All God’s Children Community Choir



F.A. Mason Penwell Nursing ScholarshipApplication InstructionsBefore preparing this application, please review the criteria outlined on this page.The application and all supporting materials must be submitted or postmarked by March 5, 2021.The application must be typed. NO staples. Please do not put the completed application packet in any type of binder or folder. Use paper clips ONLY. Incomplete applications will not be considered.Scholarship Purpose: This scholarship was established by the family of F.A. Mason Penwell to provide a nursing education to those who aspire to help others. Criteria: This is a non-renewable scholarship for up to $1,500 for students who are currently enrolled in or have been accepted into Lake Michigan College’s Nursing Program. Students must have a 2.5 or higher GPA for the most recent three (3) semesters on a 4.0 scale (or equivalent), must demonstrate financial need and be active in their community. To complete your application, provide information in the following order:Signed ApplicationTwo letters of recommendation from any of the following: a current or former teacher or school official; a community member; a personal reference. Please do not include any family members.A typed one-page essay answering the following questions: Why did you choose to become a nurse and what life experience inspired you?Proof of program acceptance (e.g. acceptance letter, letter from head of program, registration).Transcript from your high school and/or college, showing your grades through the most recent semester. A copy of your Free Application for Federal Student Aid (FAFSA) Determination LetterRecipients will be notified by the Foundation in May. In mid-May, scholarship recipients will receive invitations to the Foundation’s scholarship awards event in June. Information on how to access the scholarship will be sent to recipient by the end of June. The scholarship will be paid directly to the college/university on the student’s behalf by mid-August.All applications and support materials must be mailed to or dropped off at the Berrien Community Foundation by March 5, 2021. All mailed applications must be postmarked by March 5, 2021. All applications that are dropped off must be in an envelope and put through the mail slot in the door. To mail OR drop off an application and support materials, use the following address:Berrien Community Foundation Scholarships2900 S. State Street, Ste. 2ESt. Joseph, MI? 49085Application InformationName:Address:City:State:Zip:Home Phone:Cell Phone:Email:Date of Birth (mm/dd/yyyy):Are you a U.S. citizen? (proof of citizenship or authorization to be in the U.S. will be required, if a scholarship is awarded):YesNoIf not a U.S. citizen, what type of visa do you hold?Family Information (For High School Students)Parent/Legal Guardian Name:Occupation:Parent/Legal Guardian Name:Occupation:Number of Siblings:Number of immediate family members currently in college (including parents):Family Information (For Current College Students)Spouse Name:Occupation:Number of Children:Number of immediate family members currently in college (including spouse):High School or Current College InformationSchool Name:Main Office Phone:GPA (for the most recent three (3) semesters on a 4.0 scale (or equivalent):Counselor or Advisor:Email:Expected Graduation Date: Scholarship Celebration Availability (Failure to attend could result in loss of scholarship.)Are you available to attend the Scholarship Awards Presentation on June 17, 2021 at 5pm?YesNoSchool, Church, and Community Leadership ActivitiesUsing the space below, please list your community activities, in which you have participated, in the order of importance to you. You may attach an additional page if anization# of YearsPositionAwards & RecognitionWork HistoryUsing the space below, please list your paid work experience. Begin with your most recent.EmployerBrief Job DescriptionDates of EmploymentHours per WeekFinancial InformationEstimated Family Contribution (EFC) as shown on your Free Application for Federal and State Aid (FAFSA) Determination: $Is there anything else you would like us to know about your financial situation?SignaturesThis page cannot be submitted electronically. You must submit a hard copy.Certification:I acknowledge that the information provided in this application is correct to the best of my knowledge. I fully understand that if I am awarded a scholarship, it is for the purpose of post-high school education. In the event that I do not enter a post-high school program, terminate the program prior to use of the award, or receive other financial assistance (Pell grants, scholarships, tuition grants, etc.) that cover in its entirety, any tuition, room and board, or class material costs, I will relinquish my claim to the award in order that another student could receive the aid. I also acknowledge that distribution of all scholarships is contingent upon the funds being available.This scholarship, like all scholarships awarded through the Berrien Community Foundation, is made at the discretion of the Board of Trustees. The Berrien Community Foundation Board of Trustees reserves the right to rescind any or all of this scholarship due to unanticipated circumstances.Signature of Applicant: ______________________________________ Date: ___/___/___Permission to Release Information:We accept the terms of this scholarship program and permission is granted to the Berrien Community Foundation to seek verification of any information provided in this application from any source, for review by the officers and trustees of the Foundation or any other person authorized by the Foundation. We hereby release from liability any person submitting information to the Foundation for use in the selection of scholarship recipients.Signature of Applicant: _____________________________________ Date: ___/___/___Signature of Parent or Guardian: _____________________________ Date: ___/___/___Media Permission:I allow the Foundation to use any pictures taken at the Awards Night in Foundation publications.Signature of Applicant: _____________________________________ Date: ___/___/___Signature of Parent or Guardian: _____________________________ Date: ___/___/___Contact InformationSusan Mathenysusanmatheny@269-983-3304 ext. 2Berrien Community FoundationScholarships2900 South State StreetSuite 2 ESaint Joseph, MI 49085Essay PageFull Name:In one-page, 12-point font, double spaced, answer the following question:Why did you choose to become a nurse and what life experience inspired you? ................
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