SUMMERFUEL SCHOLARS PROGRAM 2017 Summerfuel Scholars Program: Summerfuel is committed to providing exciting and engaging summer opportunities to a diverse group of high school students each year. We have established the Summerfuel Scholars program, which awards competitive partial scholarships to motivated and accomplished students from across the United States to attend Summerfuel. These scholarship awards are based on merit components such as a student s personal statement, letters of recommendation, extracurricular involvements and grades. The actual award amount will be determined by financial need. Please note that Summerfuel Scholars does not award more than 50% of the program fee in scholarship funds. Eligibility: Summerfuel welcomes any student currently enrolled in the 9th, 10th or 11th grade to apply for this competitive scholarship program. Successful applicants will be independently motivated to apply, have a desire to learn, demonstrated leadership experience in their high school community and beyond, and be in good academic standing (minimum GPA: Important s for 2017 March 15 APPLICATION DEADLINE for Scholarships ALL application materials must arrive at our office (mail or email) no later than 11:59PM. April 1 Program deposits become non-refundable. April 7 Scholarship decisions sent to applicants. Scholars will have one week to accept. April 14 Scholarship must be accepted by this date. 3.0). All applicants must be U.S. Citizens or U.S. residents. Application Components: Completed Summerfuel Scholars Application Form Extracurricular Resume Please include any extracurricular activities, volunteer involvements, work experience, leadership experience, etc. with hours per week. Two Letters of Recommendation (Academic and Personal) May 15 Program fees, less the amount of the scholarship, must be paid in full by this date. June - July Summerfuel programs begin! Academic: completed by an instructor or advisor who can attest to your academic achievements and work ethic. Personal: completed by someone who can attest to your character and leadership ability. This may be a coach, religious leader, boss, longtime family friend or anyone that knows you well. We recommend that your recommenders DO NOT use the standard teacher recommendation to submit your recommendation. Recent high school transcript (minimum 3.0 GPA) Personal statement (500 words) Explain your interest in Summerfuel and how your participation will help you reach your academic and extracurricular goals. OPTIONAL: Statements of financial status e.g. school financial aid award letter, recent tax information, other scholarships awarded, special financial circumstances Freuently Asked Questions: What are my chances of being awarded a scholarship? Summerfuel Scholars awards are competitive and, unfortunately, we are not able to award scholarships to all of our applicants. While we encourage you to apply, we ask that you manage expectations. If I am applying for Summerfuel Scholars, should I also apply to Summerfuel online and submit a deposit? Program deposits become non-refundable on April 1st, but we do not mail scholarship awards until April 7th. If you will only be able to attend if you receive a financial award, please do not submit a deposit, as we will not be able to return your deposit after April 1st. If you would still be able to attend without a scholarship award, you should submit a deposit to guarantee a space in the program and desired courses. Please note that you may not receive a scholarship to which you have already applied. Which Summerfuel programs should I apply to? Am I more likely to get an award for certain programs? We know that a Summerfuel summer is a valuable experience for our students regardless of location. Because we have limited scholarship funds available for each program, you may not be awarded funds for your first choice program, even if you are selected as a Scholar. We ask that all students that apply to Summerfuel Scholars rank their top three program choices to help us make Summerfuel a possibility for more applicants. Please only rank programs that you would definitely attend should your financial need be met. Will there still be room in Summerfuel programs in April? While we reserve spaces in our programs for scholarship recipients, we cannot guarantee that there will be room for non-scholarship applicants in April. How much will my scholarship award be? Summerfuel Scholars awards only partial scholarships, generally up to 50% of the program fee. Scholarships and award amounts are determined based on demonstrated merit, financial need and total program fees. Families will be responsible for the remainder of the program fees, less the scholarship award. What costs does this scholarship include? Scholarship awards are applied to the total program fee (including room and board). The refundable security deposit ($300) will be included in the family contribution. All other expenses including travel, travel insurance, optional extras and spending money are not included in the award calculation and are the responsibility of your family. Please consider these additional costs when calculating your family contribution.
