Fort Hamilton Community Spouses’ Foundation, Inc.

2010 Scholarship

The FHCSF Scholarship Program offers scholarships annually to deserving students who have
committed to continuing their education beyond high school in a full-time undergraduate
program. FHCSF Scholarships are merit-based and may be used for any college-related
expenses (including tuition, room & board, books, lab fees, etc…).

ELIGIBILITY REQUIREMENTS:
1. Possess a valid US military family member identification card.
2. The applicant must be the family member of an Active duty, active Reserve, or active National
Guard service member assigned to the Fort Hamilton area or the family member of a retired or
deceased military service member.
3. Be a high school senior, home-schooled equivalent, or currently enrolled in a college or university.
For the purposes of eligibility determination, the "Fort Hamilton area" is defined as New York City and the counties
of Nassau, Suffolk, Westchester, Rockland, and Putnam in New York and the counties of Bergen, Hudson, Passaic,
Essex, Union, Middlesex, Monmouth, Sussex, Morris, Hunterdon, Ocean, Mercer, and Somerset in New Jersey.

QUALIFICATION REQUIREMENTS:
Applicants must submit the following by the postmark deadline of, 30 April 2010, in order to
be considered qualified for an award:
 A completed application (pages 1-5).
 Official transcript(s) from the Applicant’s high school(s) or state-certified grades, and
Official college transcripts if applicable.
 Copies of SAT and/or ACT score if graduating high school senior.
 A one page essay on the selected topic as indicated on the application.
 A photocopy of both sides of the applicant’s military ID card (black out SSN).
 A copy of sponsor’s official orders. If sponsor is active Guard or active Reserve a copy of
orders showing federal activation (title 10) for entire academic year August 1, 2010 to May 1,
2011.
COMPLETED APPLICATIONS MUST BE MAILED AND POSTMARKED
NO LATER THAN April 30, 2010 TO:

FHCSF, Inc.
ATTN: Scholarship Chairperson
137C Poly Place, Suite 3A
Brooklyn, NY 11252

PLEASE FOLLOW ALL INSTRUCTIONS CAREFULLY –

INCOMPLETE, LATE OR IMPROPERLY SUBMITTED APPLICATIONS WILL
NOT BE FORWARDED TO THE SELECTION COMMITTEE.

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 Fort Hamilton Community Spouses’ Foundation, Inc.
2010 Scholarship
SELECTION PROCESS:

1. Only completed applications submitted in accordance with the guidance provided will be
forwarded to the selection committee for review.

2. All applications will be acknowledged by email upon receipt. However, applications will
not be reviewed for completeness until after the application deadline.

3. Applications will be considered confidential. The FHCSF Scholarship Committee will

keep applicant files for a period of one full year, after which time such will be destroyed.

4. An independent selection committee will review and evaluate all applications. Applicant
identity will be concealed from the selection committee during the selection process.
Children of FHCSF Scholarship Committee members are not eligible to receive
scholarships.

5. Notification of awards will be mailed by late May/early June 2010.

6. Scholarship awardees and their families will be formally recognized.

7. Upon proof of enrollment, the FHCSF Treasurer will send a check directly to the
academic institution. Scholarship money will be available for use in the Fall 2010 Term.

8. Any scholarships that are declined or unclaimed shall remain in the FHCSF treasury.

If you have any questions please email fharmywife@gmail.com and put

Scholarship in the subject line or call and leave a detailed message at
(718) 630-4166.

PLEASE DETACH THIS SECTION (Pages i through iii)

FOR YOUR RECORDS AND ONLY SUBMIT THE APPLICANT SECTION,
(PAGES 1-5).

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 Fort Hamilton Community Spouses’ Foundation, Inc.
2010 Scholarship
APPLICATION CHECKLIST

Please complete this checklist to ensure that the application is complete and
properly submitted. Incomplete applications will not be forwarded to the selection
committee.

Please submit the required components in the following order:

_____Completed application form: please be sure to read and sign the Privacy Act
Statement.
______Typed essay on the topic provided, not to exceed 500 words. (Please, no names).

_____HIGH SCHOOL SCHOLARSHIP APPLICANTS ONLY: Attach an OFFICIAL copy of high

school transcript(s) or proof of GED and a copy of standardized test score.

_____CONTINUING UNDERGRADUATE/GRADUATE SCHOLARSHIP APPLICANTS: Provide an

OFFICIAL copy of transcript(s) from ALL colleges listed in Section 1 of this application. If
the applicant has completed fewer than thirty (30) semester hours by 30 April 2010, an
official high school transcript is also required.

_____COPY OF SPONSOR’S OFFICIAL ORDERS: If sponsor is Active Guard or Active

Reserve a copy of orders showing Federal Activation (title 10) for entire academic year
August 1, 2010 to May 1, 2011.

Place all of the above in a single envelope addressed to:

FHCSF, Inc.
ATTN: SCHOLARSHIP CHAIRPERSON
137C Poly Place, Suite 3A
Brooklyn, NY 11252

The complete application packet must be mailed to the FHCSF at the address above and
postmarked no later than 30 April 2010. Late applications will not be forwarded to the
selection committee!

