Scholar New Part Ii

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr

2008-9 OFA/Casey Family Scholars Scholarship Application

Part II NEW APPLICANTS – use this form if you have NEVER received a scholarship from OFA

The ONLINE APPLICATION FORM (www.orphan.org) must be completed in its entirety. You must also submit hard copies of the following, along with a printed copy of this page:

□ ONE of the following: Written verification of foster care status Copies of both parents’ death certificates Copy of legal guardianship papers (must show that you were placed in legal guardianship AFTER age 16) Copy of adoption papers (must show that you were adopted AFTER age 16)

□ Two letters of recommendation.

If you received services from any program sponsored by Casey Family Programs, one letter should be from someone from that program.

□ Official transcript from most recent school attended □ Acceptance letter from the school/program you will attend, if you are an upcoming freshman. □ Copy of the financial aid award letter you receive from your school (as soon as it is available). □ Applicant information release form □ eMail agreement form □ Essay □ “Hobbies and Interests” form □ One photograph of yourself (optional) This supporting documentation should be mailed to: OFA/Casey Family Scholars Scholarship Program 21351 Gentry Drive, Suite 130 Sterling, VA 20166-8511 Eligibility checklist: (You must meet ALL requirements)

□ □

I am under the age of 25.

I have been accepted or expect to be accepted into an accredited post-secondary school or program.

□ I was in public or private foster care for a minimum of 12 consecutive months at the time of my 18 birthday; OR I was adopted or placed into legal guardianship AFTER age 16; OR I am an unadopted orphan.

□ I am not currently a Casey Family Programs CEJT participant. This application must be postmarked by TUESDAY, APRIL 15, 2008. Please complete all questions to the best of your ability. Keep a copy of the completed application, essays, and recommendation requests for your files.

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Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr If information is missing, your application will be incomplete and we will be unable to consider you for an award. If you have questions about any part of the application, please send an email to [email protected]. Ask us rather than leaving an item blank!

OFA/CASEY FAMILY SCHOLARS Information Release Form I _________________________ authorize the financial aid office of any school to release information concerning other financial resources I may be receiving to the Orphan Foundation of America (OFA). I authorize OFA (including the scholarship selection committee) to review my high school and college grade transcripts. I give OFA permission to use my name, any photograph and any writings provided to OFA, to be used in any of its publication materials, reports, press releases, or activities associated with its scholarship programs. I understand that all financial information is, and shall remain, confidential. I certify that all information supplied in Part I and Part II of this application is true and correct to the best of my ability. I understand that all information is subject to verification and that falsification of information will result in termination of any scholarship granted. _______________________________________________ Signature _______________________________________________ Printed Name _______________________________________________ eMail Address _______________________________________________ Date

OFA/Casey Family Scholars Scholarship Program 21351 Gentry Drive, Suite 130

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr Sterling, VA 20166-8511 [email protected] 1/800-950-4673

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr

OFA/CASEY FAMILY SCHOLARS eMail Agreement Form Your application will not be considered complete without a copy of this signed statement.

• • •

•

I understand that as an applicant for and potential recipient of an OFA/Casey Family Scholars scholarship, I am required to maintain MY OWN active email account, and that I need to check my email at least once a week. I understand that I can open a free account through my school’s email system, or through any one of a number of other free internet services such as yahoo.com, and that I can access such an account from any public or school library. I understand that during the application process and if I receive a scholarship award from OFA, all communication with OFA will be by email only. I understand that OFA will make three attempts to email me with information pertaining to the scholarship – including whether or not I have received an award – and if I do not respond I will be considered inactive and dropped from the program. I understand that this requirement (responding to emails from OFA) applies to the entire school year 20089. I understand that if I change my email address I must send OFA the new address immediately. If I find that I will be unable to access my email for longer than two weeks, I must notify OFA and I must contact OFA when I have access to my email account again. *****

NOTE: We will always assume you receive your email. It is your responsibility to maintain an active account, to read your email, and to RESPOND to any mail you receive from OFA. *****

I have read the above, understand, and will comply. Signature:

______________________________________

Printed Name:

______________________________________

eMail Address:

______________________________________

Date:

______________________________________

OFA/Casey Family Scholars Scholarship Program 21351 Gentry Drive, Suite 130 Sterling, VA 20166-8511 [email protected] 1/800-950-4673

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr

PLEASE TELL US ABOUT YOURSELF

Hobbies and Interests Please let us know your hobbies and interests as indicated below: Hobbies______________________________________________________________________________________ Favorite subject or special interest_________________________________________________________________ Music preference/instrument played________________________________________________________________ Sports________________________________________________________________________________________ Three favorite books_____________________________________________________________________________ Three favorite TV shows__________________________________________________________________________ Three favorite movies____________________________________________________________________________ Favorite colors__________________________________________________________________________________ Favorite food_______________________________________________________________________________ Club or extracurricular activities_____________________________________________________________________ Awards received__________________________________________________________________________________ Employment_____________________________________________________________________________________ Where do you live? (College dorm, campus housing, off-campus apartment, etc.) _______________________________________________________________________________________________ Is there anything else of interest that you would like to tell us? _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________

ESSAY This is an opportunity for you to really tell us about yourself. From this essay, we would like to get a sense of you as a person: your interests, your career goals, what is important to you, how foster care has shaped your personality, and how you see a scholarship from OFA helping you to achieve your goals. You must write at least two to three double-spaced typed pages. Please answer every segment of the question. Explain your goals, for school, career and personal fulfillment. Describe how past events in your life prepared you – or left you ill-prepared – for achieving these goals. Describe how you will go about achieving these goals; what specific steps you will take, what you need to learn in school and what life skills you need to learn, and what personal values you will need to adhere to in order to be where you hope to be in five years’ time.

