SCHOLARSHIP APPLICATION - FEBRUARY 2020 Round 2

Keep Your Chin Up Scholarship Application

GK LEGACY IS AWARDING SCHOLARSHIPS RANGING FROM $500 TO $5,000 TO ARIZONA RESIDENTS AGE 25 AND OLDER BASED ON NEED AND MERIT

APPLICATION DEADLINE OCTOBER 15TH, 2020

APPLICATION
The information you provide on this form will be used only to determine eligibility for the Keep Your Chin Up Scholarship Fund and will not be distributed to anyone outside of GK Legacy Foundation.

ELIGIBILITY REQUIREMENTS
Arizona resident
25 years or older
High school diploma or GED
NO PRIOR BACHELORS DEGREE (AA is permitted)
Proof of financial need
Proof of school enrollment
Arizona Driver’s license or other Arizona issued ID
U.S. Citizen or Permanent Resident
Completed application and all required documents
Click here for more information about terms and conditions

Please do not submit this application until it is completed in full and all required documents are uploaded. All questions must be answered (if question does not apply to you type NA in the answer field).

If you need more information regarding this Scholarship please visit www.gklegacyfoundation.org
or call (480) 397-2090

YOU MUST BE AN ARIZONA RESIDENT

AGE 25 OR OLDER TO APPLY

APPLICATIONS ACCEPTED ONLINE ONLY

1. Name*

First Name

Last Name

2. Address*

Address Line 1

Address Line 2

City

State

ZIP Code

3. Birthdate*

4. Mobile Phone*

5. Email*

6. Marital Status*

7. Dependant Children*

8. Total number of family members who live in your household (including yourself). *

9. Are you a US Citizen (Permanent residents must provide documentation):*

EDUCATION

10. Year of high school graduation or GED:*

11. Name of high school and city it's located in:*

12. Have you completed any training or education beyond high school?*

13. If yes, please give detail as to what the training was, where you received it and the credential you earned (Certificate, license, AA, or BA degree, credit hours) as well as the year of completion (type n/a if answer to #12 is no)*

14. Have you submitted your Application for Admission?*

If so, where? (name & address)

15. School you plan to attend (name and address)?*

16. Are you currently enrolled in college? *

If so, include name and address.

17. Major area of study?*

18. Number of credit hours already completed:*

19. Current GPA:*

20. Do you plan to complete a 2 year or 4 year degree?*

21. Do you plan on attending college full-time or part-time?*

WORK HISTORY

22. Please list your last 4 employers name, dates and position. If you attach your resume, please type "resume attached" in this section).*

23. Will you be working while attending school?*

FINANCIAL INFORMATION / PROGRAM COSTS

We require all applicants to apply for Federal or State financial aid before filling out this application. To be eligible for Federal aid programs, you will need to complete the Free Application for Federal Student Aid at www.fafsa.ed.gov.

We need some basic information about the cost of your educational program and any aid that you may be receiving. This scholarship covers TUITION and BOOKS only.

24. SEMESTER tuition * $

DO NOT INCLUDE TUITION FOR FULL YEAR - THIS IS FOR A SINGLE SEMESTER ONLY

25. Cost of books (SEMESTER ONLY):* $

26. Total cost for semester: $

27. Have you submited a FAFSA Application?*

YOU MUST APPLY FOR FAFSA BEFORE SUBMITTING THIS APPLICATION

28. What can you (and/or your family) afford to pay for your education right now?* $

29. Federal or State Grants (government money you don't have to pay back) CURRENT SEMESTER:* $

30. Veteran Benefits* $

31. Employer Reimbursement:* $

32. Amount of other private scholarships (for semester you are applying):* $

33. Total Resources* $

34. Total resources subtracted from total tuition/books:* $

If your total resources (not including loans) are higher than your total program costs then you do not qualify for this scholarship.

35. Amount of scholarship you are requesting:*

SLIDE BAR

36. Federal or State Loans you must repay:* $

This will not count against you for this scholarship

37. Applicant's annual gross income:* $

38. Total annual household income (include spouse):* $

39. Untaxed income and benefits (child support, AFDC, ADC, SSI):* $

40. Have you previously applied for the Keep Your Chin Up Scholarship? List dates if answer is yes*

41. Have you previously won the Keep Your Chin Up Scholarship? List dates if answer is yes*

ADDITIONAL INFORMATION

GK Legacy Foundation administers many scholarships designed to offer aid to students that represent unique characteristics. The questions below may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you may be asked to produce documentation verifying your unique eligibility.

42. Please list any community service, internships or volunteer work in which you have participated. Please include how long you have been involved with each particular activity *

43. Please tell us about any special individual, family or financial circumstances that will help us better understand your request for aid (Examples: unemployment; homelessness, addiction, incarceration, etc.) *

44. ESSAY: Your essay should be less than 750 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you and your family. Include any personal characteristics, or experiences that make you uniquely worthy of scholarship consideration. If you are a previous Keep Your Chin Up award winner, please also describe how the award has impacted you and your family.*

45. Use this space for any additional information you would like the Committee to know:*

46. How did you hear about us:*

Please upload a copy of your driver's license:*

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