COMM
UNITY

EDFEST2013

Scholarship Application

Each institution will award (2) $1,000, one time, scholarships for the 2014/2015 academic year to new incoming freshmen. Selection based on essay/video, as well as secondary criterion of merit. Scholarship recipients will be announced at the Community Ed Fest on Thursday, September 19, 2013, 5:30-8:00 pm, at the Columbus Learning Center. Attendance at the Community EdFest is requested of each applicant.

ALL APPLICATIONS ARE DUE BY NOON, FRIDAY, SEPTEMBER 6, 2012

First Name:
Last Name:
Date of Birth:
Street Address:
City:

State:
Zip Code:

Primary Phone:
Secondary Phone:
E-mail:
High School:
Graduation Date:
Cumulative HS GPA:

Are you a 21st Century Scholar:

Yes No

Degree of Interest: Number of members in household: Household members attending college (include yourself):

Has Mom, Dad or Legal Guardian attended college:

Yes No

Are you employed:

Yes No

Average hours per week:

In fall 2014 you will be attending:
IUPUC Ivy Tech, Columbus Purdue College of Technology Columbus

List any honors/awards you have received:

List any community involvement/volunteer work in which you have participated:

Please submit one (1) 300 word essay OR a link to a 2 or 3 minute video on the topic: "Why go to college in Columbus?"

Why go to college in Columbus? (500 word minimum)

Youtube.com Link:

By submitting this form, I certify that the above information is correct and accurate.