Henry Street Settlement Youth Scholarship

Henry Street Settlement Youth Scholarship
2008 – 2009
(First-Time Applicant)
What is the Youth Services Scholarship?
Each year, Henry Street Settlement (HSS) awards scholarships to high school seniors and college
students who participated in any HSS program for one year or more during high school. Award
money can be used for tuition, books and other school-related expenses. Scholarships range from
$500 to $2,000.
Who is eligible to apply for the scholarship?
The Henry Street Settlement Youth Services Scholarship is awarded to candidates who:
*Will be enrolled in college during the 2008-2009 academic year
*Participated in at least one HSS program for one academic year during high school
*Have maintained a relationship with HSS
*Are active participants in their high school, college or local community
*Demonstrate financial need
*Maintain a GPA of 2.5 (C+ average) or higher
What documents will I need to apply?
*Scholarship application with student evaluation form completed (available at
www.henrystreet.org)
*Copy of High School transcript for HS grads OR college transcript for college students
with GPA (unofficial copy is fine)
*FAFSA Student Aid Report (SAR) with your Expected Family Contribution (EFC)
(available online at www.fafsa.ed.gov)
*Copy of financial aid award letter from intended college (HS grads) OR Copy of your
tuition bill (college students), showing financial aid received from the college
Submit all of the above documents to Ritu Sen, Division of Youth Services, 301 Henry Street,
New York, NY 10002.
How do I apply for the scholarship?
*Get an application from HSS’s Youth Services Division, 301 Henry Street or online at
www.henrystreet.org
*Submit the application and the supporting documents listed in the application to the
Youth Services Division 301 Henry Street by April 30, 2008 at 6 p.m.
If you need help with any part of the application process, please call Ritu Sen at 212-254-3100
ext. 203 or email her at rsen@henrystreet.org
How will awards be distributed?
*All scholarship recipients must attend the awards ceremony on May 29, 2008 and the
Homecoming Dinner in January 2009.
*Award money will be distributed to recipients in two equal installments.
*Scholarship winners must submit two progress letters (one at the end of each semester).
*Scholarships may be renewed each year the student attends college.
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Henry Street Settlement Youth Scholarship
2008 – 2009
(First-Time Applicant)
Directions:
1. Read ALL parts of the scholarship packet.
2. Fill out application thoroughly. Application and essay must be typed; computers located at
Boys and Girls Republic, 888 E 6 th Street (contact receptionist for availability) and 301 Henry
Street (Attain Lab) may be used for this purpose. The application is also available on the
Adolescent Services page of the HSS website, www.henrystreet.org
3. Include student evaluation form and all required documentation.
4. Return completed scholarship applications by April 30, 2008. THIS DEADLINE IS FIRM.
Section 1 Personal Data:
Last Name First Name MI
D.O.B. Age Ethnicity S.S. #
Permanent Address
Apt.#
City State Zip
Home Phone Cell Phone Campus Phone (if applicable) Email Address
College Name College Address Dorm/Box #
City State Zip
Section 2 Henry Street Data:
(Please type in responses or use an additional piece of paper to complete your answers.)
Describe your involvement in Henry Street Settlement programs. Please indicate program names and
number of years in each program.
What was the reason you joined these programs?
Describe any skills or interests that developed as a result of your HSS involvement.
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Section 3 Secondary School Data: (ANSWER ONLY IF YOU ARE A GRADUATING SENIOR)
(Please type in responses or use an additional piece of paper to complete your answers.)
School Name Major (if applicable) Graduation Date Grade Average
Address Phone Guidance Counselor/School Reference
Were you involved in any extracurricular activities and/or held a leadership position (e.g. clubs, music,
sports)? If so, how did you benefit from being involved in that activity and what did you learn? Please be
specific. Use an additional sheet of paper if necessary.
Section 4 Post-Secondary School Data:
(Please type in responses or use an additional piece of paper to complete your answers.)
College or University Major GPA (if applicable) Expected Date of Grad.
Year in college next fall (check one) Freshman Sophomore Junior Senior Masters
Degree Sought: (check one) Associates Bachelors Other
If you are currently in college what courses have you taken?
What classes will you be taking in the fall?
Do you participate in any extracurricular activities? If so, list activities & leadership positions (if any).
How is your major or intended major related to your career goals? Describe your interest in this
particular field. Please be specific. (If you need more room, continue on a separate piece of paper.)
