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SUDANESE REFUGEE EDUCATION FUND www.sudaneseinkentucky.org |
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Please check if you are a First-Time Applicant _____ or a Previous Applicant _____. This information is for record keeping and will not affect your eligibility for scholarships. Name_______________________________________________Date____________________________________ Address_____________________________________________________________________________________ ___________________________________________________________________________________________ Phone Number____________________________ E-mail_____________________________________________ What is the best time of day to reach you?_________________________________________________________ Name of the school you attend (or to which you have been admitted): __________________________________________________________________________________________
How many credit hours have you completed? _____________________________________________________
How many credit hours do you plan to take this semester? __________________________________________ What is your cumulative grade-point average (GPA)?_______________________________________________ What is your major? ________________________________________________________________________ Do you have a high school diploma or GED?_____________________________________________________ What is your annual income?__________________________________________________________________ Do you work full time or part time? ____________________________________________________________ What service have you provided in support of the Sudanese scholarship fund (such as making presentations to donors, writing thank you notes, or attending fundraising events. Please be specific about what you have done, and when. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Do you support family here or in Africa? Please describe the specific support you provide, and estimate how much you contribute each year. __________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ _____________________________________________________________________ Please describe your educational goals. Be specific. This is a very important section and you should spend time reflecting on your answer. Attach a separate sheet if you need more space. __________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ __________________________________________________________________________________________ How will you use this scholarship to help you attain your goals? Be specific. This is a very important section and you should spend time reflecting on your answer. Attach a separate sheet of paper if you need more space. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ What other financial support for college (such as scholarships or Pell grants) do you receive? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please estimate the financial gap between your educational costs (tuition, fees, room and board, books) and your resources (income, scholarships, grants, etc.). __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
DIRECTIONS: Please fill out this application form and send it, along with a copy of your transcript (an unofficial copy is fine) from the college you attend to: Holly Holland, 4004 Alton Road, Louisville, KY 40207. You also may fax the forms to 502-899-1961. If you have questions, you may contact Holly by email at hollyholland@mindspring.com or by phone at 502-893-5096. NOTE: All scholarship checks will be made out to the college and placed in the student's account to pay for tuition, books, and fees. THE DEADLINE FOR FALL 2008 SCHOLARSHIPS IS JUNE 10, 2008.
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