ECKAN scholarship – Deadline April 4th

It is time to take applications for the ECKAN scholarship.    The deadline to receive applications in our central office is April 4th. Seniors had this application in their mailboxes a while back.

I have included a copy of the application and guidelines in case you have anyone wanting to apply

Please note on the application it does ask for income and other information to be sent with the application in order to be considered complete.

ECKAN Scholarship Application                                                                                    Page 1 of 2

 

Personal Data

Name of Applicant:  ____________________________________________________________

 

Address:  _____________________________________________________________________

 

Phone:  (    ) _____________  Age _____  Male _____ Female _____ SS# _________________

 

Parents’ Name:  ______________________________

 

Parents Address (if different from yours):  ___________________________________________

 

____________________________________________________________

Academic Data

High School you are attending:  ____________________________________________________

 

Name of Colleges/Universities you plan to attend:  ____________________________________

 

______________________________________________________________________________

 

What do you plan to major in?  ____________________________________________________

 

To which colleges/universities have you applied? ______________________________________

 

______________________________________________________________________________

 

What ones have you been accepted at? ______________________________________________

 

____________________________________________________________

 

What extracurricular activities have you participated in?  ________________________________

 

______________________________________________________________________________

 

______________________________________________________________________________

 

What special honors or awards have you received?  ____________________________________

 

____________________________________________________________

Financial Data

Annual family gross income:  ______________________________

(Please provide a copy of your family’s 2011 IRS Tax Form for eligibility)

 

Total number of family members in the household, including yourself:  ____________________

 

ECKAN Scholarship Application (continued)                                                                       Page 2 of 2

 

Anticipated college expenses:

Tuition (full year)              $_______________

Books                                          $_______________

Room and Board              $_______________

 

Total                            $_______________

 

Amount you and/or your family can contribute:

Tuition (per year)              $_______________

Books                                          $_______________

Room and Board              $_______________

 

Total                            $_______________

 

Other aid confirmed or anticipated:

Scholarship(s)                            $_______________

Grants                                          $_______________

Loans                                          $_______________

 

Total                            $_______________

 

With this application you must include:

(a)   All above, completed information

(b)   A high school transcript (must show grade point average)

(c)    Three letters or recommendation from teachers, principal or guidance counselor

(d)   A written essay to not less than 250, nor more than 500 words, on “Why I want to go to college.”

 

Send all of the above information to:

Richard Jackson, CEO, ECKAN

1320 S. Ash,               P. O. Box 40

Ottawa, KS 66067-0040

(785-242-7450)

 

Deadline for receiving application is April 4, 2012.

 

Please note:  you must meet certain income guidelines and residence guidelines.

Contact  counselor for income guidelines.

 

 

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