applied for and been accepted into a federally registered Union Building and Construction Trades Apprenticeship Program or a post secondary Vocational Program. Questions regarding applicant eligibility or regarding the pre-apprenticeship, apprenticeship, or vocational programs should contact United Community Services for Working Families at 610-374-3319.

The maximum award available to one individual is $1,000. Awards are to be used to pay for tools, boots, supplies, tuition, initiation fees, or other requirements needed to participate in the program. Applications will be reviewed as received.

To be considered for this award, complete and submit the following form electronically at any time.

In addition to submitting the form below electronically, mail in the following attachments within one week of submitting your application. All itmes must be received prior to your on-line application being considered.

A copy of your Apprenticeship Program or Vocational Program acceptance letter.
A copy of the accompanying costs to participate in the program.
A copy of your most recent high school transcript.

Mail the above information to:
Ralph H. and Florence Moyer Fund
Berks County Community Foundation
237 Court Street
Reading, PA 19601

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:

Date of Birth:

Age:

High School:

High School Graduation Date:

Have you completed one of the United Community Services Pre-Apprenticeship programs? Yes
No

Have you been accepted into a Union Building and Construction Trades Apprecnticeship Program or a post secondary Vocational Program (if yes, submit program acceptance letter via mail.)? Yes
No

Name of apprenticeship program:

Intended career:
If you've been accepted into an Apprenticeship or Vocational Program, have you received a list of accompanying costs to participate in the program from the trade? Yes No

(if yes, submit list of accompanying costs via mail).

Parental Information

Father's Name:

Father's Address (if different from your address):

Father's Occupation:

Mother's Name:

Mother's Address (if different from your address):

Mother's Occupation:

What is your family's income level?

Less than $40,000 per year
$40,000 - $70,000 per year
$71,000 - $100,000 per year
Over $100,000 per year

Are you being supported financially by your family? Yes No

List any brothers and sisters you have, including their name, age, grade and school:

Employment:

Are you currently employed:
Yes No

If yes, name of employer:

Job Duties:

Length of time at current job:

Other Awards/Scholarships

List any scholarships (excluding loans)you have already received or you anticipate receiving:

Write and attach a one-page essay which explains why you desire to participate in the Union Building and Construction Trades Union Apprenticeship Program or the Vocational Training Program and explain your ultimate career goal:

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.