CHURCHES HOMES FOUNDATION, INC.

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CHURCHES HOMES FOUNDATION, INC.

GENERAL GUIDELINES FOR SUBMITTING

SCHOLARSHIP APPLICATIONS

The Churches Homes Foundation is committed to promoting access to post-secondary

education for students in the Atlanta metropolitan area as defined by the Atlanta Regional

Commission. Counties included in this region are:

Cherokee

DeKalb

Forsyth

Henry

Clayton

Douglas

Fulton

Rockdale

Cobb

Fayette

Gwinnett

Churches Homes Foundations, Inc., operates with a policy of

non-discrimination and considers scholarship applications without regard to race,

color, creed, religion, national origin, gender, age or disability.

Eligible applicants MUST be:

• Georgia

residents

living

in

of one of

the

counties listed above

• Have a minimum 2.5 GPA

• Demonstrate financial need

• Show evidence of a commitment to community service

• Show evidence of enrollment in/or proven acceptance to an accredited

post-secondary institution

APPLICATION DEADLINES - 2016

Board Meeting January 21, 2016

Deadline - December 18, 2015

Board meeting July 21, 2016

Deadline - June 17, 2016

Board meeting October 20, 2016

Deadline – September 16, 2016

Your

completed

scholarship application and all supporting documentation must be

received by the application deadline for the semester for which scholarship funds are

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CHECKLIST:

Application package MUST include the following:

1. Completed, signed student application

2. A recent photograph

3. A one page essay describing your academic and career objectives, your commitment to

community and your need for financial assistance

4. Current official transcript of grades

5. Letter of acceptance from the school you plan to attend, if you are a high school graduating

senior planning to enter college

6. Signature of the College Financial Aid Officer on your application form, verifying your

financial information

INCOMPLETE APPLICATIONS

WILL

NOT BE C

ONSIDERED.

Scholarship Awards:

Checks in the amount of the award will be forwarded to the student

'

s designated academic

institution's Financial Aid Office to be credited to the student's account. Please contact the

Financial Aid Officer of your school to determine if an award was given

.

Applicants are encouraged to keep a copy of all documents related to this application for their

personal files.

Submit Application to:

Ms.

Faye White

Churches Homes Foundation

c/o MARSH

3560 Lenox Road- Suite 2400

Atlanta, Georgia 30326

[email protected]

Phone: (404) 995-3052

Fax: (404) 995-3053

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CHURCHES HOMES FOUNDATION

SCHOLARSHIP APPLICATION

E

LIGIBILITY

C

RITERIA

• Resident of Metro Atlanta Counties (see guidelines)

• Minimum 2.5 GPA.

• Demonstrated financial need.

• Commitment to community service.

• Enrollment in or acceptance to an accredited

academic institution. Graduate students not eligible.

Previous recipients are encouraged to re-apply, but must obtain and submit the current year’s application form. Previous recipients are not guaranteed additional awards. Grants are limited to one per 12 months. There is a lifetime cap on awards to individual students.

Churches Homes Foundation operates with a policy of non-discrimination and considers scholarship applications without regard to race, color, creed, religion, national origin, gender, age or disability.

Student Information

Student Name:

________________________________

Last First Middle

Mailing Address ___________________________________

_____________________________________________________________________________________ Permanent Home Address: _______________________________________________________________ ____________________________________________________________________________________ Phone: _______ _____________ E-mail _______________________________

State of Residence: How Long? ____________________

Date of Birth: __________________ Social Security Number: _______________________________

High School Data

School Name: ______________________________________ Graduation Date/ GPA: __________ Address: _____________________________________________________________________________

College/University Data

Name of college/university you plan to attend/are attending: _____________________________________ Have you applied to this scholarship before?

 Yes  No

What year(s) did you apply?

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Please list all school activities in which you have participated during the past four years (e.g.,

student government, music, sports, etc.). Note all special awards, honors and offices held.

Please list community organizations such as service, volunteer, and religious organizations you are now active or have previously been active in over the past four years. Note all special awards, honors and offices held. Include dates of service and/or awards.

Activities, Awards Community Involvement

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PARENT/GUARDIAN INFORMATION

1) ___________________________________________________________________________________

Last First Middle

Day Phone: ________________________ Relationship to Applicant: __________________________

Address: _______________________________

City: _____________________________ _ State: ____________________ Zip: ___________________

Place of Employment: ________________________

Occupation/Title: ___________________________________ Annual Income: $__________________ 2) __________________________________________________________________________________

Last First Middle

Day Phone: ________________________ Relationship to Applicant: __________________________

Address: _______________________________

City: ______________________________ _ State: ____________________ Zip: __________________

Place of Employment: ________________________

Occupation/Title: ___________________________________ Annual Income: $__________________

Number of siblings at home: _____ Siblings in College: ____ Family Income: $__________________

Student’s Employer & Income: ____ $__________________

Student’s Signature__________________________Date

Note:

If you are married, financial information applicable to you and your spouse should be shown

in place of parent information. If you are an independent student please provide your financial

information.

Additional Comments to support request:

______________________

______

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FINANCIAL INFORMATION

Student Name: _________________________________________________________________

To the University Financial Aid officer:

Please list the name and annual amount of all scholarships, grants and other financial aid the above named student has been awarded/will be receiving for the upcoming aid year only, including the HOPE Scholarship. Residency status (check one)  Resident of CHF Metro Atlanta eligible counties(see guidelines)

 Non-resident of Georgia Federal (i.e. Pell/SEOG/Federal Loans)

(Name/Amount) __________________________________$ _____________  Granted  Pending (Name/Amount) __________________________________$ _____________  Granted  Pending (Name/Amount) __________________________________$ _____________  Granted  Pending (Name/Amount) __________________________________$ _____________  Granted  Pending (Name/Amount) __________________________________$ _____________  Granted  Pending (Name/Amount) __________________________________$ _____________  Granted  Pending

State (i.e. HOPE/Zell)

(Name/Amount) __________________________________$ _____________  Granted  Pending

Institutional Scholarships

(Name/Amount) __________________________________$ _____________  Granted  Pending (Name/Amount) __________________________________$ _____________  Granted  Pending (Name/Amount) __________________________________$ _____________  Granted  Pending

Private Scholarships (i.e. Gates Millennium)

(Name/Amount) __________________________________$ _____________  Granted  Pending (Name/Amount) __________________________________$ _____________  Granted  Pending

Total Aid Package $ _____________

Expected Family Contribution $ _____________

Budget/Cost of Attendance $ _____________

Unmet Financial Need $ _____________

I certify that the financial aid information submitted on this application is accurate and complete.

______________________________ __________________________________ __________

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IMPORTANT PLEASE NOTE:

To be considered for a scholarship you must attach ALL of the following documents to this application form.

a) Completed, signed student application. b) A recent photograph

c) A letter outlining your academic and career objectives, your commitment to community and your need for financial assistance

d) Current Complete Official Transcript(s) of Grades

e) Letter of acceptance from the school you plan to attend (if a recent high school graduate). f) Signature of the College/University Financial Aid Officer, verifying your Financial Information

Incomplete applications will not be considered.

Mail Application to: Ms. Faye White

Churches Homes Foundation c/o MARSH

3560 Lenox Road- Suite 2400 Atlanta, Georgia 30326

[email protected] Phone: (404) 995-3052 Fax: (404) 995-3053