SOMERSET HOME FOR TEMPORARILY DISPLACED CHILDREN

EDUCATIONAL ASSISTANCE APPLICATION 

The Somerset Home Endowment Fund provides educational scholarships to youth who are or will be attending a post-secondary educational institution and have lived with us in one of our programs.

Student’s Name:

__________________________________                                                                                                          

High School:

______________________________________

 I.            PERSONAL INFORMATION:

Educational Institution you plan to attend:  (School, location and degree or certification)

                   ___________________________________________________________________

Career Plans:         (Provide specific details below)

                   ___________________________________________________________________

                   ___________________________________________________________________

 II.                   EXTRA-CURRICULAR ACTIVITIES:

Activity (Including role or title, e.g. member, President)	In-School	Out-of- School	Employment/ Volunteer/ Other	Year(s)	Contact/ Reference

 

III.                  ESSAY:

What are the challenges you face today and how will you overcome these challenges? Also, describe a defining moment that has either altered or aided you in deciding the course of your education/life beyond high school. (attach) (250-500 words)

      

Student Signature:

________________________________________         

Date:

___________

Completed application forms should be faxed to the attention of the executive director at 908-526-4433.