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ForeverFund Scholarship Application
Administered by TIAA-Cref ScholarShare Trust
Note: Information provided will remain confidential
1.Applicant/ Beneficiary Information
The child can reside outside of the United States but must have a Social Security Number.
FirstName
M/I
LastName
DOB
Gender
Male
Female
Social Security Number
Birth Country
Residence Address
City
State
Country
If Foreign Address
Province or Region
Country of Origin
Passport or Visa Number
Ethnic Background / Race
Is the child a U.S. Citizen?
Yes
No
School Information and Declared Future Area of Study and College Visits
Name of Current School
Transcripts Available?
Yes
No
Name other Schools Child has Attended in space above
Area of future college study: (See Application Cover Page, Section Titled AREAS OF STUDY
First Choice
Second Choice
Third Choice
College Campus(es) Child would like to visit:
See School Profiles at
www.foreverhbcu.com
1.
2.
3.
4.
2.Parents' or Legal Guardian Section
Who's information will be provided?
Father and Mother With Same Address
Mother Only
Father Only
Legal Guardian
First Name
M/I
Last Name
Suffix
Mother's Name
Father's Name
Legal Guardian 1
Legal Guardian 2
Residence Address
City
State
Zip Code
Home Phone Number
000-000-0000
Business Phone Number
000-000-0000 x 0000
Financial Information ( See Section 2.1 of Application Instructions)
What is your total family Income?
less than $25,000
$25,001 - $50,000
$50,001- $75,000
$75,001 - $100,000
$100,001 - $150,000
$150,001- $200,000
Over $200,000
Number of people living in household:
Is the Child a Ward of the State?
Yes
No
3.Written Statement of Purpose
Please assist your child in writing a Statement of Purpose.You may attach sheets if additional space is needed.
Answer both of the following in no more than 600 words total.
The space on-line will only accommodate 600 words so prepare your Statement in advance to make sure it will fit.
1. Write a brief history about the family and the child who would receive the scholarship. Explain how any experiences have influenced creative work and/or career plans.
2. In the future, how does the child see him or herself contributing to the community at large?
4. Up-load child's photo here for on-line submission (jpg,gif,tif formats)
Child's Photo
5.References (optional)
First Name
Last Name
Phone Number
Title or Relation to Child
1.
2.
6.Letters of Recommendation (optional)
First Name
Last Name
Phone Number
Title or Relation to Child
1.
2.
7.Check List
1.
Include photo of child to receive award (will not be returned)
Yes
No
2.
Include references (optional)
Yes
No
3.
Include School teach recommendations (optional)
Yes
No
4.
School transcripts
Yes
No
5.
Completed Application
Yes
No
6.
Completed Statement of Purpose
Yes
No
7.
Completed and signed Authorization Letter (Page 4)
Yes
No
8.Optional Information
How did you hear about The ForeverFund Scholarship?
at
www.ForeverHBCU.com
Direct Mail
E-Mail
Employer
TIAA-CREF Website
Colleague
Television Commercial
Radio
Print Ad
Financial Advisor
Family/ Friend
Program Representative
Other
9.Signature of Parent or Legal Guardian
I certify that all af the information provided on this application is, and all the information provided by me in the future, will be true, complete and correct.
I understand that completing this application will not guarantee an award.
By Checking this box, I am opting to receive TIAA-CREF materials unrelated to ScholarShare Trust.
Signature of Parent or Guardian
Date
Who completed this application if not parent or legal guardian?
First Name
Last Name
Title or Relation to Child
MAIL PAPER APPLICATION, PHOTOS, TRANSCRIPTS,
LETTERS OF RECOMMENDATION TO:
ForeverFund Scholarships
Attn: New Applications
PO Box 32121
Oakland, CA 94604
On-line Submittals:
Website:
www.ForeverHBCU.com
G O L D E N S T A T E SCHOLARSHARE
After completing all sections of this application, make a copy for your records (hard copy or electronic), send the form to California's Golden State ScholarShare Trust. Please review before submitting, for assistance call 510-532-1345 or TOLL FREE at1-877-SAV-4EDU (1 877 728-4338), Monday-Friday, 5 a.m. to 8 p.m. PT.
Check all that apply:
Establish for the first time
Change Allocation Among Trust Accounts / Investment Options
ForeverFund Application
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