OFA/Casey Family Scholars Scholarship Program 21351 Gentry Drive, Suite 130 Sterling, VA 20166-8511 [email protected] 1/800-950-4673

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr

LETTER DOCUMENTING FOSTER CARE STATUS APPLICANT: Please fill out the top section of this form, then give it to a social worker or social service agency that can verify your foster care status. If you do not have a social worker because your parents are deceased, or because you were adopted or placed in guardianship, please include copies of the appropriate papers with your application. Applicant’s name

__________________________________________________

Social security number __________________________________________________ Applicant’s address

__________________________________________________ __________________________________________________

Phone number(s) EMail address

__________________________________________________________ __________________________________________________________

School/program applicant will be attending: ___________________________________________________ I give my permission for ________________________________________________ (name of individual or agency) to release the information requested for my scholarship application. Applicant’s signature _______________________________ Date ______________ -----------------------------------------------------------------------------------------------------------------------------------Dear Social Worker or Agency: The youth named above is applying for a postsecondary scholarship from the Orphan Foundation of America (OFA). For eligibility screening, we require a letter on agency letterhead documenting the time he/she spent in foster care. Please complete this form and attach a signed letter on your agency’s letterhead documenting the dates the youth was in foster care through any agency, and their adoption/guardianship status. If you are aware of any support services for which the youth will be eligible during postsecondary schooling, such as tuition waivers or ILP funding, please inform us. Please return the letter and form to the student for inclusion in the application packet. If you have any questions regarding this form or the requested letter, please contact OFA’s Scholarship Director at [email protected] or 1-800-950-4673. Thank you very much for your support of this student. Social Worker’s name

_________________________________________________________

Agency name

_________________________________________________________

Agency Address:

_________________________________________________ _________________________________________________

Phone Number(s) EMail address

_________________________________________________ _________________________________________________________

OFA Scholarship Program 21351 Gentry Drive, Suite 130 Sterling, VA 20166-8511 [email protected] 1/800-950-4673

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr

LETTERS OF RECOMMENDATION Two letters of recommendation are required. Clearly print the information needed and sign this section before giving this form to your recommender who should be a teacher, employer, adult friend or mentor. If you received services from any program sponsored by Casey Family Programs, ask someone from that program to write one of the letters. Part I (to be completed by the applicant) Applicant’s name

__________________________________________________

Social security number __________________________________________________ Applicant’s address

__________________________________________________ __________________________________________________

Phone number(s) EMail address

__________________________________________________________ __________________________________________________________

School/program applicant will be attending: ____________________________________________________ Name of Recommender____________________________ Relationship to Applicant____________________ Applicant’s signature _______________________________ Date ______________________ --------------------------------------------------------------------------------------------------------------Part II (to be completed by the recommender) The youth named above has requested your recommendation to complete their application for a postsecondary scholarship from the Orphan Foundation of America (OFA). We would greatly appreciate your appraisal of the applicant on the basis of the following: • • •

Evidence of ability to identify and use support systems or services Career goals and planning Community service and work experience, especially if it bears on the subject the applicant wishes to study

If you serve in a program sponsored by Casey Family Programs in which the applicant participated, please also indicate the degree of applicant’s participation and commitment to meeting program or individual goals. Name

_________________________________________________________

Title

_________________________________________________________

Relation to applicant

_________________________________________________________

Institution/Organization _________________________________________________________ Address

_________________________________________________ _________________________________________________

Phone Number(s) EMail address

_________________________________________________ _________________________________________________________

Please complete this form and return it with your letter to the applicant, who will include it in their application packet. If you have any questions, please contact: OFA Scholarship Program 21351 Gentry Drive, Suite 130 Sterling, VA 20166-8511 [email protected]

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr 1/800-950-4673

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr

LETTERS OF RECOMMENDATION Two letters of recommendation are required. Clearly print the information needed and sign this section before giving this form to your recommender who should be a teacher, employer, adult friend or mentor. If you received services from any program sponsored by Casey Family Programs, ask someone from that program to write one of the letters. Part I (to be completed by the applicant) Applicant’s name

__________________________________________________

Social security number __________________________________________________ Applicant’s address

__________________________________________________ __________________________________________________

Phone number(s) EMail address

__________________________________________________________ __________________________________________________________

School/program applicant will be attending: ____________________________________________________ Name of Recommender____________________________ Relationship to Applicant____________________ Applicant’s signature _______________________________ Date ______________________ --------------------------------------------------------------------------------------------------------------Part II (to be completed by the recommender) The youth named above has requested your recommendation to complete their application for a postsecondary scholarship from the Orphan Foundation of America (OFA). We would greatly appreciate your appraisal of the applicant on the basis of the following: • • •

Evidence of ability to identify and use support systems or services Career goals and planning Community service and work experience, especially if it bears on the subject the applicant wishes to study

If you serve in a program sponsored by Casey Family Programs in which the applicant participated, please also indicate the degree of applicant’s participation and commitment to meeting program or individual goals. Name

_________________________________________________________

Title

_________________________________________________________

Relation to applicant

_________________________________________________________

Institution/Organization _________________________________________________________ Address

_________________________________________________ _________________________________________________

Phone Number(s) EMail address

_________________________________________________ _________________________________________________________

Please complete this form and return it with your letter in a sealed envelope to the applicant, who will include it in their application packet. If you have any questions, please contact: OFA Scholarship Program 21351 Gentry Drive, Suite 130 Sterling, VA 20166-8511 [email protected]

Student Name___________________________________ Permanent State ________ Date __________ School (Fall 2008)_________________________________ Year in School (2008-9) Circle one F S J Sr 1/800-950-4673