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Scholarships

Hope Scholarship

C. Valentine Bates Memorial Hope Scholarship

INSTRUCTIONS

1. Applications must be submitted on the enclosed three-page scholarship application form pages 5-7. The application must be dated and signed by the student and a parent/guardian on page 5.

2. Parental financial information must be submitted on the current official form included in this packet’s page 8. The information form must be dated, signed, and notarized on page 8. Generally, parental financial information is provided on the parent with whom the applicant resides if more than 50% of the time.

3. All applicants are required to submit a copy of their parent’s/guardian’s most current IRS Form 1040/1040A.

4. Unsigned or incomplete applications will not be considered.

5. Applications and all supporting documents must be in English.

6. It is preferable that exhibits such as awards and media items be photocopies.

7. When completing the application form, carefully plan a response to each item before typing the final draft. Pay close attention to the requirements for each section and secure all required dates.

8. If more room is needed to complete your responses for pages 6 or 7, you may continue them on one (1) separate sheet referring in the application that they are continued. On the added sheet, type the heading for the question(s) whose answer(s) is/are being continued on it. Include this sheet as the sixth page of your application.

9. All applicants are required to submit an essay answering the questions why you deserve a scholarship and what your future aspirations are. The essay must discuss the area of study where the scholarship will be applied, why that area was selected, and how your education will benefit society. The essay should be between 250 to 300 words in 12 pt. type and Times New Roman font. The essay must be dated and signed.

10. ACT or SAT scores must be submitted with your application. Photocopies are acceptable.

11. Your application package must contain at least one (1) but no more than two (2) letters of endorsement (originals or photocopies) from a high school teacher. The letter(s) may cover the applicant’s work habits, leadership, personality, and integrity. Each letter should be typed, dated, signed, and be no longer than one side of an 8-1/2 by 11- inch page.

12. Your application package must contain at least one (1) but no more than two (2) letters of endorsement (originals or photocopies) from a responsible community (non-school) member. These persons should not be related to the applicant. They should be capable of reporting the applicant’s participation in the community in terms of work, service, leadership skills, and outstanding recognition. Each letter should be typed, dated, signed, and be no longer than one side of an 8-1/2 by 11- inch page.

13. Your application package may contain up to three (3) pages of copies or exhibits depicting achievement in scholarship, leadership, athletics, dramatics, community service, or other activities.

14. Unopened official high school/home school transcripts must be submitted with your application. They must bear an original signature of the proper school authority or in the case of home-schooled applicants, the signature 3 Benevolent and Protective Order of Elks of the United States of America A Fraternal Organization Florida State Elks Association C. Valentine Bates Memorial of the proper school official of the district in which the student was home-schooled. Transcripts must cover student grades from the beginning of the 9th grade through the first semester of their senior year if available.

15. All applicants must provide the Counselor Report forms (pages 9 & 10) to their High School Counselor or Appropriate School Official and then obtain that report back from the Counselor in a sealed envelope. This envelope must be submitted with your application.

16. The application package, including all attachments and inclusions, must be submitted in a Mead folder with inside pockets and clasps. For the purposes of establishing citizenship, a copy of the applicant’s driver’s license, state issued identification, or U.S. passport should accompany the application.

17. All items except items received in a sealed envelope should be three hole punched and placed in the clasps of the folder and should be arranged in the following order:

    • Completed three-page Application form pages 5-7
    • Answer Continuation Page for Application form (One page if needed)
    • Completed Parental Financial Information form page 8 (signed & notarized)
    • Parental Financial Information Statement (One page if needed) o Copy of the most current IRS Form 1040/1040A o Applicant Essay
    • SAT/ACT Scores o Letters of Recommendation o Exhibits o Unopened Official High School/Home School Transcripts *
    • Unopened Counselor Report *

* These items should be placed in the pockets of the folder and not three hole punched.

Applicant Information

Please provide First Name.

Please provide Address

Please provide Middle Name.

Please provide City

Please provide Last Name.

Please provide Zip

Please provide Date of Birth

Please provide Age

High Schools Attended: (9th through 12th grades)

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Elk/Lodge Information

Please select

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Please provide Elks Name

Please select Lodge

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Work Experience/Employment History

List jobs held starting with the most recent and include work on a family farm or for a family business even if you were not paid.

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Leadership and Extracurricular Activities

List your principal leadership roles and extracurricular activities in order of importance to you. Examples include but are not limited to student government, publications, debate, orchestra/band, varsity athletics, church groups, performing arts, and service programs.

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Honors and Awards

Include all scholastic, extracurricular, and civic honors and awards earned during high school and describe each. Please include only significant honors and awards.

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Community Service

List volunteer work or community service you performed without pay during the last 4 years.

Please provide Kind of Work

Please provide Kind of Work

Please provide Kind of Work

Please provide Kind of Work

Please provide Employer Phone

Please provide Employer Phone

Please provide Employer Phone

Please provide Employer Phone

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College Plans

Please rank the order of the factors most likely to influence your college enrollment decision using number 1 through 8. (1=most, 8=least)

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Please provide Employer Name

Please provide Employer Phone

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Other Financial Aid

Please

Applicant Essay

Topic: “Why you deserve a scholarship and what your future aspirations are.”
Applicants are required to write an essay of 250-300 words.

The essay must include answers to the following:

  1. The area of study where the scholarship would be applied
  2. Why this area was selected
  3. How your education will benefit society
  4. What college or school you are currently considering
Please

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Parental Financial Information

In addition to the most current tax return, a statement of 200 word or less may be included summarizing the family’s obligations, resources, and any other extenuating circumstances.

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Dependents

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Counselor Report

A Counselor Report is required along with your application in order to be considered for the C. Valentine Bates Memorial Hope Scholarship.

Please click the link below to download the Counselor Report. This report must be submitted to and completed by your schools Guidance Counselor. Please note, The Counselor Report can be completed and mailed in by your counselor before you are finished with the application.

The completed Counselor Report must be mailed in a sealed envelope to:

Florida State Elks Association
Hope Scholarship
P.O. Box 49
Umatilla,FL 32784
 

Signature

Please enter Date

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