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. Up to $3,500 MAY be awarded per semester.
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Format: (000) 000-0000.
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.
School, Program, or Certification in which the applicant will be enrolled:
Please provide name and website if available. Is there a specific contact?
Purpose of Funds:
Please list items needed to be successful. Ex. tuition, books, laptop, parking fees, test fees, etc.
Total Amount Requested:
Total amount needed
Date Tuition is Due

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate funds are needed. Please apply 2 weeks in advance of due date.
Have you previously received scholarship assistance?
If you have previously received scholarship assistance, please upload proof of completion or your most recent grades if you are still enrolled.
Other sources of financial assistance.
Please list any other sources from which you are receiving financial assistance.
Are you currently employed? Do you plan to continue to work while in school?
This includes internships. *There is no work requirement for the scholarship.
Special Needs or Additional Information
Please list any special needs you have or additional information you would like to share.
Can a Foundation member contact you about your experience?
Your answer will not affect your application .
I understand that scholarship funds are intended to help me complete a specific educational goal. Repeatedly changing schools, programs, or areas of study in order to continue receiving funds is not permitted, and requests for a different program may be denied at the discretion of the scholarship committee..
I understand that when I complete my program, degree, or certification, I am required to submit proof of completion (such as a copy of my diploma, certificate, license, or final transcript) to the Methodist Family Health Foundation.
Permission to release scholarship award to the press (if granted).
Permission to release name(s) of parent or guardian with award (if granted and if under 18 years of age).
Signature of Applicant
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature of Parent/Guardian (If under age 18)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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 result 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.

7. Upon completion of your program, degree, or certification, you must provide proof of completion to the Methodist Family Health Foundation, such as a copy of your diploma, certificate, license, or final transcript showing the credential earned.
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Methodist Family Health Foundation

Criteria:

Requirements: