SCHOLARSHIP APPLICATION
Senator Edward M. Kennedy Scholarship Fund for BCCS Alumni “Unlocking the doors of higher education is more important today than ever before, and the dream of a college education should be available to any student with the talent, desire, and commitment to pursue it.” --Senator Edward Moore KennedyAbout the Edward M. Kennedy Scholarship FundThe Edward M. Kennedy Scholarship was created in 2009 by Judith and Mark Siegel and is dedicated to the memory of the late Senator to honor his lifelong commitment to access for all whom so aspire to the American dream of upward mobility through education. The Fund provides awards of up to $1,000.00 to BCCS alumni to ensure that the opportunity of college is not impeded by financial disadvantage. Who May Apply?Graduates of Boston Collegiate Charter School (BCCS) who are in the process of pursuing a college degree as an undergraduate are eligible to apply. Additionally, BCCS seniors may also apply upon acceptance to college.Use of FundsAwards must be used by individuals in their pursuit of completing an undergraduate degree. Scholarships may be applied to the purchase of textbooks, supplies, lab fees, costs associated with transportation, tuition, or any other expense incurred during the pursuit of a college degree, so long as the applicant provides his/her rationale.How often can I apply? Applicants may apply once per academic year (August to June). In extraordinary circumstances, a second application in an academic year will be considered. Priority will be given to alumni or students who have not received previous funding.Application DeadlinesApplications are accepted on a rolling basis. However, applicants that are requesting funds for use at the beginning of the fall semester should submit their application by May 31st to ensure timely review. Applications submitted in the summer months will not be reviewed prior to September. Applications may be submitted by email to jclark@ or mailed to: Jon ClarkBoston Collegiate Charter School11 Mayhew StreetDorchester, MA 02125SCHOLARSHIP APPLICATION Applicant Status (check one) ? First-time Applicant ? Renewal Applicant ?Received scholarship one to two times previouslyPlease list dates: ?Received scholarship more than two times previouslyPlease list dates: Applicant Information (Please print or type)NAME: TELEPHONE: EMAIL: AMOUNT REQUESTED: $NOTE: We encourage students to request the maximum of $1,000.00 if your funding need exceeds this amount.EducationCheck One: ?College Senior ?College Junior ?College Sophomore ?College Freshman ?BCCS Graduate but not currently enrolled in college ?High School SeniorSchool DataYEAR OF BCCS HIGH SCHOOL GRADUATION: NAME OF COLLEGE: (For those not currently enrolled, name the college of last attendance, if applicable) CITY, STATE: DECLARED OR INTENDED MAJOR: DECLARED OR INTENDED MINOR (If applicable): EXPECTED YEAR OF GRADUATION: Interests, Goals, and ActivitiesPlease list school-related extracurricular activities (such as club memberships, positions held in student government, involvement with sports) that you consider most important, the years you participated in each (e.g., 2006-2009), and any leadership positions held (such as team captain or president). Note if an activity is from high school or college and list the activities starting with the most recent. If there are activities you would like to be involved with in the future, you can list those as “Future Activity.” Please spell out any acronyms. Name of ActivityYear(s) of ParticipationCollege, High School, or Future ActivityPosition HeldCollegeCollegeChoose an item.Choose an item.Choose an item.Choose an item.Please list all paying jobs, including work-study programs, which you have held in the past 3 years. List the most current job first and include the years of your employment (e.g., 2006-2009).Name of CompanyYear(s) of ParticipationPosition HeldHonors, Awards, and RecognitionPlease list up to five academic or other awards or honors that you consider most important and that you earned in the last three years. Spell out any acronyms. List the most recent awards or honors first. Name of awardDate receivedScholarship Application EssaysPart One Instructions: Please respond to the following question in a well-organized, 1-2 paragraph response below. What are your future goals? How will/is your college experience (major, jobs/internships, extracurricular activities, etc.) allowing you to achieve these goals?Part Two Instructions:?Please select and check one of the following essay questions and respond in a well-organized, concise, one-page (double-spaced) essay.? Please submit your essay with your application.??For renewal applicants:?If you have previously received the Edward M. Kennedy Scholarship, you must ALSO complete the second essay marked below.???Describe a time when you set and achieved a personal goal.? Describe a way that you have had (or will have) an impact on your college community) and what unique personal qualities your contribution required.? Discuss the most difficult constructive criticism or feedback you have received. How did you address it? What have you learned from it? ? For renewal applicants only: When did you last apply for the Edward M. Kennedy Scholarship and how did you use the funds you received?*BCCS reserves the right to use portions of your essay for marketing purposesPart Three Instructions: Please complete the three charts below. Detail what your total college-related expenses are for the year, what other sources of funding you are using or exploring to help pay for college, and how you specifically intend to use this scholarship if it’s awarded. If you don’t know the exact amounts, please just estimate to the best of your ability.ExpensesEstimated Amount Notes/CommentsAnnual Tuition Cost$Annual Living Cost(Food, housing, transportation) $Other Annual Costs (Books, Supplies, etc.)$ TOTAL$ Sources of FundsEstimated Amount Notes/CommentsGrants and Scholarships$ Loans$ Work or Work Study$ Other Funding (please explain)$ TOTAL$Gap of Funding (Total Expenses minus Total Sources)$ If your funding gap is more than the $1,000.00 that you are eligible to receive from the Edward M. Kennedy Scholarship, would you be interested in a follow-up conversation to help you build a plan to make up the difference?Check One: ?Yes, I would like a follow-up conversation ?Maybe, tell me more about how this would work ?No, I feel comfortable figuring that out without supportGiven your need, for what do you expect to use the Edward M. Kennedy Scholarship?ExpenseAmount $ $ $$TOTAL (should equal total request amount)$ CERTIFICATION:I certify that all the information included in this application is true, complete and my own work. ______________________________________________________________________________SignatureDateEmail your completed application to jclark@Or, submit completed applications via mail to:Jon ClarkBoston Collegiate Charter School11 Mayhew StreetDorchester, MA 02125(617) 265-1176 ................
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