Frank Ferguson Foundation KIC Scholarship

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P.O. Box 1050, 373A Second Avenue, Kotzebue, AK 99752 Main: 907-442-3165 Fax: 907-442-2165 Email: info@kikiktagruk.com Frank Ferguson Foundation KIC Scholarship DEADLINES: January 10 Spring Semester August 1 Fall Semester INTERNAL USE ONLY: Received: Applicant s Name: Phone number: ( ) Address: Email: Parents Names: KIC shareholder? Yes No Address: KIC descendant? Yes No If you are approved, we need the following information of where to send your check. Please make sure you have the correct address for your school financial office as well as an ID reference (SSN or Student ID) and list it below. School and Address: Period this application is for (select one): FALL SPRING SSN or Student ID: College major or area of study: Applying for: Full-time scholarship (12 or more credits per semester/quarter) $500 scholarship Part-time scholarship (6-11 credits per semester/quarter) $250 scholarship Part-time scholarship (1-5 credits per semester/quarter) $125 scholarship Short vocational program scholarship (Over $1,000 in expenses) $125-$250 scholarship Short vocational program scholarship (Under $1,000 in expenses) $125 scholarship To be eligible for a scholarship for a particular semester or quarter, the applicant must submit a fully completed application to KIC by the appropriate deadline. Subject to availability of funding, the following scholarship amounts will be available on a first-come, first-serve basis. The above information is true and correct to the best of my knowledge. By signing below, I am providing authorization to release this information to other organizations directly involved in funding my education. Applicant s : KIC Scholarship Application Packet Page 1 of 5 (Revised 3/2/2017)

FINANCIAL NEED SHEET **NOTE: If approved, the check will be coming from the Frank Ferguson Foundation, NOT KIC** Name: Student s School Address: SSN: By signing below, I give permission for to release financial aid and academic information to the Kikiktagruk Inupiat Corporation. (Top portion to be completed by the student) (Bottom portion to be completed by FAO with student) Academic Period: / to / Semester Quarter Month Year Month Year UNIVERSITY/COLLEGE BUDGET Tuition Books Room and Board Fees Transportation Personal Other (specify) Total Budget Student is working towards: Vocational Certificate Associate of Arts Degree Associate of Applied Science Bachelor s Degree Graduate Degree Student is: in good academic standing on academic probation ineligible for funding STUDENT RESOURCES FALL SPRING TOTAL Pell College Work Study SEOG SEIG Stafford Loan AK Student Loan Parent/Family Contribution Student Contribution Tribal Assistance Others **********************************************Total Resources $ UNMET NEED (Total budget less resources) $ Student Financial Aid Officer KIC Scholarship Application Packet Page 2 of 5 (Revised 3/2/2017)

INFORMATION CONSENT FORM If you become a recipient of the Kikiktagruk Inupiat Corporation scholarship, we would like your permission to share your accomplishments. In order to do so, we need your consent. I authorize the Kikiktagruk Inupiat Corporation to share my name and basic educational information in publications that include, but are not limited to, a newsletter, annual report, and the corporation s website. I understand that no contact information or personal information will be shared, published, or sold. KIC Scholarship Application Packet Page 3 of 5 (Revised 3/2/2017)

KIC SCHOLARSHIP POLICY 1. Eligibility: KIC shareholders or their descendants are eligible to apply. 2. Deadline for full-time and part-time applicants: Fall.August 1 Spring....January 10 Completed applications must be received by KIC on or before the deadline stated above in order to be considered. 3. The scholarship award will be sent to the school in which the student is enrolled, in the student s name. Verification of enrollment and grades must be sent to KIC each semester, quarter, or trimester. If the student has a credit balance with the school, any excess funds resulting from receiving the KIC scholarship award shall be returned to KIC. 4. Students must maintain an acceptable GPA of 2.0. Students will be refused a scholarship for the following semester or quarter if their GPA falls below 2.0. Students must be in good standing, and students must let KIC know if they are on academic probation. The scholarship will be awarded, but not paid until grades are received. 5. Students must be enrolled in an accredited college or university for 12 or more credits per semester or quarter to be eligible for the full-time scholarship. Students must be enrolled in an accredited college or university for 6-11 credits to be eligible for the $250 part-time award, and 1-5 credits for the $125 part-time award. Students must be enrolled in a vocational program for at least one week of full-time study or the equivalent to be eligible for the short vocational program scholarship. Vocational students with program expenses above $1,000 will be awarded $250; vocational program expenses below $1,000 will be awarded $125. 6. Filling out and submitting all the information requested above for New Applicants (items 1-8) and Continuing Applicants (items 1-6) shall constitute a complete application. Short vocational program students must fill out and submit all the information requested for New Applicants. 7. Scholarship Amounts: Subject to the availability of funding, scholarships in the following amounts may be made available on a first-come, first-served basis as follows: --$500 per semester or quarter for full-time students; --$250 per semester or quarter for part-time students enrolled in 6-11 credits; --$125 per semester or quarter for part-time students enrolled in 1-5 credits; --$250 per program over $1,000 for short vocational program students; and --$125 per program under $1,000 for short vocational program students. 8. All recipients have a limit of 12 full scholarships or $6,000 as the maximum funding allowed. 9. Scholarship funding is limited and is awarded on a first-come, first-served basis. 10. Any applicants who have exceeded the 12 full scholarships will be reviewed case by case. KIC Scholarship Application Packet Page 4 of 5 (Revised 3/2/2017)

ELIGIBILITY KIC shareholders or their descendants are eligible to apply. Students must indicate whether they will be full-time, part-time, or short vocational program students. Please carefully review the checklist below. Students must submit a complete application by the appropriate deadline in order to be considered. NEW APPLICANT CHECKLIST (Including all short vocational program applicants): 1. Completed scholarship application (page 3 of packet) 2. Cover letter describing yourself and goals 3. Copy of high school transcripts 4. Two letters of recommendation 5. Acceptance letter from school 6. Graduate program (Full-time status only, minimum 9 credits per semester) Full-time undergraduate applicants (Enrolled for 12 or more credits) Part-time scholarship applicants (Enrolled in 1-11 credits; award amount varies) Fall Winter Spring Short vocational program applicants (Give program start and end dates and certificate or license to be received at end of program; award varies) 7. Financial Need Sheet 8. Class schedule 9. Information Consent Form CONTINUING APPLICANTS CHECKLIST: (Without any breaks in classes) 1. Completed scholarship application (page 3 of packet) 2. Grades from most recent previous semester or quarter 3. Full-time students (Enrolled for 12 or more credits) Period system: Semester Quarter 4. Part-time students (Enrolled in at least 1 regular class) Period system: Semester Quarter 5. Financial Need Sheet 6. Class schedule 7. Information Consent Form KIC Scholarship Application Packet Page 5 of 5 (Revised 3/2/2017)