Applicant s Name: Please rank your programs of interest from 1 to 3 (1 being most preferred). Only rank programs you would definitely attend if awarded. PRE-COLLEGE BUSINESS & ENTREPRENEURSHIP COLLEGE ADMISSIONS LANGU IMMERSION DIGITAL MEDIA OXFORD BERKELEY TUFTS INT l BUSINESS BARCELONA SE GEORGETOWN SE STANFORD LEADERSHIP HARVARD COLUMBIA TUFTS UC BERKELEY BARCELONA HOMESTAYS IN SPAIN NICE UCLA Student Information Student Name FIRST LAST STREET ADDRESS APT Address CITY STATE Student Email Sex: male ZIPCODE Student Cell female US Citizen or Resident: of Birth: (month/day/year) Grade as of Jan. 2017: T-Shirt Size: s m l 9 10 11 xl School SCHOOL NAME CITY STATE/COUNTRY How did you first hear about Summerfuel? ONLINE RECOMMENDATION SCHOOL ADVERTISEMENT SPONSORING NCY web search summerfuel alumni teacher print agency web directory other guidance office internet contact Please specify: Parent/Guardian Information Parent#1/Guardian Name HM Tel WK Tel Cell Email Address (IF DIFFERENT FROM STUDENT) Employer Annual Income (INCLUDING CHILD SUPPORT) Parent#2/Guardian Name HM Tel WK Tel Cell Email Address (IF DIFFERENT FROM STUDENT) Employer Annual Income (INCLUDING CHILD SUPPORT) Student lives with (check all that apply): Check if appropriate: mother father stepmother mother is deceased father is deceased stepfather parents are separated custodial parent(s) other relationship parents are divorced other. please explain
Applicant s Name: Household Information Do you rent your home? If yes, monthly rental cost $ Do you own your home? If yes, current market value $ Monthly mortgage $ Do you own other real estate? If yes, current market value $ Monthly mortgage $ Yearly income from other property (if property is income producing) $ Vehicle Information Vehicle #1 Make Model Year _ Vehicle #2 Make Model Year _ Vehicle #3 Make Model Year _ Dependents _ NAME OF STUDENT APPLICANT _ Parent/Guardian Financial Assets Please list all financial assets such as stocks, bonds, savings accounts, CDs, money market funds, trusts, second homes, boats, motor homes, etc. S IN STUDENT S NAME (STOCKS, BONDS, SAVINGS ACCOUNTS, CDs, MONEY MARKET FUNDS, TRUSTS, COLLEGE FUNDS, ETC) S IN STUDENT S NAME (STOCKS, BONDS, SAVINGS ACCOUNTS, CDs, MONEY MARKET FUNDS, TRUSTS, COLLEGE FUNDS, ETC) Special Circumstances Below, or on a separate sheet, please detail any extraordinary circumstances (such as medical expenses, outstanding loans, recent layoffs, etc.) that we should consider during our reading of this application. Family Contribution Please indicate a reasonable, realistic amount you and your family can afford to contribute toward the program fee. This estimate should include any additional scholarships and/or fundraising you intend to apply towards the fee. Airfare/travel expenses, spending money, lunches at Oxford, Barcelona and Harvard are not included in the program fee. Please consider these additional costs when calculating your family s contribution. Please remember that Summerfuel Scholars only awards partial scholarships, generally no more than 50% of the program fee. Family Contribution Toward Program Fee $ Financial Documentation (OPTIONAL) Please provide any supporting documentation that will help us determine your family s financial need (i.e. school financial aid award letter, recent tax information, other scholarships awarded, special circumstances, etc). Please do not send originals; we are not able to return any application materials.
Applicant s Name: Additional Information Do you have a medical condition that might interfere with your participation in a Summerfuel program? Do you have any educational, social, personal, psychological or dietary needs that reuire special attention? If you answered yes to either of the above, or if you have any other needs that may reuire special attention, please enclose a full report and any supporting documentation. Have you ever been involved in any disciplinary action in your school? If yes, please attach an explanation. Participant Agreement I understand and accept the terms and conditions detailed in the Parent-Student Agreement (available for download on summerfuel.com) and I acknowledge that ASA Summerfuel and/or its agents have the right to dismiss me and return me home at my parent s/guardian s expense without refund of the program fee, should I be found in violation of these rules. Student Signature Parent/Legal Guardian Agreement I have read the ASA Summerfuel brochure and website and hereby give permission for my child/ward to participate in the ASA Summerfuel program during the summer of 2017 at any of the locations indicated on the application. By execution of the application and this Agreement, I confirm my awareness and acknowledge the risks of injury, which may be associated with travel, particularly in foreign countries. My child/ward is enthusiastic and prepared, and I believe he/she is capable of handling both the emotional and physical aspects of the program as well as any risks involved. Furthermore, I agree that, should my child/ward s conduct, at the sole discretion of Summerfuel, be deemed to be in violation of Summerfuel rules or otherwise detrimental to the maintenance of standards or to the successful operation of Summerfuel s program, ASA Summerfuel, in its sole discretion, may dismiss him/her from the program. I further agree that Summerfuel shall have no further responsibility for my child/ward upon his/her dismissal from the program, and I understand that such dismissal may occur at a location far from the child/ward s home. I affirm that Summerfuel shall have the exclusive authority to determine the manner and means of transporting my child/ward home without supervision, and that all additional expenses (including but not limited to the entire costs of the transportation) shall be borne completely by me, and that Summerfuel shall have no obligation to provide any refund of the tuition fee with respect to any dismissed student. Notwithstanding the foregoing, in the event Summerfuel elects to send my child/ward home with a supervising Summerfuel representative, all expenses of such Summerfuel representative (including but not limited to the entire costs of the transportation) shall be borne completely by me. Prior to the commencement of the program, I shall sign a credit card authorization to be held by Summerfuel authorizing the payment from my credit card of any such expenses of my child/ward and the Summerfuel representative in the event of the dismissal of my child/ward. Furthermore, in applying for an ASA Summerfuel program, I hereby understand and accept the terms and conditions detailed in the Parent-Student Agreement (available to download on summerfuel.com), the violation of which may result in my child/ward s dismissal, without further notice, including, but not limited to: The possession or use of drugs or alcohol is strictly prohibited. All participants must adhere to all rules of safety and conduct at all times, including those promulgated by ASA Summerfuel, the educational institution and the jurisdiction where the educational institution is located. Any violation of the rules, terms or conditions, as well as behavior incompatible with the programs, could result in dismissal of a student at parent s/guardian s expense as stated above. I authorize ASA Summerfuel, at its sole discretion, to place my child/ward at my own expense and without any further consent or advance notice in a hospital for medical services and treatment or, if no hospital is readily available, to place my child/ward in the care of a licensed medical doctor for treatment. I hereby grant ASA Summerfuel full authority to take whatever actions it may reasonably consider to be warranted under the circumstances. I have read the payment policy and refund schedule in the How to Apply section of Summerfuel s website and agree to the terms cited. I understand and acknowledge that no refunds are available for any cause after May 15, 2017, and that trip insurance is recommended. There will be no refunds for students who are dismissed as per the policies detailed above. s, fees, itineraries and courses may be changed without notice, should circumstances reuire it, and at the discretion of Summerfuel staff. Summerfuel reserves the right to cancel any program or course offering and to decline to accept any person as a member of one of its programs. If Summerfuel cancels a program, the full program fee will be refunded. Child/Ward Name (PRINT) Parent/Legal Guardian Name (PRINT) Parent/Legal Guardian Signature
Applicant s Name: Student & Parent/Legal Guardian Scholarship Application Agreement I, the undersigned parent/legal guardian, hereby apply my child for the Summerfuel Scholars Program. Scholarship decisions will be made by April 7, 2017. I understand that by the time awards are made, spaces may only be available for scholarship recipients. Should I choose to register my child for the program now (by sending in a full deposit), in addition to applying for a scholarship, and my child does not receive a scholarship award, I will assume full responsibility for paying the program s tuition in full by May 15, 2017. Sending in a deposit guarantees a space at the program so long as spaces are still available regardless of the outcome of scholarship decisions. Should I choose to register my child with a deposit, and then decide at a later date to withdraw my child, I understand that the program deposit is non-refundable after April 1, 2017. If my child and I accept the awarded scholarship funds, the Summerfuel Scholars Agreement (sent with award notification) must be returned to the Summerfuel NYC office by April 14, 2017 and I agree to pay the remainder of the program fee (less the scholarship award) by May 15, 2017 or my child s award will be nullified. I understand that my child s scholarship may be revoked and he/she may be dismissed from the program, for any of the following reasons, which include, but are not limited to: evidence of misconduct including, but not limited to, violation of any of the policies detailed in the Parent-Student Agreement; failure to submit reuired Scholars materials on time; failure to follow the directions of the Scholarship Committee or a member of Summerfuel staff member; or any contingency that prevents me from fulfilling all the obligations of the scholarship award. I understand that revocation of a scholarship may make me liable for the full amount of my child s program tuition. I have read and understand the above statements. I have filled out the Summerfuel Scholars Application Form as completely as possible, and the information is accurate to the best of my knowledge. Child/Ward Name Parent/Legal Guardian Name (PRINT) Parent/Legal Guardian Signature If I, the undersigned student applicant, am awarded a scholarship, I agree: To turn-in a post-program reflection essay of at least 500 words, upon completion of the program, reflecting on my experience on the program and be available to discuss overall program satisfaction. To serve as a Summerfuel Ambassador to my community by serving as a reference to prospective Summerfuel students by answering uestions via email or phone and attending local informational meetings if possible. To permit Summerfuel to use my name, all photographs, and any written reports generated through my participation in Summerfuel. That my scholarship may be revoked and that I may be dismissed from the program, for any of the following reasons, which include, but are not limited to: evidence of misconduct including, but not limited to, violation of any of the policies detailed in the Parent-Student Agreement; failure to submit reuired materials on time; failure to follow the directions of the Scholarship Committee or a Summerfuel staff member; or any contingency that prevents me from fulfilling all the obligations of the scholarship. I understand that revocation of a scholarship may make my primary parent/guardian liable for the full amount of the program tuition. I have read and understand the above statements. I have filled out the Summerfuel Scholars Application Form as completely as possible, and the information is accurate to the best of my knowledge. Student Applicant Name (PRINT) Student Applicant Signature Please send completed applications to: Summerfuel Scholars Program 19 West 21st Street, Suite 702 New York, NY 10010 To be eligible for consideration, all application materials must be received no later than 11:59pm on March 15, 2017