College Scholarship Application LILO WENDELL MEMORIAL SCHOLARSHIP FUND
The Lilo Wendell Memorial Scholarship Fund Mission Statement The Lilo Wendell Memorial Scholarship Fund was established to provide scholarship grants to deserving high-school seniors who are Catholic daughters of single mothers and attend Catholic high schools or are members of a Parish in the Archdiocese of Detroit for the purpose of attending a college or university after graduation from high school. The Lilo Wendell Scholarship is open to Catholic young women without regard to race, national origin or disability. Award recipients will be known as Lilo Wendell Scholars. Application must be postmarked by May 31, 2013.
ABOUT THE LILO WENDELL SCHOLARSHIP GRANT Lilo Wendell, the founder of this grant program, emigrated to the United States from Germany with her mother in 1958. She had a strong bond with her mother, a single parent at the time of coming to this country. Her relationship with her mother influenced her desire to assist young women in similar situations to pursue their dreams of gaining a college education. Miss Wendell herself had a long and rewarding career as an accountant for an advertising agency. In the trust in her estate plan she established this scholarship through a gift to the Archdiocese of Detroit Endowment Foundation to provide the means to assist young women as she had envisioned.
AWARD CRITERIA The grant for attending a college or university after graduating from high school is awarded annually to a deserving high-school senior who is the Catholic daughter of a single mother and who attends a Catholic high school or is a member of a parish in the Archdiocese of Detroit. At the discretion of the Fund Committee, one or more grants may be awarded each year. Applicants will be judged on scholastic achievement, involvement in school and community activities, and financial need. Applicants must also submit an essay on how she would use the scholarship and the importance of her Catholic faith in her life. Applicants must also submit a statement signed by her mother that her mother is unmarried, divorced, a widow or otherwise single. If the applicant’s mother is no longer living or is under a disability, the applicant may submit proof regarding the mother’s status and can be deemed eligible for the grant. The grant shall not discriminate on the basis of race, national origin or disability of the applicant.
LILO WENDELL MEMORIAL SCHOLARSHIP FUND • 2
BASIC SCHOLARSHIP REQUIREMENTS AND GUIDELINES The Lilo Wendell Memorial Scholarship Fund (“Fund”) provides four (4) grants for tuition, room and board, books, fees and similar education charges. The amount granted is at the discretion of the Fund Committee. Each grant will be approximately $4,000 2013-2014 academic year. In order to apply for a fund grant, the applicant must adhere to the following: Academic Standing: Applicant must have a minimum 2.5 cumulative grade point average and maintain it during her course of study. School Location: Applicant may attend an accredited college or university in the United States that has been approved by the Fund Committee. Student Status: Applicant must be a full-time student, as defined by the college or university. Student Affiliation: Applicant must be a Catholic high-school student at a Catholic high school or a member of a parish in the Archdiocese of Detroit. Economic Need: Applicant must demonstrate a financial need and submit requested financial information. Applicant must also disclose the amount of any other scholarships, grants or other sources, other than loans, used in funding her education. Please Note: Applicant must declare this grant as a resource on any other scholarship, grant, or loan application for funding of the applicant’s education. All funds distributed directly to the college or university must be used only for the recipient of this grant.
AWARD GUIDELINES (Please review carefully) 1. All grants will be paid directly to the college or university the student attends. The award will be paid by semester, term or quarter, as the case may be. 2. If a recipient drops a class, the Fund must be notified as soon as possible. 3. Should the recipient withdraw from school during the first semester, term or quarter for reasons other than academic or disciplinary, she must have approval from the Fund to continue her use of the grant during the same academic year. If the school policy limits the amount refunded, the recipient will not receive the full benefit of the grant. 4. Should the recipient withdraw following completion of the first semester, term or quarter and prior to completion of the second, the recipient must reapply as a new applicant. 5. Should the recipient withdraw for academic or disciplinary reasons, her standing with the Fund will be reviewed by the Committee. All refunded money must be returned to the Fund.
LILO WENDELL MEMORIAL SCHOLARSHIP FUND • 3
APPLICATION Applicant Name: _________________________________________________________________________ Home Address: __________________________________________________________________________ Number
Street
__________________________________________________________________________ City
State
Zip
Date of Birth: ________/_________/________ College ID Number: _______________________________ Contact Information Home Phone: (_______) ______________ Cell Phone: (_______) ______________
Work Phone: (_______) ______________ E-Mail: ______________________________________________
Family Information (attach additional sheets if needed) Name of Parents, Guardian and their Dependents
Age
Relationship to You
Work Experience (past four years only — attach additional sheets if needed) Company Name, Address, Phone Number
Position
Employment Dates
Hours Per Week
Hourly Wage
Current School Information School Name: ___________________________________________________________________________ School Address: __________________________________________________________________________ Number
Street
__________________________________________________________________________ City
State
Zip
School Phone: (_______) ______________ LILO WENDELL MEMORIAL SCHOLARSHIP FUND • 4
Current Grade Point Average (GPA): ___________ Extra Curricular Activities (attach additional sheets if needed): ___________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Honors/Awards Received (attach additional sheets if needed): __________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________
College/University Applied for Information College/University Name and Location
Have You Been Accepted?
