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Part One: Personal Information

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

If applicable, please select one of the following if you live in such community Bridgeland
Towne Lake
N/A

StudentID

First Name:

Last Name:

Gender

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?
Select all that apply
(Hold the Control key down when selecting multiple items)

Please specify in the box below

What major/field of study will you pursue?
Select all that apply
(Hold the Control key down when selecting multiple items)

Please specify in the box below

Are you pursuing a career as a Fire Fighter
Police Officer
Other 1st Responder
n/a

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)

Are you the first family member to attend college?

Please check EACH scholarships you wish to apply for:

14. CFEF Leonard Brautigam Center Scholarship - Two scholarships in the amount of $1,500 each awarded twice a year to a Leonard Brautigam Center graduate.

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?
(You must list these 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?
(You must list activity)

List Community organizations, community service, community activities that you participate in:

Have you been involved in at least 2 church/place of worship activities?
(You must list church and activity)

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?
(You must list organization and position)

Have you been the top ranking leader of an extracurricular activity? For example, president, captain, drum major, head cheerleader, drill team colonel, etc.
(You must list leadership position)

List Honors and Awards:

List Leadership Positions Held:

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)

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 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.

I understand that CFEF shall provide scholarships in accordance with its program for maximum outside funding sources (scholarships, grants, etc.), which CFEF reserves the right to adjust in its sole discretion. Currently our maximum outside funding source for students with scholarships greater than $1,000 is an amount equal to $25,000 in total.

How did you hear about the CFEF and its scholarships?

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This will be used with your email address to make changes until the deadline date.

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CFEF Scholarship Application

Sample Only. Do not submit