The SNA FOUNDATION SCHOLARSHIP APPLICATION

Directions: Please read the "Scholarship Application Procedures" and the application in its entity New and Repeat Students must COMPLETE ALL SECTIONS ON THE APPLICATION in order to receive full consideration. Submit the application with the required information listed under Procedures.

A. PERSONAL DATA

1. Name of Student:
________________________________________

2. Permanent Address (Street/Box, City, State, Zip):
________________________________________

3. University/College Mailing Address (Street/Box, City, State, Zip):
________________________________________

4. TEL/Residence:
________________________________________

5.TEL/School:
________________________________________

6. Social Security No.
________________________________________

7. Birthplace:
________________________________________

8. Date of Birth:
________________________________________

B. ELIGIBILITY: Indicate your eligibility to be considered for a scholarship by checking the appropriate blank and completing, the information below. (Note: "descendant" means child, grandchild, great grandchild, etc. of an Enrollee.)
1. I am eligible for a scholarship in each of the following categories: Enrollee Descendant Spouse
The Seldovia Native Association Foundation

2. * I am a descendant of the above indicated Enrollee whose full name is:
__________________________________________

3. * The Enrollee from whom I am descendant is my:

______Mother _______Father ______Grandparent

__________Great - Grandparent

C. SCHOLARSHIP APPLICATION CATEGORIES Complete below. Place a check mark in the appropriate blanks.

___________a. General Academic - $500

___________b. Achievement - $2,500 annual

E. POST SECONDARY EDUCATION PLANS

1. Name of college/university where you plan to attend:
____________________________________________________

Address: _____________________________________________

Telephone: ____________________________________________
2. Class level or semester/term:
____Freshman ____Sophomore ____Junior _____Senior Graduate

____Undesignated

3. Field of Study: _________________Major: ______________Minor:

4. Academic Degree Goal:__________________________________

_____2 yr. associate undergraduate degree _____4-year undergraduate degree: ___________Undesignated

Graduate Degree: (Specify: __________________________________

5. Number of credits you plan to take for the semester/term for which this application applies:

_________Fall Semester, Term ___________Spring Semester, Term

6. How many college credits do you have toward your degree? _________

7. How many credits do you need to graduate? _____________________

8. When do you expect to graduate? _____Month _______Year

9. What is your cumulative grade point average (GPA)?

School______________ College

F. RELATED ACTIVITIES
1. School activities (high school and/or college):

2. Honors, Awards, Accomplishments and Positions held:

3. Community Activities:

______________________________________________________

4. Additional Education, Training or Related Experience (list in order by year):

G. EMPLOYMENT EXPERIENCE

Employer: ____________________________________________

Address:_____________________________________________

TEL: ________________________________________________

From:______________ To:___________ Duties:______________

Employer: ____________________________________________

Address:_____________________________________________

TEL: _______________________________________________

From:____________ To:___________ Duties:_______________

The SNA FOUNDATION

H. EDUCATION BUDGET FORECAST The budget below pertains to direct cost for you to attend a post secondary institution. Please complete the budget forecast. Some of the "financial aid' amount will be your "best guesses" until confirmed by the granting authority.

1. Budget Period for this Application (check ONE):
____________Annual (fall and spring combined)

____________ Fall Semester

____________Spring semester

____________Fall Term

____________Winter Term

____________Spring Term

____________Summer Term

2. Budget for College (for the Budget Period checked in H.1.above)
EXPENSES Amount SOURCES OF FUNDS Amount
Direct Academic Costs $ Personal Resources for schooling $

I. STATEMENT OF PURPOSE
First-time applicants are to describe your personal history, a summary of accomplishments and a description of your career goals. Also, explain how your degree program fits with your education and career plans. Repeat applicants are to update (briefly) your education and career goals and related activity. This will be taken into Consideration in evaluating scholarship applications. This statement is important and evaluated carefully by the Education Awards Committee. Please be specific and detailed. The quality of your response is significant. (Use an additional sheet of paper if necessary.)

J. CONDITION OF AWARD
Upon completion of the semester(s) or term(s) for which the award was made, the scholarship recipient must submit a copy of his or her grade transcripts for that period to The SNA Foundation.

K. STATEMENT OF CORRECTNESS, UNDERSTANDING AND AUTHORIZATION
I hereby attest that the information contained in this application is true, correct and complete.

I understand that the proceeds of the scholarship, if approved, will be used to further my education in the degree program where I am enrolled.

I understand that in the event a scholarship is granted, it must apply toward tuition, registration fees, books and campus related room and/or board or as otherwise provided in the particular scholarship program ascription in the Foundation's scholarship guidelines for which I have received the scholarship.

Should for any reason the scholarship not be used, I further understand that the full amount or any portion thereof is Refundable to The SNA Foundation.

I also understand that, immediately upon completion of the semester or term, I shall submit a copy of my grade transcripts for the semester(s) during which the award was used to the SNA Foundation to verify completion of the courses of study during, the semester(s) or term(s) for which the award was made.

_______________________________
Signature of Applicant

_______________________________
Date

In Infraction Provision. Except in cases of special circumstances, should the eligibility and selection criteria not be maintained by the scholarship recipient, a person will be ineligible to apply to the SNA Foundation for the next two (2) award periods from the date of the determination made by the Education Awards Committee. No additional funds will be advanced in the current semester. To the extent possible, all unused funds will be recovered from the institution and returned to the SNA Foundation. In addition, in the event an applicant or scholarship recipient is delinquent in submitting reports required by the scholarship program, absent special Circumstances, future awards to the applicant/recipient be withheld until the delinquency is cured.