Best Regards,

Rebecca Figueroa Rodriguez

FHCSF Scholarship Chairperson

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Fort Hamilton Community Spouses’ Foundation, Inc. Scholarship
Admin ID:
DO NOT USE (for FHCSF only)
2010 APPLICATION

APPLICANT INFORMATION
I AM CURRENTLY A: (Select one of the following)
 HIGH SCHOOL SENIOR  CONTINUING EDUCATION STUDENT

DOB _________________ (MM/DD/YYYY)

LAST NAME _________________________ FIRST_______________________ MI ________

* ADDRESS _________________________________________________________________

CITY__________________________________ STATE _____________ ZIP _____________

PHONE __________________________ EMAIL ____________________________________

* This is where notification letters will be mailed

SPONSOR’S NAME _________________________________________________________

SERVICE BRANCH____________________________________________________________
 ACTIVE  ACTIVE RESERVE  ACTIVE GUARD  RETIRED  SURVIVOR

UNIT ____________________________________________________________________

UNIT ADDRESS _____________________________________________________________

CITY__________________________________ STATE _____________ ZIP _____________

PHONE __________________________ EMAIL ____________________________________

PRIVACY ACT STATEMENT

Under authority of U.S. Title 10, Section 3012, the enclosed personal information will be
maintained by the FHCSF Scholarship Committee for administrative use and released only
to the individuals needed to evaluate the application. The disclosure of the information is
voluntary; however, failure to disclose all or part of the requested information may hinder
evaluation of the application.
I certify that the information in this application is true and correct to the best of my
knowledge. I understand that I may be disqualified if I have included false information in
this application. I agree to abide by the conditions of the FHCSF and accept the decision
of the FHCSF as final. The applicant acknowledges that scholarship money can only be
used for legitimate college expenses.

APPLICANT'S SIGNATURE __________________________________ Date ____________

* Parent/Guardian SIGNATURE ________________________________ Date ____________
* Required if Applicant is under the age of 18 when signed.
REMINDER: MAIL THIS FORM NO LATER THAN 30 APRIL 2010

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Fort Hamilton Community Spouses’ Foundation, Inc. Scholarship
Admin ID:
DO NOT USE (for FHCSF only)
2010 APPLICATION

APPLICANT ACADEMIC ACHIEVEMENT

1 CUMULATIVE GRADE POINT AVERAGE. Grade Point Average (GPA) ___________

2. STANDARDIZED TEST (High School Applicants only). SAT Composite ___________

or ACT Composite ___________

* ATTACH OFFICIAL COPIES OF TRANSCRIPTS & STANDARDIZED TEST SCORE.

3. ADVANCED PLACEMENT & HONORS CLASSES (High School Applicants only). List all
AP/Honors classes taken:
School Name Grade Course

4. ESSAY. On a separate sheet of paper, write an essay addressing the topic below. Essay
should reflect your own work. Please title the essay. The essay should be typed, double spaced and
not exceed 500 words. Your essay will be evaluated based on content, structure, spelling, and
grammar.

Essay Topics
High School applicants: Pick an experience from your own life as a military
dependent and explain how it has influenced your development.

College applicants: Why do you think your major, or one you may be considering, is
important in today’s society?

* PLEASE DO NOT INCLUDE YOUR NAME ON THE ATTACHED ESSAY.

REMINDER: MAIL THIS FORM NO LATER THAN 30 APRIL 2010

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Fort Hamilton Community Spouses’ Foundation, Inc. Scholarship
Admin ID:
DO NOT USE (for FHCSF only)
2010 APPLICATION

APPLICANT ACTIVITIES

1. SCHOOLS ATTENDED. LIST ALL SCHOOLS YOU HAVE ATTENDED SINCE GRADE 9.
(Please include both high school and undergraduate institutions).

School Name Location (City, State) Dates Attended Grad Date (if app.)

2. ACTIVITIES. LIST ALL SCHOOL, COMMUNITY, VOLUNTEER OR ATHLETIC RELATED

ACTIVITIES YOU PARTICIPATED IN DURING THE LAST FOUR YEARS IN CHRONOLOGICAL
ORDER BEGINNING WITH MOST RECENT.
.
Activity Leadership Title (if app.) Dates Hrs per
Week/Month

* PLEASE USE ADDITIONAL PAPER IF NECESSARY

REMINDER: MAIL THIS FORM NO LATER THAN 30 APRIL 2010

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Fort Hamilton Community Spouses’ Foundation, Inc. Scholarship
Admin ID:
DO NOT USE (for FHCSF only)
2010 APPLICATION
3. HONORS & AWARDS. LIST ANY HONORS OR AWARDS RECEIVED DURING HIGH
SCHOOL AND COLLEGE. (Awards may be school and/or community related).

Name of Honor or Award Date

* PLEASE USE ADDITIONAL PAPER IF NECESSARY

4. PAID EMPLOYMENT. LIST ALL EMPLOYMENT EXPERIENCES DURING THE LAST FOUR
YEARS. INCLUDE ANY SELF-EMPLOYMENT OPPORTUNITIES. (Please include the dates each
position was held).

Job Location (City, State) Dates Hrs per Week

REMINDER: MAIL THIS FORM NO LATER THAN 30 APRIL 2010

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Fort Hamilton Community Spouses’ Foundation, Inc. Scholarship
Admin ID:
DO NOT USE (for FHCSF only)
2010 APPLICATION
5. HOBBIES/OTHER INTERESTS. LIST ANY HOBBIES AND INTERESTS THAT HAVE NOT
BEEN MENTIONED IN RESPONSES TO QUESTIONS 1-4. Please describe the hobby/interest
and the length of time you have been involved with this activity.

Hobby or Interest Dates Hrs per Wk

* PLEASE USE ADDITIONAL PAPER IF NECESSARY

6. UNUSUAL CIRCUMSTANCES. LIST ANY UNUSUAL CIRCUMSTANCES THAT MAY HAVE

AFFECTED YOUR ACHIEVEMENT IN SCHOOL OR YOUR PARTICIPATION IN SCHOOL OR
COMMUNITY ACTIVITIES, (e.g. parent deployed, attending many different schools, illnesses, etc.)

Unusual Circumstance

* PLEASE USE ADDITIONAL PAPER IF NECESSARY

REMINDER: MAIL THIS FORM NO LATER THAN 30 APRIL 2010

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