THE ROY G. AND JOAN F. GIGNAC SCHOLARSHIP APPLICATION
THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION , serving
Students who would like to be considered for the scholarship program
should send one (1) copy of the completed application and supporting documents
to THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION on or before
For additional information, please contact:
THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION
P.O. Box 1039
434-793-0884
www.cfdrr.org
ROY G. AND JOAN F. GIGNAC SCHOLARSHIP FUND
About the
Program
The purpose of this
scholarship is to support post-secondary educational scholarships for
qualifying high school graduates or candidates for graduation. The Roy G. and Joan F. Gignac Scholarship
will be awarded to students who best exemplify a commitment to academics and
school and community service activities.
Who is
Eligible?
1. An eligible student must demonstrate a good academic record,
a financial need, and a commitment to school and community activities.
2. An eligible student must be a candidate for high school
graduation, or a graduate, from a secondary school in the City of Danville,
Pittsylvania County or Caswell County, or other areas, at the end of the
current academic year, and plan to enroll in an accredited two-year or
four-year college or university in the United States the following academic
year.
3. Preference will be shown to eligible students who are
attending the Illinois Institute of Technology or pursuing other technical
disciplines.
How to
Apply
If a student meets the
preceding eligibility criteria, he/she must submit: 1) the Roy G. and Joan F. Gignac Scholarship
Application form; 2) high school
transcript and recent SAT/Achievement scores;
3) letter of recommendation from a faculty member; 4) list of extracurricular activities and
community services; 5) list of academic
honors; 6) information about outstanding
financial aid applications, if any; 7)
post-secondary academic interests; 8) a
brief statement describing his/her commitment to classmates and personal goals;
and 9) any other information which may be helpful to the selection committee.
PLEASE NOTE: THE APPLICANT MUST SUBMIT IN ADVANCE TO POTENTIAL COLLEGES THE
ATTACHED DEMONSTRATION OF FINANCIAL NEED FORM.
The application and
accompanying forms must be received
by
How Winners are Chosen
The selection committee for
the Roy G. and Joan F. Gignac will evaluate candidates on three criteria:
1. Academic achievement will be evaluated
based on grade point average, SAT scores and academic honors; and
2. Financial need based on the completed
financial aid forms and information regarding pending scholarship applications,
if any; and
3. Involvement in extracurricular and
community services;
Finalists may have an
opportunity to meet with, and be interviewed by, the members of the Roy G. and
Joan F. Gignac Scholarship selection committee.
***ONLY WINNERS WILL BE NOTIFIED.***
ROY G. AND JOAN F. GIGNAC SCHOLARSHIP
THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION
Receipt Deadline:
PART I: To be completed by Scholarship Applicant
Last Name:___________________First Name:__________________Initial________
Social Security #____________________Telephone #_________________________
Address:______________________________________________________________
High School:_______________________________Graduation Date:_____________
Parent(s) or Guardian(s):_________________________________________________
Address:______________________________________________________________
_____________________________________________________________________
College(s): Tuition and Educational Expenses
1st Choice:_________________________________ 1.___________________
2nd Choice:________________________________ 2.___________________
3rd Choice:________________________________ 3.___________________
Graduating High School Seniors: Attach (1) the Roy G. and Joan F. Gignac
Scholarship Application form; a high school transcript and recent
SAT/Achievement scores; (3) letter of recommendation from a faculty member: (4)
list of extracurricular activities and community services; (5) list of academic
honors; (6) financial aid information for each college/university being
considered and pending scholarship applications, if any; (7) post-secondary
academic interests; (8) a statement describing commitment to classmates and
personal goals; and (9) any other information which may be helpful to the
selection committee.
***Please
Attach a Current Photograph***
PART II: Demonstration of Financial Need – VERY
IMPORTANT!
IMPORTANT:
All applicants for the Roy G. and Joan F. Gignac Scholarship
MUST complete the top section of this form and send it in advance to
each college being considered. Part II
of this application should be completed, signed and forwarded by the
applicant to the college's Financial Aid Office, in conjunction with the
applicant's regular submission of the Free Application for Federal Student Aid.
The college will then submit the completed form.
I,
______________________________ hereby authorize___________________________ (name) (college)
to
advise THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION as to my demonstrated financial need for the
purposes of my application to the Roy G. and Joan F. Gignac Scholarship Committee.
Signed:_____________________________________
Date:______________________
Social
Security #:_____________________________
****************************************************************************
TO: Financial Aid Officers
Please
forward the requested information to THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION as soon as
possible.
I have reviewed the FAFSA of
the above named student. Demonstrated
financial need is as follows:
Estimated cost of attendance $_____________________
Expected family contribution $_____________________
Anticipated aid from other sources $_____________________
Estimated
Need $_____________________
Comments
(if any):
Financial
Aid Officer:_______________________________________________________
Address:_________________________________________________________________
Phone
#:______________________________Fax #:______________________________
Please return
this completed for BY
THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION ,
THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION
541 Loyal Street
P. O. Box 1039
Danville, Virginia 24543
Ph: (434) 793-0884 Fax: (434) 793-6489
E-mail: communityfoundation@gamewood.net