Citizens’ Scholarship Foundation of Stafford

Dollars for Scholars

Scholarship Application Information

Dear Student and Parents,

We are pleased that you are interested in applying for a scholarship from CSF of
Stafford. The foundation was organized in 1962 by a group of concerned local citizens
who wanted to help young people pursue their dreams of a college education. The
organization has grown since that time to encompass almost 150 permanent trust
funds and over $1,400,000 in funding. Students who are residents of either Stafford or
Union are welcome to apply for a scholarship if they are pursuing any form of
postsecondary education whether that is a technical education, two-year school, or
four-year college or university. Last year the foundation awarded $62,000 to fifty-five
students

The process is anonymous, as your application will be given a number as it moves

through the process. There are two portions to your application. The awards committee
will look at both the need of the student to meet the costs of their chosen educational
program and the relative merit of each student. Students will be reviewed for their
academic accomplishment, extracurricular activities, work experience, and community
involvement. Merit points are awarded to each student in these categories.

We will ask you to submit financial information. Students need to submit their choice
of educational institution. A cost of attendance will be compiled from the Peterson’s
Guide or a similar reference. Please notify us immediately if your school of choice
changes. We will also ask you to submit your FAFSA-SAR form from the Federal
government that shows the parent’s expected contribution. The third piece of
information we ask for is your letter of acceptance, with the financial aid package the
particular school is offering the student. The committee is interested in scholarships
and grants that you might be receiving from your chosen institution. Loans are not
considered in the need calculation. From these three pieces of information, we will
calculate a need figure for you. Need is the primary consideration for the awarding
of scholarships by CSF of Stafford. Students who do not demonstrate need
through our formulas are still eligible for scholarships, but the awards will usually
be modest. No student is guaranteed a scholarship, though in the last few years
all students who applied have received an award.

From the combined need and merit information the awards committee will determine
scholarships. No application received after the due date or incomplete without prior
communication with CSF of Stafford will be considered. Applications received without
FAFSA information will not be considered. Thank you for participating in the
process. We wish you good luck in your future educational experience.

Citizens’ Scholarship Foundation of Stafford

 Citizens’ Scholarship Foundation
Of
Stafford
To the Applicant:

Please complete this application so we can determine your eligibility for receiving funds set aside
to help students who plan to go on to post-secondary education and who satisfy other criteria
developed by Citizens’ Scholarship Foundation of Stafford.

Complete all sections of this application and submit your essay. All applications must be
submitted to the SHS Guidance Department, no later than the close of school on Thursday
April 15, 2010. This date is the receipt date and not a postmark date, so plan accordingly.

If any questions are not applicable to your current situation, please attach an explanatory note
referring to the questions or sections. If for any reason you are unable to submit any portion of
the information requested by the foundation by the deadline please include an explanation of why
the information is not included and when it will be available.

You are responsible for submitting all supporting documents. CSF of Stafford reserves the right to
process only applications found to be complete as of the application deadline.

REMEMBER: This application becomes valid only when the following have been submitted:

1. CSF Application.
2. Essay (Please limit your response to two typed pages)
3. High School Transcript
4. Activity verification sheet
5. FAFSA--Families Expected Contribution information only.
6. Letter of Acceptance from the school of choice.
7. Letter from the school of choice outlining the financial aid package offered the
student from the school.

CERTIFICATION:

In submitting this application, I certify that the information provided is complete and accurate to
the best of my knowledge. I understand that falsification of information may result in termination
of any scholarship granted.

Applicant’s Signature: __________________________________

Parent/Guardian Signature: _________________________________

APPLICANT DATA ID#_______________
Please Print or Type

Mr./Ms. _______________________________________________________________
Last Name First Middle Initial

Permanent Address Street Stafford/Union Zip

___/___/___________________________________________________________
Birth Date Telephone Social Security #

Parent or Guardian

Address if different from applicant

(____)______________________
Telephone Number

SCHOOL DATA

HIGH SCHOOL ATTENDED_________________________Graduation Date: _________

Address_____________________________________________________________
Street City State Zip

High School Principal ______________________ Guidance Counselor ___________________________

Postsecondary School City State

Program of Study Career Plans

4 yr. Program _____ 2 yr. Program _________ Other _______________________

Explain

Student will: _____Live on Campus ______ Live off Campus _______ Commute

OTHER AWARDS

Please list below the name and amounts of any grants or scholarships that you have been awarded for the
coming year that are not listed on the financial aid package letter from your school.

Name of Award Amount Granted Pending

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
PERSONAL DATA ID#____________

Describe your work experience during the past 4 years. Include dates of employment in each job; and the
approximate number of hours worked each week. List total amounts earned at each job.

Position Dates: fr (mo/yr.) to (mo/yr.) Hrs/week $ Earned

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________

List all school activities in which you have participated during the past 4 years (e.g., student government, music,
sports, etc.). List all activities in which you have participated without pay during the past 4 years (e.g., Red Cross,
church work, volunteer work, major achievements, etc.).

Activity Years Participated Special Awards, Honors, Offices Held

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

ACADEMIC DATA

Cumulative Grade Point Average _______/ 4.0 scale

SAT Scores _______Math _________ Verbal _________ Total

PSAT _____ Math _____ Verbal _____Total ACT ____ Math ____Verbal _____Total
(Please provide PSAT or ACT scores only if the candidate did not take the SATs)

School Officials Signature Title Phone

School Address Street City State Zip

ESSAY:
As your high school career comes to a close, please take a moment to reflect on the challenges and accomplishments
that have shaped your life to this point. This is your opportunity to present yourself to the awards committee. In a
similar manner, please project how college, community, and family will play a part in your future. (Please limit
your response to two typed pages)
 Citizens’ Scholarship Foundation of Stafford
Serving the young people of Stafford 1962-2010

Dear Coach or Advisor,

____________________________ has applied for a scholarship from our foundation. As part of our
application process, students are asked to list sports, clubs, and activities they have participated in during
their high school career. If the student has participated in the listed activity to your satisfaction please print
your name and sign in the appropriate column. If this is a volunteer or service organization, please denote
the number of hours the applicant contributed.

Thank you,
CSF of Stafford

ACTIVITY SEASON(S), HOURS, PRINTED NAME SIGNATURE

OR TIMEFRAME