Central Chapter Scholarship Application

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Central Chapter Scholarship Application

The New Jersey School Building and Grounds Association seeks to assist students who will continue their education by offering scholarships to students in search of an Associate or Bachelor's degree. Any graduating High School senior is eligible to apply for a scholarship. A total of $1,000.00 has been budgeted for the 2012 Scholarship Program for up to two individuals based on the selection criteria. The individual scholarships are $500.00 each. The scholarship payment will be made directly to the recipient upon proof of acceptance to an accredited college. Individuals interested in being considered must complete all application materials list below and submit the required documents by the application deadline of APRIL 1, 2012 NJSBGA SCHOLARSHIP FORM and DOCUMENTS Application - Page 1 of 4 ACT/SAT - High School scores - Page 2 of 4 Extracurricular activities and Work activities - Page 3 of 4 Essay - Page 4 of 4 Two letters of recommendation from Principal, Councilor, Teacher, and Clergy attesting to your character and why they feel you deserve to receive this scholarship. Mail To: NEW JERSEY SCHOOL BUILDING AND GROUNDS ASSOCIATION

Procedure for Submitting Application 1. This information packet contains all the materials necessary to participate in the NJSBGA Scholarship Program. 2. The scholarship information should be completed by both the applicant and his/her Principal or Counselor. As the instructions indicate, the applicants Principal or Counselor should complete Parts I, II and III, while Parts IV, V, VI and VII are to be completed by the applicant. 3. Mail your completed application packet to the Program Director with a postmark no later than April 1, 2012. 4. PLEASE COMPLETE FORMS ON ONE SIDE ONLY FOR EASE OF COPYING. 5. Please refrain from the use of abbreviations in completing your forms. Judging Each applicant s application will be assigned an "APPLICATION NUMBER" to ensure impartiality and objectivity. A committee, composed of NJSBGA Executive Committee members, will judge each application. The criteria for the judging of the applications will be as follows: ACT or SAT Composite Score 10 points Applicants cumulative grade point average 20 points (excluding spring semester grades) Applicant s curriculum 15 points Financial need 25 points Extracurricular activities/work activities 20 points Essay 10 points All winners will be announced at the Central Chapter Meeting held in May and will be contacted by the Scholarship Committee. ENSURE ALL REQUIRED FORMS ARE SIGNED AND ENCLOSED. Mail the four (4) page application and two (2) letters to: NEW JERSEY SCHOOL BUILDING AND GROUNDS ASSOCIATION

Students Name: Date: High School Name: High School Address: City: State: Zip: College(s) to which you have applied (please list in preference) 1. Yearly Cost $ 2. Yearly Cost $ 3. Yearly Cost $ College that has accepted you: Yearly Cost $ Fathers Name: Occupation: Place of Employment: Address: City/State: Zip: Mothers Name: Occupation: Place of Employment: Address: City/State: Zip: FINANCIAL NEED: Please indicate your families gross income from last year s filed tax return to IRS Under $25,000.00 $25,000.00 to $35,000.00 $65,000.00 to $75,000.00 $35,000.00 to $50,000.00 $75,000.00 to $95,000.00 $50,000.00 to $65,000.00 Over $100,000.00 Total number of family members living at home: Number of dependent children living at home: Age Age Age Age Age Number of dependent children, including yourself, attending college or post secondary school: Any other financial considerations, which should be noted: Student's Signature: Parent Signature:

Please request your school Principal or Guidance Councilor to provide the information listed in the following parts, I, II and Ill. APPLICANTS NAME: I. COLLEGE ENTRANCE EXAMINATION SCORE: (One must be completed) ACT SAT II. Cumulative High School Grade Point Average: Ill. Please list student's classes for the terms, as indicated, or provide transcript: HIGH SCHOOL Junior Year HIGH SCHOOL Senior Year Note any Honors Classes or Outstanding Academic Achievements: Signature of Principal or Councilor: Date:

2011 SCHOLARSHIP PROGRAM IV. EXTRACURRICULAR ACTIVITIES Please indicate various activities, clubs, organizations; indicating degree of involvement, leadership roles and areas of service; school, community, social services, religious V. HONORS, AWARDS, RECOGNITION (S); VI. WORK ACTIVITIES: A. Are you currently employed? Yes No If yes, what type of work and how many hours per week? B. Describe your other work activities (such as helping family at home, family business, etc.)

VII. ESSAY In the space provided. Please describe in 250 words or less, in your own words and handwriting, "The role a clean, safe, healthy and well maintained school environment plays in my educational development." Please indicate the course of study or major field of interest you plan to follow, your proposed occupation or profession and what you hope to accomplish, once you have obtained your degree or certification. The sponsors of this scholarship are persons who hold the school personnel positions for custodial, maintenance and operations services and we wish you the best in your educational development and endeavors.