Do you plan to attend graduate school? If so, for what?
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Section 5 Work/Volunteering Experience:
(Please type in responses or use an additional piece of paper to complete your answers.)
Describe your work and/or volunteering experience. Indicate dates of employment for each job and
approximate number of hours worked each week.
Employer/Volunteering Site Position Duration Hrs/Wk
How have these positions affected your personal and professional development?
Do you plan on working during the summer? If so, where?
Section 6 Financial Data:
Will you be receiving any other scholarship or grant monies? If so, from where and for how much?
How much is your tuition?
Scholarship amount requesting?
How many members of your household will be in college? (Include yourself)
Please explain the intended use for your scholarship money. Be Specific. Use an additional sheet of
paper if necessary.
Section 7 Essay:
On a separate piece of paper, type a 250-500 word personal statement (one to two pages)
explaining your future goals as they relate to your education and why you should be chosen to
receive this scholarship.
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Application Check List:
Before you hand in your application, please be sure that you have completed and included the
following!
Scholarship Application
(All 3 pages should be completely and neatly filled out)
Student Evaluation Form
(The only form that doesn’t have to be typed)
Copy of Current Transcripts
(A unofficial copy is fine)
FAFSA Student Aid Report (SAR) with your Expected Family Contribution (EFC)
(This can be obtained online @ www.fafsa.ed.gov)
Financial Aid Award Letter from your intended college/university and Copy of Acceptance
Letter (A current bill can replace a Fin.Aid award letter and a letter confirming attendance from the
registrar can be accepted from current college students)
Essay
(12 font, Time New Roman, Double Spaced ONLY – NO COURIER NEW!)
READ, SIGN, AND UNDERSTAND THE TERMS IN THE STUDENT PLEDGE.
Student Pledge:
In submitting this application, I certify that the information provided is complete and accurate to
the best of my knowledge. I understand that falsification of information will result in termination
of any scholarship granted. If granted scholarship money, I will use the funds I have requested for
the purpose stated previously in this application. I AGREE TO PROVIDE THE EXPANDED
HORIZONS PROGRAM COORDINATOR A PROGRESS LETTER AT THE END OF EACH
SEMESTER I COMPLETE THIS YEAR, APPROXIMATELY DEC. 5 TH AND APRIL 5 TH . This
progress letter will include a brief description of how my semester went, classes taken, grades
received, clubs, sports, or organizations in which I participated, my proudest achievement for the
semester, and my plans for the summer and/or the next school year. I understand that my award
will be distributed in two installments and those installments will not be distributed until all
documentation and/or progress letters are received.
In the event that I cannot attend school, I will immediately notify Henry Street Settlement and
return the scholarship check.
Student Signature
Legal Guardian’s Signature
Date
Date
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Henry Street Settlement Youth Scholarship
Student Evaluation Form
Instructions to the applicant: Fill out the first line and give this to a HSS staff member who knows
you well.
Applicant Name
HSS Program
Instructions to HSS staff member: This student has applied for a Henry Street Settlement Youth
Scholarship and has chosen you to evaluate his/her participation in your youth program. The scholarship
committee finds candid evaluations very helpful in choosing deserving students among the many
applications. We ask that you are as specific as possible to ensure the best appraisal of the applicant.
Please use an additional sheet of paper if necessary. For your convenience, this form is also available
on the Adolescent Services page of the HSS website. Thank you in advance for your attention to this
matter.
How long and in what capacity have you known the applicant?
In your estimation, has the student taken advantage of both the academic and recreational offerings within
the Youth Services Division of Henry Street Settlement? If so, how?
On a scale of 2-5, 2 being poor and 5 being great, rate the applicants overall demonstration of the
following:
Poor (2) Satisfactory (3) Good (4) Excellent (5)
Personal responsibility
Relationships with peers
Ambition and Motivation
Leadership
TOTAL
What about this applicant stands out? Why should they be considered for this scholarship?
(If necessary, use additional sheet of paper)
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Name Title Email Phone
Signature
Date
Please return this evaluation to the applicant or send it directly to Ritu Sen at 301 Henry Street
through interoffice mail no later than April 30, 2008. If you have any comments or questions
please contact Ms. Sen at 212-254-3100 x203 or at rsen@henrystreet.org.
Thank you very much for your support of this applicant.
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