Please explain your choice of College/University: _______________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
Planned Course of Study: __________________________________________________________________ Anticipated Date of Graduation: _____________________________________________________________
LILO WENDELL MEMORIAL SCHOLARSHIP FUND • 5
Cost of Education for the Coming Year:
Available Resources:
Tuition
Parents/Spouse
$ _______________
Room & Board $ _______________
Loans
$ _______________
Books
Other Scholarships/Grants $ _______________
$ _______________ $ _______________
Other Items * $ _______________
Your Contribution
$ _______________
Total Cost
Total Resources
$ _______________
$ _______________
Amount Needed for school year (Total Cost, less Total Resources): $ ____________________________ * Please Explain “Other Items”: ______________________________________________________________ List All Other Scholarships You Have Applied For (attach additional sheets if needed): Grant Name
Amount
Confirmed (yes/no)?
$ $ $ $ Total Amount of Other Grants: $ _________________________________________ You must report to the Fund any changes in the status of all grants and other sources of school finances as soon as possible during the academic year. Failure to do so can disqualify you from future Fund grants.
Financial Information (attach additional sheets if needed) Name of Your Parents/Guardian/Spouse: ______________________________________________________ Their Occupations and Employers: ___________________________________________________________ _______________________________________________________________________________________ Their Total Income Last Year: $ ________________________ Their Resources: $ __________________________________
(stocks, bonds, investments — do not include qualified retirement plans such as 401k, IRAs)
Real Estate Owned: $ _______________________ Mortgage Balance: $ ____________________ Savings and Bank Accounts: $ ________________ Other Assets: $ _________________________ Life Insurance (present cash value): $ ____________________________
LILO WENDELL MEMORIAL SCHOLARSHIP FUND • 6
GUARANTY I, ____________________________________________, as a recipient of a grant from the to Lilo Wendell Memorial Scholarship Fund (“Fund”), and in consideration of receiving such grant, do hereby guarantee that any funds distributed from the Fund shall be used specifically and exclusively for my education expenses, as determined by the Fund Committee (“Committee”), that are required for a course of study at the college or university I am or will be attending. I have been advised that according to the Internal Revenue Code and related regulations the Fund may provide such grant only if the funds are to be used in the manner I guarantee, and that my signing this document is a prerequisite of the Fund distributing any funds for my benefit. I further understand that I am required to arrange for the return to the Fund any funds distributed on my behalf that are not used for my education expenses. In no event will I use any of these funds for any purpose except as approved by the Committee. If I receive other scholarship, loan or grant funds that are to be used for my education expenses, and which, together with funds granted by the Fund, exceed the amount determined by the Committee, I will arrange for the return to the Fund of all or any portion of my education expenses that are covered by such other funds. I hereby agree that this Guaranty shall apply to any funds I receive from the Fund, whether I shall receive such funds this year or at some future time. I further agree to notify immediately and give explanation in writing if I drop a class or terminate my education. I certify that the information in this application is correct and that I will provide any additional information requested. I authorize the colleges and universities to which I have applied to discuss my financial needs with the Fund Committee. I have read and accepted the to Lilo Wendell Memorial Scholarship Fund Mission Statement on the cover of this application.
______________________________________________________________ Applicant Signature
__________________________ Date
______________________________________________________________ Applicant Printed Name If a parent or guardian claims the applicant as a dependent for income tax purposes, please sign the declaration below.
I hereby agree to all the terms and conditions of this Guaranty and agree to be bound individually by the same as if I received the funds personally.
______________________________________________________________ Parent/Guardian Signature
__________________________ Date
______________________________________________________________ Parent/Guardian Printed Name
LILO WENDELL MEMORIAL SCHOLARSHIP FUND • 7
ADDITIONAL DOCUMENT ENCLOSURES Listed below are additional items required for enclosure with this application. Before submitting to the Committee, review and initial below each piece you have enclosed. A Committee member also must review and initial each item. Applications missing information or lacking initials will not be considered and will be returned. This applies to each item except for current semester grades and unknown amounts of other grants. Grades and other grant amounts should be submitted to the Committee as soon as they are available. Item
Your Initials
Committee Initials
________________
________________
________________
________________
(You may remove Social Security numbers)
________________
________________
Your Mother’s statement as a single parent
________________
________________
Free Application for Federal Student Aid (FAFSA) Student Aid Report (SAR) (a)
________________
________________
Most recent official grades transcript
________________
________________
Two letters of recommendation from other than relatives
________________
________________
“Aspiration Goals” essay (b)
________________
________________
Completed Application (no blank spaces — if N/A please explain)
Your most recent signed Federal and State income tax returns (You may remove Social Security numbers)
Your Parent’s or Guardian’s most recent signed Federal and State income tax returns
NOTES:
Documents will be destroyed at conclusion of review process.
(a) If you completed a Free Application for Federal Student Aid (FAFSA), you should have received a Student Aid Report (SAR) showing the Expected Family Contribution. Please attach a copy of your SAR which can be downloaded at www.fafsa.ed.gov (b) Please write an essay on separate sheets describing how you meet the award criteria stated on page 2 of this application form, your work experience, what this grant will mean to you in pursuing a college education, and the influence of your Catholic faith in your life.
Send completed application by May 31, 2013 to: Archdiocese of Detroit, Department of Development and Stewardship 2701 Chicago Blvd, Detroit, Michigan 48206 Tel: 313.883.8657 Toll Free: 800.986-3925 Fax: 313.883.8681 LILO WENDELL MEMORIAL SCHOLARSHIP FUND • 8
