CFEF Scholarship Application

The Cy-Fair Educational Foundation ("CFEF") is an educational non-profit 501(c)3 organization chartered under the laws of the state of Texas on May 20, 1970 to provide scholarships for qualified graduates of the Cypress-Fairbanks Independent School District.

DEADLINE: Wednesday, February 08, 2012 Except for the Edwin C. Schroeder Trust Scholarship. The Schroeder Scholarship deadline is Tuesday, May 15, 2012
ALL information provided herein will be validated.

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Email address: Password:

Part One: Personal Information

I am currently a graduating SENIOR at which High School Campus:

First Name:

Last Name:

Social Security Number:

Sex:

Telephone:

Email:

Date of Birth:

Place of Birth:

Current Address:

City:

State:

Zip:

Are you a US Citizen?

If NO, do you intend on becoming a US Citizen?

Which college(s) do you plan to attend?

What major/field of study will you pursue?

Indicate the total number of accelerated classes taken in high school from the list below (refer to your transcript):

(D/K/H/G/HP/AP/GP/HG/AP DUAL/AG/I/HD)

Indicate the total number of accelerated classes taken in high school from the list below (refer to your transcript):

(HP/AP/GP/AP DUAL)

What is your current cumulative grade point average (GPA)?
What is your current cumulative grade point average (GPA) percentile?

List your actual numerical class rank (eg. 20 out of 712)

Please check EACH scholarships you wish to apply for:

	1. Cy-Fair Educational Foundation Assistance Scholarships - Scholarships will be awarded at each high school. Number of awards and amount to be determined by the available funds. Scholarships are anticipated to be in the amounts of $2,000 and $10,000 disbursed over a two-year period.
	2. Eric Bassett Memorial Scholarship - One scholarship awarded in the estimated amount of $20,000 funded over a four year period to a senior of Cy-Falls High School or Cy-Fair High School who will attend Texas A & M University. You must have submitted an application and transcript to Texas A & M University to be considered for this scholarship.
	3. Cecil Hall Scholarship - Two scholarships awarded over four years with an estimated award amount of $10,000 to CFISD students who will attend Texas A & M University. You must have submitted an application and transcript to Texas A & M University to be considered for this scholarship.
	4. Adam Jackson Skinner Memorial Scholarship - One scholarship awarded to a male student from CFISD with high school drama, choir, team sports, debate or Boy Scouts of America participation. Award of $4,000 funded over two years provided the student meets the annual requirements.
	5. Dynegy Scholarship - One scholarship in the amount of $500 awarded to a deserving student of CFISD.
	6. Watson Family Foundation Scholarship - One scholarship in the amount of $500 awarded to a deserving student of CFISD.
	7. Tenet Healthcare Foundation/CyFair Medical Center Scholarship - Three scholarships in the amount of $500 each awarded to a CFISD student who will pursue studies in the healthcare field.
	8. Kevin Borgfeldt Memorial Scholarship - One scholarship in the amount of $500 awarded to a student of CyFair High School. Student to receive this award must be in the band program.
	9. Charles Cook Memorial Scholarship - One scholarship in the amount of $500 awarded to a FFA student from CyFair High School.
	10. Edwin C. Schroeder Trust Scholarship(s) - Awards in the estimated amount of $1,000 for students attending a campus of the Lone Star College system. Awards available starting in the fall semester and total awards determined based on available funding.
	11. CFEF Windfern High School Assistance Scholarships - Two scholarships in the amount of $750 each awarded twice a year to a Windfern High School graduate.
Recipients must forfeit above scholarships if they receive a scholarship/funding greater than $20,000 from other sources.

Part Two: Financial Information

This section applies to Applicant and Parent(s)/Guardian(s)

If you are chosen as a finalist, your acceptance is subject to the CFEF verification of your submitted high school transcript and tax return information.

Household Status:

The Adjusted Gross Income of my parent(s)/guardian(s) is:

Please supply your parent's adjusted gross income as shown on last year's federal income tax return.

Parent/Guardian #1: Name

Parent/Guardian #1: Employer

Parent/Guardian #2: Name

Parent/Guardian #2: Employer

Do your parents or Guardian(s) receive any (i) Social Security payments, or (ii) alimony or child support, or (iii) disability payments, or (iv) any other source of financial support? If yes, what and how much per year?

Do your Parent(s) or Guardian(s) have any other income from other sources to pay for Applicant’s educational expenses? This includes savings, grants or scholarships already awarded. If yes, please list what and how much.

Indicate your work activities and employer for each.

Do you contribute to your family income in any other manner? If yes, please explain.

Do you contribute to your family income by paying for any of your car, insurance, or personal expenses? If yes, how much per month?

Please list below all people who receive support from the head of your household. This should include both those people living with you and those that do not live with you, but who your family supports in some way (for example, a brother or sister away at college). BE SURE TO INCLUDE YOURSELF. Include Name, Age, Relationship, Employment or School

Number of children in your immediate family (INCLUDING YOURSELF) under the age of 19 who are NOT in college?

Number of children in your immediate family (EXCLUDING YOURSELF) between the ages of 19 – 25 who ARE in college?

Part Three: Activities Information

List on this page the names of all organizations, societies, and/or clubs that you have been or are presently a member of during your 9th, 10th, 11th, or 12th grade years. Also include religious activities, community service involvement, honors, leadership positions or special recognitions you have received.

Have you been involved in at least 3 separate school activities?

Have you been a member of the National Honor Society (NHS)?

List School Organizations, Societies and Clubs:

Have you been involved in at least 1 community activity?

List Community Organizations and/or Community Service:

Have you been involved in at least 2 church/place of worship activities?

If Applicable, Name of Church or Place of Worship Attending:

List other Church or Place of Worship Activities:

Have you been an officer of a student organization, other than President?

Have you been the top ranking leader of an extracurricular activity? For example, president, captain, drum major, head cheerleader, drill team colonel, etc.

List Leadership Positions Held:

List Honors and Awards:

Part Four: Applicant Essay

In the space below, the STUDENT/APPLICANT is to write a grammatically correct essay which provides background information you feel would demonstrate why you are deserving of a scholarship and financial assistance. Please include any special circumstances that may help to qualify you for student aid. Please include your career/educational/life goals. This is an important and critical section used in the evaluation of your application, so please use this as an opportunity to be thorough and provide reasons why you should be a selected applicant. (Essay space expands so be thorough)

Your Essay

Part Five: Confirm and Submit

I certify that all information supplied on this application is factual and correct to the best of my knowledge and I agree to inform the CFEF of any changes that occur that affect the information supplied on this application.

Please select a password.
This will be used with your email address
to edit the form until the deadline date.

I understand that my application is not final until my high school transcript and a copy of my parent(s) most recent available federal income tax return is provided to the CFEF through the high school counseling staff.

How did you hear about the CFEF and its scholarships?