CFEF Scholarship Application

The CFEF is an educational non-profit 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: Thursday, March 04, 2010 EXCEPT for the Schroeder Scholarship. The Schroeder Scholarship deadline date is Tuesday, June 15, 2010.

Email address: Password:

Part One: Personal Information

High School Campus:

Social Security Number:

First Name:

Last Name:

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?

If not a US Citizen, how long have you resided in the USA?

What is your career/life goal?

Which college do you plan to attend?

Indicate the number of accelerated classes taken from the list below:

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

What is your class rank (based on GPA)?

Your actual class rank

This information will be verified if selected as a candidate.

Please indicate exact scholarships for which you are applying

	The Cy-Fair Educational Foundation Assistance Scholarships - Scholarships will be awarded at each high school. The number of awards and their amount will be determined by the funds available for disbursement. These scholarships are anticipated to be in the amounts of $2,000 and $10,000 to be disbursed over a two-year period.
	The Eric Bassett Memorial Scholarship - There will be one scholarship awarded in the estimated amount of $20,000 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.
	The Cecil Hall Scholarship - There will be two scholarships awarded which is estimated to be over four years 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.
	The Adam Jackson Skinner Memorial Scholarship - There will be one scholarship awarded to a male student from CFISD with high school drama, choir, team sports, debate or Boy Scouts of America participation. This award will be in the amount of $4,000 funded over two years provided the student meets the annual requirements.
	The Dynegy Scholarship - There will be one scholarship awarded to a deserving student of CFISD. The scholarship will be in the amount of $500.
	The Watson Family Foundation Scholarship - There will be one scholarship awarded to a deserving student of CFISD. The scholarship will be in the amount of $500.
	The Tenet Healthcare Foundation/CyFair Medical Center Scholarship - There will be three scholarships awarded to a CFISD student who plans to pursue studies in the healthcare field. This award will be in the amount of $500 each.
	The Kevin Borgfeldt Memorial Scholarship - There will be one scholarship awarded to a student of CyFair High School in the amount of $500. This award is only awarded to a student in the band program.
	The Charles Cook Memorial Scholarship - There will be one scholarship awarded to a FFA student from CyFair High School in the amount of $500.
	The Edwin C. Schroeder Trust, Scholarship(s) - numerous $1,000 scholarships awarded to students attending a college of the Lone Star College System.
	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 another source.

Part Two: Financial Information

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

If you are chosen as a finalist, you will be asked to submit your high school transcript and a copy of your most recent available federal income tax return

Household Status:

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

Please supply your parent's adjusted gross income as indicated on the previous year's federal income tax return.

This information will be confirmed if selected as a candidate.

Parent/Guardian #1: Name

Parent/Guardian #1: Employer

Parent/Guardian #2: Name

Parent/Guardian #2: Employer

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

Does the Applicant, Parent(s) or Guardian(s) of the Applicant have any other income available from any other source 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

Have you filled out your FAFSA (Free Application for Federal Student Aid)?

How did you hear about the CFEF and its scholarships?

Number of children in your immediate family (including yourself) under 19 years of age 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.

Are you involved in at least 3 school activities?

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

List School Organizations, Societies and Clubs:

Are you involved in at least 1 community activity?

List Community Organizations and/or Community Service:

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

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

Other Church or Place of Worship Activities:

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

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

Leadership Positions Held:

Honors and Awards:

Part Four: Applicant Essay

In the space provided, give reasons why student aid is needed. Please include any special circumstances that may help to qualify you for student aid. This is a significant question and very important to evaluating your application, please take it seriously, be thorough and complete.

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.

I understand that if I am chosen as a finalist I will be required to submit my high school transcript and a copy of my most recent available federal income tax return

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