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FREDERICKSBURG SCHOLARSHIP FUND

Fredericksburg Academic Boosters (FAB)


PO Box 1171, Fredericksburg, TX 78624
Fbgacademicboosters@gmail.com
830-990-4595
2016 SCHOLARSHIP APPLICATION
Basic Requirements:

To be eligible for this scholarship, you must be a graduate of Fredericksburg High School (FHS), have a
strong desire to obtain a college education and have demonstrated academic ability. Financial need is the
primary consideration in these awards.
If you are graduating from FHS in 2016, send us two letters of recommendation from FHS teachers or staff
members. If you are not a current graduate, you may send two letters of recommendation from college
professors, staff members or employers who know you.
Applications must be returned by Monday, May 2, 2016. You may return your application in any of the
following ways: It may be mailed to Fredericksburg Academic Boosters, PO Box 1171, Fredericksburg, TX
78624; it may be dropped by the Counselor's office at FHS or taken to the law offices of Bryla & Schoessow,
105 W. San Antonio, Fredericksburg. If you have questions, please call our office at 990-4595.

YOU ARE FREE TO ADD ADDITIONAL PAGES IF YOU NEED MORE SPACE.

BASIC INFORMATION:

Name ______________________________________Date of Birth ____________


Address _________________________________________________________________
City___________________________________________ State____ Zip_______________
Home Phone _______________Cell Phone _________________Work Phone __________
Email Address __________________________
FAMILY INFORMATION:
Father's Name _________________________ Address ___________________________________________
City, State, Zip __________________________________ Phone ___________________________________
Occupation ___________________________ Employer __________________________________________
Mother's Name ________________________ Address (if different) ________________________________
City, State, Zip __________________________________
Occupation ____________________________________
_______________________________

Phone__________________________________
Employer

LAST NAME _____________________

Page Two

Family income as shown on most recent tax return _____________________


What was your personal income last year ?____________________
Do you own an automobile?

If yes, what is the year, make, model and is it financed?

_______________________________________________________________________________________
Have either of your parents attended a college or university? ______________
List siblings, their ages and year of school:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

Are there any unusual or unique circumstances which relate to your need for financial assistance?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

LAST NAME _____________________

Page Three

COLLEGE OR UNIVERSITY INFORMATION:


Why do you want to attend college?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Which college or university do you plan to attend?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

When? ____________________

Have you been accepted? _________________

Field of study:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

What are your Career goals?


_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

LAST NAME _____________________

Page Four

FINANCIAL AID INFORMATION:


How much money do you expect the next year of school to cost?

Include room, board, tuition and books.

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
How much money, exclusive of scholarships, grants, and loans, will you have available for the next year of
school? Please list the amount and source; i.e. savings, gifts, work, etc.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Have you applied for other scholarships, grants, or loans?

Please list the source and amount of each:

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Have you been notified that you will receive a scholarship, grant or loan?
and the amount. If not, when do you expect to know?

If so, please list source of each

_______________________________________________________________________________________
_______________________________________________________________________________________
Have you applied for financial assistance through the college/university? ___________
Have you filled out the FAFSA? _____________
Have you applied for a work-study program?

_____________

LAST NAME ________________________

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SCHOOL EXPERIENCE:
List participation in any extra-curricular activities at FHS:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

List any awards while a student at FHS:


_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
What do you consider your strengths and weaknesses relating to education?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

LAST NAME ____________________

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WORK EXPERIENCE:
List where you have worked, dates of employment and your responsibilities.
If you are currently employed, please indicate.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

COMMUNITY SERVICE:
If you have been involved in any community service project or church related service projects, please give a
brief description.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

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LAST NAME ______________________

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To be complete, this application must be accompanied by:


An official school transcript to include class rank and GPA
Copy of SAT/ACT scores
Two letters of recommendation

DEADLINE IS MONDAY, May 2, 2016


Successful applicants may be interviewed by the Scholarship Committee. In applying for this scholarship, I
am aware that I must maintain above average grades (at least 2.5 on a 4.0 scale), be considered a full-time
student by the college or university I am attending (minimum of 12 semester hours) and demonstrate
acceptable standards of citizenship and character.
I also agree to permit review of this application and my records by anyone representing Fredericksburg
Academic Boosters/Fredericksburg Scholarship Committee.
Signature of Applicant __________________________________Date __________________
Signature of Parent/Guardian ____________________________Date __________________

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