BIKERS FOR CHRIST NORTHERN WV CHAPTER

DAISY MALEY SCHOLARSHIP PROGRAM

RR 1 BOX 186-E

SHINNSTON, WV 26431

 

 

1.    DEADLINE for BFC scholarship applications is Monday, March 22, 2010 (no exceptions).

2.    Refer to criteria sheet for eligibility requirements page six (6).

3.    Refer to page four (4) of this application for a list of the supporting documents needed (i.e., reference forms, evidence of GPA, etc.)  Incomplete applications will be returned to you.

4.    If any question does not apply to you in this application please put N/A in the space.

5.    Type or print legibly.  Illegible applications will be returned to you.

6.    You will be notified by mail in May regarding the status of your application.

7.    There will be one scholarship recipient for each of the three qualifying counties (Marion, Harrison, and   

      Monongalia).  The scholarship is a one-time, nonrenewable gift of $1,000, to be divided and dispersed equally for 

      each semester during the first year of school.

8.    If you have any questions about the application, please e-mail Jessica Freeman at jweekly1@hotmail.com.

 

NOTE:  Do not call the Foundation to inquire about the results of scholarship selections. 

 

 

Application 2010

 

 

                             

Please type or print your answers.  If application is illegible it will be returned to you.

 

1.

 

Last Name:

 

First Name:

2.

Mailing Address::

                          Street:  _________________________________________________________

                       

                          City:                                         State:                                ZIP:

 

3.

 

Daytime Telephone Number:  (          )

 

4.

 

Date of Birth:    Month                              Day                               Year

 

5.

 

Social Security Number:

 

6.

 

In the Fall of 2010, I will be attending college as a:  (Circle one) 

 

Freshman         Sophomore          Early Admissions/ Concurrent Enrollment

 

 

7.

 

I will be attending the following school in the Fall of 2010:  ______________________________________

 

School Address:_______________________________________________________________________________________

 

8.

 

Grade Point Average (GPA): __________    (On a 4.0 scale)   ___________________________________

Attach proof of GPA.  Your most recent official school transcript required.        High school counselor signature                        date

9.

 

ACT Score:__________

      Or                                              _____________________                       Not required if planning on attending a 2-year or

SAT Score: __________                H.S. counselor initials                                Technical Program.

10.

Name & address of parent(s) or legal guardian(s):   Use reverse side of application if you need more space.

Name (s)

 ______________________________________________________________________________

 

Street:  ___________________________ City:_____________________  State: ______ ZIP:_____________

                   

Home phone of parents or legal guardians:   _____________________________________

 

11.

 

Name and city of high school attended:

.

 

Graduation Year:________

 

12.

 

List the name of any college you have attended or earned credit from.

(If you have not attended college yet, go on to question 13.)

 

Year

Began

 

Year

Ended    

Year

Graduated

(If applicable)

Type of Degree

Received

(If applicable)

 

A.

 

 

 

 

 

B.

 

 

 

 

 

C.

 

 

 

 

 

D.

 

 

 

 

 

13.

What specialty/major do you plan to major in as you continue your education?

 

14.

List expenses you expect to incur per semester or quarter:                                                .

 

A.

Tuition:                  Amount:  $

B.

Books:                   Amount:  $

C.

Room & Board:      Amount:  $

D.

Other expenses:     Amount:  $                                             Describe below under comments

E.

Other expenses:     Amount:  $                                                                        “

Comments:

 

 

 

15.

List other financial assistance you will receive per semester or quarter:                              

 

 

A.

Personal:                                    Amount:  $

B.

Other Scholarship(s):                 Amount:  $                                      Describe below under comments

C.

Grants:                                       Amount:  $                                                               “

C.

Student Loan(s):                        Amount:  $                                                               “

D.

Other Financial Resources:       Amount:  $                                                               “

Comments:

 

 

 

Use an additional sheet if you need more room to list financial information requested in items 14 & 15.        

 

 

 

 

 

 

 

 

 

 

 

 

 

For the following questions, please type or print legibly your responses (you may attach additional sheets)

                                                                                                                                                           

16.

What are your educational and professional goals and objectives? (You can attach your resume if it has this information.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

List your academic honors, awards and membership activities while in high school: (You can attach your resume if it has this information.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.

List your community service activities, hobbies, outside interests, and extracurricular activities:  (You can attach your resume if it has this information.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

Please describe how receiving the Daisy Maley Scholarship Fund will impact your life, as well as your child’s life.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

A.  The following items must be attached to this application in order for the application to qualify to be reviewed by the scholarship committee. 

B.  Your application will be returned to you if these items are not attached to this application.   (No exceptions.) 

C.  Circle “YES” or “NO” to be sure you have attached each item as required.

 

 

YES

 

NO

 

Two letters of reference.   Return these reference letters in a sealed envelope from your teachers, counselor, or community leader who can attest to your academic, social, or personal attributes. Two reference letters are included in this application packet.  

 

YES

 

NO

 

Proof of college acceptance or current student enrollment.   A letter of college or two year technical program acceptance is required.

 

YES

 

NO

 

Most recent official high school transcript. Photocopies of your transcript are not acceptable.

 

 

 

YES

 

NO

 

Proof of ACT or SAT scores.  [Required for Freshmen only, unless attending a technical program.

 

 

 

YES

NO

Certificate of Live Birth.  Applicant must attach a certificate of live birth for her child to the application.

 

 

 

 

 

STATEMENT OF ACCURACY

 

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge.  I also consent that my picture may be taken and used for any purpose deemed necessary to promote the Daisy Maley Scholarship Fund.

 

I hereby understand that if chosen as a scholarship winner, I must maintain a 2.0 GPA in my first semester of college or technical school, in order to receive additional funding for following semesters.

 

 

 

Signature of scholarship applicant: _________________________________    Date:  _______________________

                                                                       

 

 

 

 

REMEMBER

 

The deadline for this application to be received by the BFC is MARCH 22, 2010 No exceptions!

 

 

 

 

 

 

 

Mail application and attachments to:

 

BFC-Daisy Maley Scholarship Fund

RR 1 BOX 186-E

SHINNSTON, WV 26431

 

 

 

 

BIKERS FOR CHRIST NORTHERN WV CHAPTER

DAISY MALEY SCHOLARSHIP PROGRAM

RR 1 BOX 186-E

SHINNSTON, WV 26431

 

 

 

Eligibility Requirements

 

All eligible applicants must meet the following criteria.

 

Each applicant or recipient:                                                                                       

  1. Must be currently enrolled in Monongalia, Marion, or Harrison county schools with an expected graduation date of May 2010.
  2. Must possess at least a 2.0 GPA and fulfilled or currently fulfilling high school graduation requirements in accordance with WV state policy 2510.
  3. Must demonstrate a financial need for scholarship funding.
  4. Must currently be a mother caring for her child with the desire to further her education.
  5. Must attach a “Certificate of Live Birth” for her child to the application.
  6. Must attend either a technical, 2-year or 4-year educational institution and maintain a 2.0 GPA.
  7. Must maintain a 2.0 each semester in order to be considered for scholarship funding.
  8. Must complete the scholarship program application in its entirety and submit on or before the stated deadline.
  9. All information will be processed and applicants notified of application status by May of 2010. 
  10. Funding will be dispersed directly to the institution in which the recipient has been accepted and enrolled in, by August of 2010, and will be divided evenly between the said institutions quarters or semesters. 
  11. Must maintain GPA criteria in order for remaining funds to be dispersed for each quarter/semester. (For example:  If the recipient receives an award of $1000, and the institution operates by semesters, $500 will be dispersed in August of 2010, and the remaining $500 will be dispersed by January 2011.)