Community Foundation of Crawford County

2022-2023 Universal Scholarship Application

The Community Foundation of Crawford County (CFCC) is a non-profit organization that builds permanent resources to meet current and future community needs. One aspect of the mission is to provide scholarships for area students.

DIRECTIONS: Part one (1) is for documentation purposes and is not distributed to the selection committee; therefore, you are asked to list only the last four digits of your Social Security number on the General Information Pages, Personal Insight Essay and any attached documents. Failure to complete all sections of this application and include all attachments will affect the outcome of the scholarship evaluation.

CCHS Students: Completed applications and all required attachments must be submitted as one complete packet to the CCHS by December 16, 2022.
Orange & Harrison County Students: Submit your complete packets to the CFCC office by December 16, 2022.
 NOTE: Late or incomplete applications will not be considered. 

 The scholarship application will need to be completed in its entirety at one time. 
 You will not be able to save and return to finish the application. 
 We suggest printing a copy to fill out as a guide and having all material ready 
 to upload when submitting online.

last four digits ONLY of social security number
First Name | MIDDLE INITIAL*
Last Name*
ADDRESS
City
state
zip
date of birth
Phone*
Alternate Phone
Email Address*
PARENT/GUARDIAN 1 NAME
PARENT/GUARDIAN 1 LAST NAME
relation
Address (if different)

city
state
zip code
Parent/Guardian 1 email
PARENT/GUARDIAN 1 phone
Parent/Guardian 2
last name
relation
address (if different)
city
state
zip code
Parent/Guardian 2 email
Parent/Guardian 2 Phone
I Certify that i am a u.s. citizen and that all information given in this application is true. I understand the cFCC may require further verification of this information from me. i understand that falsification of any information will result in the termination of any scholarship(s) granted. I agree and understand that by Typing my name below, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

I do hereby affirm that I have verified transcripts, class ranks, test scores, diploma type, GPA, and school attendance for the student listed above.


I Agree And Understand That By Typing The Name Below, That All Electronic Signatures Are The Legal Equivalent Of A Manual/Handwritten Signature And I Consent To Be Legally Bound To This Agreement And That Prior Consent To Do So Has Been Obtained By My Director Of Guidance.

Family overview: parents' current marital status: (select one)
Single
Married
Separated
Divorced
Widowed
Parent/Guardian 1 occupation
Parent Guardian 1 employer
Parent Guardian 1 length
Parent Guardian 2 occupation
Parent Guardian 2 employer
Parent Guardian 2 length
List the number of family members currently living in your household
Are you ae first generation college student (first person in your immediate family to atten college)?
Yes
No
LIST THE AGES OF BROTHERS, SISTERS, STEP BROTHERS, STEP SISTERS CURRENTLY LIVING WITH YOU IN YOUR HOME INCLUDING THOSE THAT THE FAMILY IS SUPPORTING IN COLLEGE. (DO NOT INCLUDE NAMES.)


LIST COLLEGE, ASSOCIATE OR TECHNICAL SCHOOL STUDENTS IN YOUR FAMILY NEXT YEAR (NOT INCLUDING YOURSELF). (DO NOT INCLUDE NAMES.)

age(s)
year(s) in school
full or part time
name of school(s)
school and community achievements

REQUIRED: List your extra-curricular activities including: clubs, volunteer activities in your community and/or at your place of worship, sports, and work experience. 

start date
finish date
Club/Activity/Employer/Organization
contact person
Phone with area code
Office/position held
HOnors/notable achievements received
AVERAGE HRS./WK.
start date
finish date
CLUB/ACTIVITY/EMPLOYER/ORGANIZATION
CONTACT PERSON
PHONE WITH AREA CODE
OFFICE/POSITION HELD
HONORS/NOTABLE ACHIEVEMENTS RECEIVED
average hrs./wk.
elementary Schoo attended
NUMBER OF YEARS ATTENDED
Graduated from this elementary school?
Education plans
College/University You Plan To Attend
City
Select one
4 Year College/University
2 Year College/Junior College
Vocation/Technical Education
Amount of Financial Aid total $
Amount of financial aid per year $
Anticipated Major(s) (Specify Minor, If Any)
financial overview
approximate amount needed per year foR college
Amount you have saved
Amount of financial support you expect to receive for college expenses from sources outside your immediate family (such as child support, gifts from grandparents, Social Security, annuities, etc.) 
All scholarships you have been awarded, known at this time, including the Evan Bayh 21st Century Scholarship. Provide full details and attach a separate sheet if necessary.  Please report any amount of financial aid received after the submission of this application to the CFCC office immediately upon notification.
Name or Source of Scholarship/Award
Amount
Current annual taxable combined (gross) income range of parents/guardians (Select one)
$30,000 or below
$30,001 to $45,000
$45,001 to $60,000
$60,001 to $80,000
$80,001 or more
Special Financial needs/consideration. Attach a separate sheet, if necessary, but keep your comments brief.
0 of 350
Estimated Family Contribution (EFC) - found on Early FASFA Worksheet  
Check list
I Certify That I Am A U.S. Citizen And That All Information Given In This Application Is True. I Understand The CFCC May Require Further Verification Of This Information From Me. I Understand That Falsification Of Any Information Will Result In The Termination Of Any Scholarship(S) Granted. I Agree And Understand That By Typing My Name Below, That All Electronic Signatures Are The Legal Equivalent Of My Manual/Handwritten Signature And I Consent To Be Legally Bound To This Agreement.
PERSONAL INSIGHT ESSAY
Write and upload a typed essay of no less than 500 words introducing yourself, sharing your expectations and personal goals, and explain why you have selected your chosen field of study. In the top right corner of each page of the essay, identify yourself only by the last four digits of your Social Security Number. 
CFCC UNIVERSAL SCHOLARSHIP RECOMMENDATION LETTER
  • The Universal Application requires the student to submit 1 Letter of Recommendation from an individual adult. (SEE possible additional letters and/or requirements BY CLICKING HERE.)
  • The Recommender may not be a currently serving CFCC Board of Directors member.
  • The Recommender may not be related to the student applicant.
  • The Recommender cannot be a peer.
scholarship application checklist

UNIVERSAL SCHOLARSHIP: APPLICANT’S AFFIRMATION

  • If I receive any of these scholarships it is my intent to pursue study on a full-time or part-time basis leading toward higher education. 
  • I understand the total amount of my scholarship is calculated on the basis of funds available via CFCC investments for the current year.
  • I will return any unspent amount of the CFCC Scholarship(s) remaining at the end of each school year.
  • To assist with the processing of my scholarship payments (if renewable) each semester, I will forward immediately to the CFCC all invoices received for tuition and any eligible fees that may be covered by my scholarship.
  • I understand that my conduct, both in the classroom and elsewhere, is important to my selection as a CFCC Scholar. I understand that my conduct at any time prior to, during and after the selection process and throughout the scholarship period may affect my eligibility to become or remain a CFCC Scholar.
  • I understand that certain forms of misconduct may, in the reasonable discretion of the CFCC, result in my loss of eligibility to continue receiving a scholarship. I understand that such misconduct includes substantiated plagiarism, cheating, or dishonesty in my educational activities; conviction of a crime or credible evidence of my likely guilt in a matter of a criminal nature; and other forms of misconduct as determined in the reasonable discretion of the CFCC.
  • If I am arrested or charged with any crime, or investigated for any misconduct, including academic misconduct, I will promptly notify the CFCC. I understand that any such notification will not automatically disqualify me from continued eligibility to receive a scholarship, but it will allow the CFCC to review such circumstances and make a determination regarding my continued eligibility. In connection with any alleged misconduct, including academic misconduct, on my part, I grant consent to the CFCC to contact my college or university to discuss and investigate such allegations.
 I AGREE AND UNDERSTAND THAT BY TYPING MY NAME BELOW, THAT ALL ELECTRONIC SIGNATURES ARE THE LEGAL EQUIVALENT OF MY MANUAL/HANDWRITTEN SIGNATURE AND I CONSENT TO BE LEGALLY BOUND TO THIS AGREEMENT.

2022 - 2023 CFCC Scholarship Opportunities

Please select the scholarship(s) for which the applicant intends to apply. An (*) indicates a renewable scholarship. Be sure to include any documents required by the individual scholarship listed below in addition to what is required on the Universal Scholarship Application form.
 
NOTE: 
  • Requirement – you must meet the requirement to apply for the scholarship.
  • Special Preference – not required, but scored significantly.
  • Preference – not required, but factored into scoring. 
  • Preferences are listed in donor’s order of partiality. In other words, what is listed first is worth the most points.
  • Please use each bullet point as a checklist tool.
  • A FULL REQUIREMENT AND PREFERENCE LIST CAN BE FOUND HERE.
PLEASE SELECT THE SCHOLARSHIP(S) FOR WHICH THE APPLICANT INTENDS TO APPLY
 Submit Application

Questions: Contact Laken Fraime, Community Foundation of Crawford County

(812) 365-2900, lfraime@cf-cc.org

4030 East Goodman Ridge Road, Box D, Marengo, IN 47140

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