BOYS & GIRLS CLUBS OF THE NORTHLAND THE OVERMAN FAMILY SCHOLARSHIP FUND

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1 Thank you for your interest in the Overman Family Scholarship Fund. The Boys & Girls Club of Duluth created the Overman Endowment Fund in The purpose of this endowment fund is to provide financial assistance to Club Members who have a desire to further their education beyond high school. Scholarships will be offered for vocational or technical training, college or university programs (post-secondary education). Application Procedure Each New Applicant must: 1. Be or have been a member of the Boys & Girls Clubs of the Northland; 2. Submit a copy of the student s current high school transcript; 3. Write and submit a personal essay about how the Boys & Girls Clubs had an impact on your life and influenced your desire to seek higher education; 4. Complete and submit the Scholarship Application; 5. Submit a minimum of three (3) letters of recommendation; one (1) personal and two (2) professional from an employer, school faculty and/or Club staff; 6. Copy of next semester class schedule; 7. Participate in a personal interview with the selection committee of the Board of Trustees. Interviews will be scheduled with each student individually and will be held approximately mid-may. Failure to appear for the interview will disqualify the applicant for the scholarship. Please submit all completed scholarship application materials by January 15 th to: Boys & Girls Clubs of the Northland PO Box Duluth, MN All recipients will be required to submit a transcript report twice a year to the Boys & Girls Clubs of the Northland s Finance Director. These reports must be received by December and June respectively. The reports must include the student s semester or final grades at the time.

2 SCHOLARSHIP APPLICATION FULL NAME: LAST FIRST MIDDLE ADDRESS: HOME ADDRESS: ADDRESS CITY STATE ZIP CODE PHONE: PHONE: HOME CELL / ALTERNATE DATE & PLACE OF BIRTH: / / DATE PLACE PARENT/LEGAL GUARDIAN NAME: LAST FIRST ADDRESS: ADDRESS CITY STATE ZIP CODE PARENT/LEGAL GUARDIAN NAME: LAST FIRST ADDRESS: ADDRESS CITY STATE ZIP CODE SCHOOL: GRADUATION DATE: / / HIGH SCHOOL YOUR STUDENT ADVISOR: LAST FIRST GRADE POINT AVERAGE: CLASS STANDING: (Continue on next page)

3 HONORS RECEIVED: EXTRA-CURRICULAR ACTIVITIES: OTHER ORGANIZATIONS YOU HAVE PARTICIPATED IN: (CHURCH, COMMUNITY, ETC.) BOYS & GIRLS CLUB BRANCH YOU ATTEND(ED): NUMBER OF YEARS YOU VE BEEN A CLUB MEMBER, IN GOOD STANDING: LIST PARTICPATION IN CLUB ACTIVITIES: CURRENT EMPLOYMENT STATUS NOT EMPLOYED CURRENTLY EMPLOYED EMPLOYER: POSITION: HOW LONG? PLAN TO WORK DURING SCHOOL? HOW MANY HOURS PER WEEK?

4 FINANCIAL STATEMENT Y N Name Intended Post-Secondary School Accepted other: Course(s) of Study Year in Post-Secondary school upcoming school year SCHOOL EXPENSES (one year) PROSPECTIVE INCOME (one year) Tuition Parent s contribution Fees Applicant s savings Additional fees Applicant s earnings Books & supplies Other sources Room & board Transportation Personal Miscellaneous SCHOLARSHIPS TOTAL SCHOOL COST: TOTAL PROSPECTIVE INCOME: $ BALANCE NEEDED TO MEET COLLEGE COSTS (ONE YEAR): _ Have you applied for student loans? Yes No FAFSA? Yes No PERSONAL FAMILY INCOME: Parent/Legal Guardian Name Parent/Guardian Occupation Yearly income Parent/Legal Guardian Name Parent/Guardian Occupation Yearly income Other wage earners or sources of taxable income: Other non-taxable income (please specify): Please list names and ages of siblings living at home (also if any are attending college):

5 AFFIRMATION I, the undersigned, understand that if I am selected a recipient of the Boys & Girls Clubs of the Northland Overman Family Scholarship, I will submit my renewal for the next semester following the established guidelines. Renewal information must be forwarded and received the deadline (either June 30 th for the fall semester or December 31 st for the spring semester). I, the undersigned, understand that the Boys & Girls Clubs of the Northland reserves the right to request verification from the applicant for any of the items requested on this application. I, the undersigned, attest that the information provided by me on this form is factual and that any falsification of information will invalidate the application. I, the undersigned, attest that I will use any scholarship funds awarded to further my education and should I discontinue my education during the award period, I will return the funds received to the Boys & Girls Clubs of the Northland. I, the undersigned, understand that failure to comply with these requirements will make me ineligible for further awards. Signature Date Print or Type Name Return this completed application package along with the other items requested to: Boys & Girls Clubs of the Northland PO Box Duluth, MN 55811

6 RENEWAL PROCESS Thank you for your interest in the Overman Family Scholarship Fund. The Boys & Girls Club of Duluth created the Overman Endowment Fund in The purpose of this endowment fund is to provide financial assistance to Club Members who have a desire to further their education beyond high school. Scholarships will be offered for vocational or technical training, college or university programs (post-secondary education). Renewal Application Procedure Each Renewal Applicant must submit: 1. Personal Letter including academic progress and intent to continue schooling; 2. Copy of next semester class schedule; 3. Copy of the transcript (final grades) of previous semester, showing at least 2.0 GPA and enrollment in minimum of 12 credit hours per semester. Award is contingent upon receipt. Please submit all completed scholarship application materials by June 30 th for the fall semester or December 31 st for the spring semester to: Boys & Girls Clubs of the Northland PO Box Duluth, MN 55816

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