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2015/2016 STEWART SCHOLARSHIP

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201

5/2016

STEWART SCHOLARSHIP

Prior

Recipient

Wayne Stewart

For the furtherance of higher education, trades and other

vocations of worthy young residents of Grant County, Oregon.

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STEWART SCHOLARSHIP

APPLICATION INSTRUCTIONS – Prior Recipient

This scholarship is for worthy young persons who are U.S. citizens and residents of Grant County, Oregon. The scholarship is awarded for undergraduate, trade or graduate school educational expenses up to a total of five years.

Recipients must:

• Complete a minimum of 12 credit hours per term/semester (full-time) or at least half-time status for part-time students.

• Achieve a 2.0 or better GPA the first year of post high school study.

• Achieve a 2.5 or better GPA in subsequent years of post-high school study. • Submit a post-secondary transcript (does not have to be official).

Applications must be complete and returned to:

U.S. Bank

Trust Department

1025 NW Bond Street

Bend, Oregon 97701

Please direct questions or requests for additional information to Stewart Scholarship – 1-866-437-4541

Applications must be postmarked by July 1, 2015 Late or incomplete applications will not be accepted

Please submit application packet in the following order:

• Application Form

• Transcripts – Most recent college/trade/vocational school transcript is required. • Copy of the page from the FAFSA form that indicates the amount of your Estimated

Family Contribution (EFC). You must provide this dollar amount. • Residency & School History Form

• Statement of Goals

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STEWART SCHOLARSHIP – APPLICATION FORM Prior Recipient

Complete this personal information form and attach required materials

NAME: ___________________________________ Date of Birth: _______________________ NAME: (If awarded under a different name) ___________________________________________ ADDRESS: _______________________________ Social Security Number: XXX-XX- ______ __________________________________________ Phone Number: _____________________ City State Zip

PARENT/GUARDIAN: __________________________

Name and Address of the College(s)/School(s) you plan to attend this school year:

_________________________________________________________________________________ Proposed major: __________________________________________________________________ Indicate your class in college/graduate school/trade school next term: _________________________ High School Attended: _______________________________ Date of Graduation: __________ High School GPA: _____________________ Post High School GPA (if applicable): ________ Annual expected expenses of applicant (tuition, books & fees only): $ _________________ Annual expected room and board if living in school housing: $ _________________ Annual expected room and board if living in off-campus housing: $ _________________ Value of all other scholarships and grants you have been awarded

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STEWART SCHOLARSHIP – RESIDENCY & SCHOOL HISTORY

Residency

Scholarship recipients must be U.S. citizens, bona fide residents of Grant County and lived in Grant County at least one year immediately prior to applying before being eligible for a scholarship. Scholarship recipients do not lose residency status solely because they are absent from Grant County to attend post-secondary education or serve in the military.

Please answer YES or NO:

YES - I have lived in Grant County at least one year immediately prior to applying.

NO - If NO, please tell us why you should be considered. Use space below.

School History

List the schools that you have attended beginning with the most recent. Go back as far as the 9th grade.

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Your application will be disqualified if it is incomplete.

Possible reasons for incomplete status:

- Lack of signature

- Lack of last four digits of SSN

- EFC – do not include pages from FAFSA that do not contain the EFC. You

MUST include the page indicating the Estimated Family Contribution even

if you are attending a school/program that does not require a FAFSA or

does not qualify for Financial Aid (i.e. certification, licensure programs,

etc.)

- Failure to indicate the costs of tuition, room and board, and ALL GRANTS

and SCHOLARSHIPS received for education purposes. This includes

tuition offsets from the school that you are attending.

- Honesty about residency. If you do not qualify, explain why you do not

qualify and rationale for requesting scholarship funds even though you may

not qualify.

REQUIRED MATERIALS

TRANSCRIPT – Attach a recent post secondary program/college transcript – (may be unofficial).

FINANCIAL AID INFORMATION – Complete a Free Application for Federal Student Aid (FAFSA). http://www.fafsa.ed.gov/ Print out the page which shows your

Estimated Family Contribution (EFC), make a copy and submit with this application. Do not attach entire FAFSA.

RESIDENCY AND SCHOOL HISTORY – Submit a history of where you have attended school since the 9th grade.

STATEMENT OF GOALS – Submit a statement of your goals summarizing your reasons for your desire to continue your education and your tentative career goals. No more than one page.

CERTIFICATION

I certify that the information contained on this form and all attached forms is accurate and complete, to the best of my knowledge.

Signed: ___________________________________Dated: _________

References

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