SRC Scholarships 11-12



Spoon River College FoundationFELLHEIMER SCHOLARSHIP APPLICATION (MCDONOUGH COUNTY STUDENTS ONLY)Summer Semester 2020Spoon River College (SRC) and the SRC Foundation offer a variety of scholarships to provide financial assistance and/or to recognize outstanding performance in academics, athletics, art/theatre, and career and technical interests. To view, please visit src.edu/scholarships. The SRC scholarship programs are intended to provide maximum benefit to students seeking to improve their skills through higher education. These scholarships should be coordinated with Federal and State financial aid programs as well as outside private scholarships. Awards are first applied to students’ SRC accounts. Some awards are made after a semester begins. To be eligible for renewable scholarships, students must re-apply. STEPS TO APPLY: Students will be eligible for all relevant SRC and SRC Foundation scholarships by completing the following application form and submitting the required FAFSA and transcript. Separate applications are not required. Unless otherwise stated on the website, the application, transcript, and FAFSA must be submitted to the SRC Financial Aid Office by 4:30 p.m. June 30, plete the Free Application for Federal Student Aid (FAFSA) for 2019-2020 academic year.Submit with this application, or already have on file at SRC, an institution-verified copy of the most recent transcript (high school, GED, or college). Download, read, and complete, using black ink, the scholarship application packet in either Word or PDF versions. Please be sure to provide all information requested. Print, sign and mail to: SRC Financial Aid Office, 23235 North County 22 Highway, Canton, IL 61520, fax to (309) 649-6393, OR electronically submit to financialaid@src.edu (Note: While SRC goes to great lengths to ensure electronic privacy, electronic submission of this application and all the information contained therein is at your own risk.) Be sure to sign your application. Note: Electronic signatures are not accepted. Retain a copy for your files.Maintain your correct mailing address with SRC.Beyond what has been stated, please note the following qualifications for eligibility:Typically, students must attend at least one class at the SRC Macomb Campus. Due to COVID-19, for the Summer 2020 semester, this award will be open to any resident of McDonough County who meet the other requirements:Students must live in the SRC District all 12 months of the year.Students should have graduated from a high school within the SRC District –OR—have resided within the SRC District for five or more consecutive years.If funds allow, exceptions may be made to Qualification 3. Students who do not meet this qualification are encouraged to apply but should do so with the understanding that students who meet Qualification 3 will be funded first.A cumulative SRC GPA of 2.5 is required. This means that, currently, students in their first semester at SRC are ineligible.Students may receive Fellheimer Scholarships a maximum of four semesters (including summer awards).Students are required to submit a thank you letter to the donor for each semester’s award. Details will be listed in the acceptance letter from Student Services.Note that while a current year’s FAFSA is required, students do not need to be eligible for financial aid in order to be eligible for this award.While all students are encouraged to apply, preference is given to non-traditional students who are 25 years of age or older or have a dependent child.Students who receive full tuition waivers from SRC are not eligible for Fellheimer Scholarships.PLEASE NOTE: STUDENTS MUST REMAIN IN GOOD STANDING AT SRC. FURTHER, STUDENTS MUST COMPLETE A LETTER WRITING REQUIREMENT TO RECEIVE FUNDING. THE FOUNDATION WILL SEND INFORMATION ABOUT THE REQUIREMENT TO THE RECIPIENT’S OFFICIAL ADDRESS WITH SCHOLARSHIP DECISION. FAILURE TO SUBMIT THE LETTER WILL RESULT IN THE LOSS OF SCHOLARSHIP.It is the policy of Spoon River College to provide an educational, employment and business environment free of discrimination, harassment, and retaliation based on protected criteria. Students and employees are responsible for maintaining an educational environment free of discrimination, harassment, retaliation and complying with all policies. Spoon River College is committed to promoting the goals of fairness and equity in all aspects of its operations and educational programs and activities. Equal Opportunity, Civil Rights Discrimination, Harassment, and Retaliation may be subject to resolution using the Civil Rights Complaint and Resolution Procedure listed in Spoon River College Policy 3.1.3, regardless of the status of the parties involved, whether members of the campus community, board of trustees, students, student organizations, faculty, administrators, or staff.Inquiries about this policy and procedure may be made internally by employees and students to:Title IX/VII Coordinator:Melissa WilkinsonDean of Student Services23235 N. County Hwy 22Canton, IL 61520Phone: (309) 649-6329Email: Missy.Wilkinson@src.edu or TitleIXCoordinator@src.eduDeputy Title IX/VII Coordinator:Andrea ThomsonHuman Resources Director23235 N. County Hwy 22Canton, IL 61520Phone: (309) 649-6209Email: Andrea.Thomson@src.edu or TitleIXCoordinator@src.eduADA/Section 504 Coordinator:Andrea WhiteAdvisor/Disability Services & Probation23235 N. County Hwy 22Canton, IL 61520Phone: (309) 649-6305Email: Andrea.White@src.eduInquiries may be made externally to:Office for Civil Rights (OCR)U.S. Department of Education400 Maryland Avenue, SWWashington, D.C. 20202-1100Customer Service Hotline: (800) 421-3481Facsimile: (202) 453-6012TDD: (877) 521-2172Email: OCR@Web: SPOON RIVER COLLEGE/SRC FOUNDATIONSUMMER 2020 FELLHEIMER Scholarship ApplicationMCDONOUGH COUNTY RESIDENTS ONLYDeadline June 30, 2020Please type or neatly complete all information below in black ink only. PERSONAL DATA Legal Name:(Last)(First)(Middle)SRC Student ID #Date of Birth (MM-DD-YYYY)Street AddressCity, State ZipCountyEmail AddressHome Phone #Cell Phone #APPLICATION STATUSI am a (check one) FORMCHECKBOX new SRC student FORMCHECKBOX returning SRC studentCampus attending FORMCHECKBOX Canton FORMCHECKBOX Macomb FORMCHECKBOX Havana FORMCHECKBOX Rushville FORMCHECKBOX OnlineI will be attending (check one) FORMCHECKBOX full-time (12+ hours) FORMCHECKBOX part-time (under 12 hours)I am classified as a (check one) FORMCHECKBOX freshman (0-29 hours) FORMCHECKBOX sophomore (30+ hours)I received an SRC scholarship in the previous year (check one) FORMCHECKBOX yes FORMCHECKBOX noI have submitted the 2019-2020 FAFSA FORMCHECKBOX yes FORMCHECKBOX noIf yes, date submittedI have requested all transcripts be sent to SRC Financial Aid Office or have transcripts on file at SRC. FORMCHECKBOX High School (7th semester required) FORMCHECKBOX attached FORMCHECKBOX GED (From Regional Office of Ed.) FORMCHECKBOX attached FORMCHECKBOX Other Colleges: FORMCHECKBOX attached FORMCHECKBOX SRC FORMCHECKBOX attachedEDUCATIONAL BACKGROUNDName of High SchoolCity, StateCountyDate of GraduationCumulative GPAon a scale ofClass RankClass SizeCurrent Dual Credit Student FORMCHECKBOX yes FORMCHECKBOX noGED Completion YearCountyCity, StateName of other college attendedCity, StateDates Attended: From: To:Cumulative GPACredit Hours EarnedProgram of Study at previous institutionPROGRAM OF STUDY I am interested in the following program(s) of study at SRC: FORMCHECKBOX Transfer Degree FORMCHECKBOX Agriculture FORMCHECKBOX Art FORMCHECKBOX Biology FORMCHECKBOX Business FORMCHECKBOX Chemistry FORMCHECKBOX Communi-cations FORMCHECKBOX Computer Information FORMCHECKBOX Criminal Justice FORMCHECKBOX Culinary Arts FORMCHECKBOX Diesel & Power Systems FORMCHECKBOX Drama FORMCHECKBOX Early Childhood FORMCHECKBOX Education FORMCHECKBOX English FORMCHECKBOX Health Info. Management FORMCHECKBOX Health Sciences FORMCHECKBOX History FORMCHECKBOX Logistics & Operations FORMCHECKBOX Math FORMCHECKBOX Manufac-turing FORMCHECKBOX Medical Lab. Tech. FORMCHECKBOX Natural Resources FORMCHECKBOX Nursing FORMCHECKBOX Psychology FORMCHECKBOX Sciences FORMCHECKBOX Small Business Mgt. FORMCHECKBOX Sociology FORMCHECKBOX Welding FORMCHECKBOX Other(Please specify)HIGH SCHOOL (HS) AND/OR COMMUNITY INVOLVEMENTPlease comment on any school or community activities you have participated in or any other information you wish for the scholarship committee to consider.SRC COLLEGE LIFE Please choose SRC clubs and organizations you may be interested in. FORMCHECKBOX Ag. Fraternity Alpha Gamma Tau FORMCHECKBOX Art FORMCHECKBOX Student Ambassador FORMCHECKBOX Writing / Journalism FORMCHECKBOX Diesel Fraternity Phi Mu Tau FORMCHECKBOX Drama / Theatre S.T.A.G.E. FORMCHECKBOX Habitat for Humanity FORMCHECKBOX HEAL (Healthcare Enthusiasts & Leaders) FORMCHECKBOX Honors SocietyPhi Theta Kappa FORMCHECKBOX Intramural Sports FORMCHECKBOX Literary Magazine (Kaleidoscope) FORMCHECKBOX Speech and Debate Team FORMCHECKBOX PEEPS (People for Earth’s Preservation) FORMCHECKBOX SNA (Student Nurses’ Association) FORMCHECKBOX SGA (Student Government Assn.) FORMCHECKBOX Snapper Villas (living on Canton campus) FORMCHECKBOX Baseball Team FORMCHECKBOX Softball Team FORMCHECKBOX Volleyball Team FORMCHECKBOX Men’s Basketball FORMCHECKBOX Women’s Basketball FORMCHECKBOX OtherAFFIRMATION FORMCHECKBOX I have read and understand all criteria and requirements regarding Spoon River College Scholarships and SRC Foundation Scholarships.The preceding information I have supplied on this application form is correct. If I receive a scholarship, I understand I must adhere to all requirements for that scholarship. I am not in default on any student loan(s). I also give my permission to Spoon River College to request and obtain any related information that would be pertinent to my application and share my information with committees reviewing applications for scholarships. I allow SRC to publish my name and town/high school as a scholarship recipient but understand no other personal information will be published. I understand that scholarship awards will first be applied to my SRC account to cover any balance due. I also understand that some awards may be made AFTER a semester begins. Not all applicants will be awarded and awards are subject to the availability of funding. Electronic signatures are not accepted. Please sign in black ink.Student Signature ___________________________________________________Date _____________________Parent Signature for Minor (if under 18) _________________________________Date _____________________Please print and mail/deliver this form to: SRC Financial Aid Office, 23235 North County 22 Highway, Canton, IL 61520.You may also fax this form to (309) 649-6393, or e-mail this form to financialaid@src.edu. Electronic submission of the information contained in this application is solely at the risk of the applicant.Deadline June 30, 2020FOR OFFICE USE ONLY:EFC#SP HS Transcript:College Transcript:OtherOtherUpdated 6/15/20 ................
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