Fresno Student Scholarships Application
Need help paying for your college books? Looking for a reimbursement from school books you've purchased within the last 5 months?.We're a Fresno based charity that helps students with funding while they are attending a 4 year university, community college or trade school. Apply today!
Content
Fresno Student Scholarships
Book Grant Application For Low Income Students with a GPA of 3.25+
[email protected]
Grants generally range from $25 to $250. Incomplete & unsigned applica ons will
automa cally be rejected. We will send you a confirma on once we have received your
documents. Upon grant approval, you will hear back from us within 45 business days.
To apply, please include the documents below, and Email to the address above:
Please A,ach:
(1) This completed 3 page applica on
(2) A copy of your most recent academic transcript showing an average GPA of 3.25 or higher
(3) Proof you're enrolled in the classes in which you are applying for book grants
or if you're applying for a reimbursement, please a#ach a copy of your book receipt
(4) (op onal) A recent photo of yourself
Do we have your permission to search for a financial donor on our Facebook page,
by posting your photo, first name only, and student request?
Yes
No
If we are able to provide 1 or more books, reimbursements, supplies, or transportation fees,
do we have your permission to post your photo on our Facebook Page?
Yes
No
Applicants will not be chosen based on their consent of allowing us to showcase
students we have or would like to help out.
Personal Informa on:
Your Name: _____________________________________________________________________________
Email Address: ___________________________________________________________________________
Mobile Number: (______)____________________________ Date of Birth: __________________________
Personal Residence: _______________________________________________________________________
Mailing Address For Deliveries: ______________________________________________________________
(Op onal) Ethnicity: ______________________________________________________________________
This por on helps us to disperse our grants equally amongst students of all ethnic backgrounds
For which semester are you reques ng a book grant?
Fall 2016
Winter 2016
Spring 2017
Summer 2017
Academic Informa on:
What school are/will you be a#ending?_______________________________________________________
What is your Major/Degree: _______________________________ A#ending: Full Time
Part Time
Is this first, second, third, etc year of college? _________________ Expected Gradua on Date: __________
Current GPA: ___________________________ Are you currently receiving financial aid?________________
If receiving financial aid, how much has/will be granted for this upcoming semester? __________________
Are you currently studying abroad? Yes No
If Yes, where are you originally from? _______________
Page 1 of 3
Fresno Student Scholarships
(CONTINUED, Page 2 of 3)
Housing & Employment Informa on:
Do you have roommates, own your home, or do you live with your parents? _________________________
How much do you pay your roommates or parents each month for living expenses? (Rent/U li es)_______
Are your parent's helping to financially support you? (College Tui on/Transporta on/Etc) Yes
No
If yes, how much do you receive per month: $ ________
Are you currently working? Full Time
Part Time
No
Monthly income? _________________
Did your parents graduate from High School? Yes
No
What are your parent(s) formal level of educa on? ______________________________________________
What do your parent(s) do for a living? _______________________________________________________
Please check which financial bracket your parent(s) combined income falls under:
Under $10,000
$10,000-$25,000
$25,000-$50,000
$50,000-$100K
$100K or more
Book Informa on:
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of which you would like to purchase the book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Full Title/Name of Book:____________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of which you would like to purchase the book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of which you would like to purchase the book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
REIMBURSEMENT PROGRAM:
We are able to reimburse you for books you have recently purchased. Please provide the basic informa on
below and also include a photo copy of your receipt with this applica on.
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of where you purchased your book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Receipt Number: ______________________________________ Photo Copy Provided: Yes
No
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of where you purchased your book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Receipt Number: ______________________________________ Photo Copy Provided: Yes
No
Page 2 of 3
Fresno Student Scholarships
(CONTINUED, Page 3 of 3)
Where do you see yourself in 5 years?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Please name one or more of the biggest struggles and/or obstacles that you have
faced and overcome on your journey to success: ______________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
What is something you have done to help society or to help another person(s) in their
me of need? _________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Restrictions
To be eligible for a grant you must meet certain academic achievement requirements,
Generally, scoring above the 75th percen le on a college admissions test, or
Maintaining a cumula ve GPA of at least 3.25
I cer fy that the informa on provided above in this 3 page applica on is true to the best of my
knowledge, including all academic a,achments. If anything is proved to be false at any stage, or if
there is any, deliberate suppression of fact, my applica on is liable to be summarily rejected and
shall be bound to refund the amount if the same is paid to me on the basis of any wrong
informa on furnished by me, besides any other ac on or penalty that may be imposed on me.
I give permission to: Fresno Student Scholarships and their agents and representa ves to verify
any and all informa on I have provided.
_____________________________________
Print Name:
_____________________________________
Signature:
Page 3 of 3
_________________________
Date:
Book Grant Application For Low Income Students with a GPA of 3.25+
[email protected]
Grants generally range from $25 to $250. Incomplete & unsigned applica ons will
automa cally be rejected. We will send you a confirma on once we have received your
documents. Upon grant approval, you will hear back from us within 45 business days.
To apply, please include the documents below, and Email to the address above:
Please A,ach:
(1) This completed 3 page applica on
(2) A copy of your most recent academic transcript showing an average GPA of 3.25 or higher
(3) Proof you're enrolled in the classes in which you are applying for book grants
or if you're applying for a reimbursement, please a#ach a copy of your book receipt
(4) (op onal) A recent photo of yourself
Do we have your permission to search for a financial donor on our Facebook page,
by posting your photo, first name only, and student request?
Yes
No
If we are able to provide 1 or more books, reimbursements, supplies, or transportation fees,
do we have your permission to post your photo on our Facebook Page?
Yes
No
Applicants will not be chosen based on their consent of allowing us to showcase
students we have or would like to help out.
Personal Informa on:
Your Name: _____________________________________________________________________________
Email Address: ___________________________________________________________________________
Mobile Number: (______)____________________________ Date of Birth: __________________________
Personal Residence: _______________________________________________________________________
Mailing Address For Deliveries: ______________________________________________________________
(Op onal) Ethnicity: ______________________________________________________________________
This por on helps us to disperse our grants equally amongst students of all ethnic backgrounds
For which semester are you reques ng a book grant?
Fall 2016
Winter 2016
Spring 2017
Summer 2017
Academic Informa on:
What school are/will you be a#ending?_______________________________________________________
What is your Major/Degree: _______________________________ A#ending: Full Time
Part Time
Is this first, second, third, etc year of college? _________________ Expected Gradua on Date: __________
Current GPA: ___________________________ Are you currently receiving financial aid?________________
If receiving financial aid, how much has/will be granted for this upcoming semester? __________________
Are you currently studying abroad? Yes No
If Yes, where are you originally from? _______________
Page 1 of 3
Fresno Student Scholarships
(CONTINUED, Page 2 of 3)
Housing & