SOMERSET HOME FOR TEMPORARILY DISPLACED CHILDREN

EDUCATIONAL ASSISTANCE APPLICATION 


The Somerset Home Educational Assistance Endowment fund was created in 2005 to aid Somerset Home agency affiliated youth in their pursuit of education and to provide direct assistance related to achieving educational goals. 


 

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, 908-526-6999.