Scholarships Application - Southeast Virginia Community Foundation

I am applying for...*

Spring Scholarships (DUE MAY 15TH)
Fall Scholarships (DUE SEP 15TH)

Al Taylor Memorial Scholarship, Armed Forces Scholarship, C.S. Sherwood Scholarship, Foskey-VanDyck Scholarship, Horace Savage Scholarship, Josef D. Collins Memorial , Portsmouth Service League “PSL”, W. Clayton Robertson Memorial Scholarship, Susan Berry Reitelbach Memorial Scholarship, Jarrod B. Shivers Memorial Scholarship

International Federation of Professional and Technical Engineers (IFPTE) Local #1 Ralph McElfresh Memorial Scholarship

Choose Spring Scholarship(s)

Al Taylor Memorial Scholarship
Armed Forces Scholarship
Foskey-VanDyck Scholarship
Horace Savage Scholarship
Jarrod B. Shivers Memorial Scholarship
Josef D. Collins Memorial Scholarship
Portsmouth Service League "PSL" Scholarship
Susan Berry Reitelbach Memorial Scholarship

Choose Fall Scholarship(s)

International Federation of Professional and Technical Engineers (IFPTE) Local #1 Ralph McElfresh Memorial Scholarship

Your Contact Information

*Required Field

First Name:*

Last Name:*

Date of Birth:

Address:*

City:*

State*

Zip:*

Email:*

Primary Phone:*

Your Parental/Guardian Information

Parent/Guardian Name(s):

Address(if different):

City:

State*

Zip:

Parent's Military Command:

Rank:

Parent is a police officer

Yes
No

District:

Family Member Associated With:

Full Name:

Relationship:

Your Education Information

High School Attending:*

Cumulative GPA:*

Name of Your High School Counselor:*

College Choices

First Choice:*

Tuition (per year):*

Acceptance*

Accepted
Pending

Second Choice:

Tuition (per year):

Acceptance

Accepted
Pending

Third Choice:

Tuition (per year):

Acceptance

Accepted
Pending

What field of study are you considering?:*

Is this a five-year program?*

Yes
No

Why are you considering that field?:*

Financial Information

Applicant's Annual Income:

Parent(s) Annual Income:

Applicant's Financial Assets (529 plans):

Number of children currently in college:

Other Financial Considerations:

Other Scholarships Applied For

Scholarship 1:

Amount Awarded:

Renewable

Yes
No

Scholarship 2:

Amount Awarded:

Renewable

Yes
No

Scholarship 3:

Amount Awarded:

Renewable

Yes
No

School Activities

Provide a listing of school activities in which you have participated (e.g. clubs, sports, student government, honor societies, band, etc.)
; include each year participated.

Volunteer Activities

Provide a listing of volunteer and community activities in which you have participated (e.g., church groups, scouting, hospital volunteer.)
; include each year participated.

Required Documentation

Official High School Transcript*

SAT/Achievement Scores*

First Letter of Recomendation*

Second Letter of Recomendation*

FAFSA Student Aid Report (SAR)*

One Page Essay*

One page essay describing your educational dream, how you plan to impact the future; and any special circumstance or information that may be helpful to the selection committee.

Optional Special Essay

Additional Essay

Additional essay required for: W. Clayton Robertson Memorial Scholarship on why you wish to attend Clemson University or Medical College of Virginia, and Foskey-VanDyck Scholarship: What is your goal and what support system do you have to achieve your goal? Why you have chosen music or music education as your focus?

Portsmouth Service League

(250-500 words) How do you live PSL’s vision statement, “To empower innovative women to leadand serve while leaving a positive legacy on the community and each other?”

*

I understand that if my application is not complete it will not be considered. *

*

I understand that SEVACF reserves the right to provide this application information to additional scholarship selection committees if determined appropriate. *

*

I certify that the information I have provided in this application is accurate and is subject to verification by SEVACF's selection committee representatives at its discretion. *

Comments

This field is for validation purposes and should be left unchanged.

Scholarship Application

Your Contact Information

Your Parental/Guardian Information

Your Education Information

College Choices

Financial Information

Other Scholarships Applied For

Required Documentation

Give Where You Live

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