Ronald M. Smith Carpenter Apprenticeship Scholarship Battle Creek Community Foundation Purpose: To provide financial support for individuals in a carpentry apprenticeship program. Examples include but are not limited to: books, tools, equipment, boots/attire needed in a construction setting, certification, testing expenses, certifications, childcare assistance, per diem, etc. Eligibility: 1. Any Calhoun County resident, graduating senior or adult, with financial need that has been accepted in a carpentry apprenticeship program. 2. Must have high school diploma or GED. Criteria for Scholarship Assistance: 1. Apprenticeship programs will be prioritized if local to Calhoun County or Michigan. Additional programs outside of Michigan will be considered. 2. Evidence of need for support of program expenses such as books, tools, equipment, boots/attire needed in a construction setting, testing expenses, certification, child care assistance, per diem, etc. Scholarship Communication and Awarding Process: Applications are accepted on a rolling basis. A committee will determine the scholarship recipient based on the above criteria. Scholarship applications are to be returned to: The Battle Creek Community Foundation, 32 W. Michigan Avenue, Suite 1, Battle Creek, MI 49017 To be considered, you must submit the following documents: o This application o Financial information (see next page) o A copy of acceptance into a carpentry apprenticeship program
Applicant Profile Information: Student Applicant: ____________________________________________________________________ Last Name First Name Middle Initial Date of Birth:
________________ Mo/Day/Year
Male
Female
Mailing Address: _________________________ Street County: ______________________
____________ __________________________________ City State Zip Phone : Cell
Home/Work
Email Address: __________________________________ Last four digits of Social Security Number: _____ Funding amount requested:____________________________ Scholarship Funding will be used for:_________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
Organization to whom this scholarship will be payable:____________________________________________________ (Note: Scholarships cannot be paid directly to the applicant; payment will be issued to the organization, school, college, etc. providing the supplies, course, class etc.) Page 1 of 2
Employer (if applicable): ______________________________________________________________________________ Please list any other funding sources: Organization Name
________ Amount Paid by Organization $
Please note any relevant details:
Financial Information: Have you applied to this year’s FAFSA? Yes application.
No
If yes, submit a copy of the Student Aid Report (SAR) with this
If you have not completed this year’s FAFSA, you must complete the following financial section to be considered for scholarship, without exception. Original documents are not required. Documents will not be returned.
Applicants without a FAFSA SAR (Student Aid Report) MUST provide: Annual Household Income:
Number of Adults
Children
in household
Please provide proof of annual household income by including all of the following documents that apply: Income Verification o Two (2) consecutive pay stubs for all adults in your household. o If pay stubs are not available, provide a letter of employment specifying gross salary signed and dated by employer on company letterhead. o Unemployment check/ verification showing gross and net income.
Benefit Information o Social Security o Unemployment o Disability o Retirement or Pension o Public Assistance o Section 8 o TANF (Temporary Assistance to Needy Families) o WIC (Women, Infants and Children) o SNAP (Supplemental Nutrition Assistance Program) o Medicaid
Special Circumstances: If family income has changed please explain. Please note any special circumstances that contribute to your request for financial assistance. Please use an additional sheet, if necessary. Examples of special circumstances include: Major medical expenses not covered by insurance, separation, divorce, disability, job loss, etc.
Certification: I certify that this application is complete and accurate. _____________________________________ ___________________________________________ _______ Name Signature Date This scholarship is made possible through the Battle Creek Community Foundation
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