Methodist Family Health Foundation Leigh/Chambers Scholarship Application

Methodist Family Health Foundation

Leigh/Chambers Scholarship Application
Scholarship assistance is provided from trust funds donated by Olin C. Chambers and Gradelle Leigh for post-secondary education for qualified individuals who are former or current residents of United Methodist Children's Home programs (residential treatment, therapeutic group home, therapeutic foster care and CARES). Eligible post-secondary programs include college, graduate school, vocational/technical programs or trade schools)
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Email*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
When were you a resident at Methodist Children's Home?*
(This includes Arkansas CARES, any QRTP - formerly known as group homes, and PRTF facilities in Little Rock or Bono, AR)
Which Program and Location?*
If current resident, expected program completion date.
High School Name*
Include High School Name, City and State
Graduation / GED Date*
Month and Year
GPA*
Financial Status*
Describe in detail your current financial status.
Special Needs
Please list any special needs you have.
Purpose of Funds*
Please list items you are requesting to be funded.
Other sources of financial assistance.*
Please list any other sources from which you are receiving financial assistance.
Can a Foundation member contact you about your experience?*
Your answer will not affect your application .
Permission to release scholarship award to the press (if granted).*

YesNo
Permission to release name(s) of parent or guardian with award (if granted and if under 18 years of age).

YesNo
Signature of Applicant*

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Date

MonthDayYear
Date
Signature of Parent/Guardian (If under age 18)

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Date

MonthDayYear
Date
Criteria:

1. To allow for review and timely processing, we recommend applications should be submitted at least thirty (30) days prior to the start of the school term. Although applications can be submitted for consideration at any point in time, submission later than this may results in delays in funding.
2. Be a former or current Methodist Children's Home resident. (This includes Arkansas CARES, any QRTP - formerly known as group homes, and PRTF facilities in Little Rock or Bono, AR)
Requirements:

1. Unofficial school transcript with most recent semester's grades posted.
2. Copy of last semester or quarter's school/program grades.
3. Letter of acceptance (if this will be your first semester in a post-secondary school/program).
4. For initial applications for post-secondary education support, two letters of recommendation (one letter may be from a family member; the other must be from a professional, academic or non-family reference).
5. List of tuition, fees and costs that you are requesting funding assistance with.
6. If current Methodist Children's Home resident, date of expected program
completion required.
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Methodist Family Health Foundation

Criteria:

Requirements: