Application | The Baisley Foundation

The Baisley Foundation Grant Application

Mission

To support higher education for students in 2- and 4-year college who have completed at least one year of study and have maintained a minimum 3.0 GPA.

SECTION 1 - Personal Information

Date Submitting:

Month

Day

Year

First name

Last name

Phone

Permanent Address

Current Address if Different

SECTION 2 – Academic Information

College/University Name

Program/Major

Current Year of Study

Second Year

Third Year

Fourth Year

Expected Graduation Date

Month

Day

Year

Cumulative GPA

Start Date of Next Academic Semester

Due Date of Tuition /Fee Payments for Next Academic Semester

Month

Day

Year

Academic Advisor – Name & Contact Information

Bursar’s Office – Name & Contact Information

Transcript Requirement: Please attach a copy of your official transcript.

SECTION 3 – Financial Information

Current semester tuition at your institution

Other academic fees incurred per semester (please list and describe each)

Are you currently receiving other scholarships or financial aid

Yes

If yes, please list sources and amounts:

Briefly describe your financial need, including any parental or guardian support:

SECTION 4 – Personal Statement

In 500 words or less, please describe: Your educational and career goals How receiving this scholarship will help you achieve those goals. Any relevant extracurricular activities, volunteer service, or work experience

SECTION 5 – Letters of Recommendation

Please attach one or two letters of recommendation from a teacher, professor, mentor, or employer who can speak to your academic ability, character, and commitment to education.

SECTION 6 – Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I authorize The Baisley Foundation to verify my academic and financial information for scholarship consideration.

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Submission Instructions

Application Deadline: [Insert Deadline Date]

Applications will be reviewed by The Baisley Foundation Board of Directors. The grantees will be notified and the grant awards are then distributed directly to the recipient’s educational institution.

Thank you for your dedication to higher education, and for allowing The Baisley Foundation to support your academic journey.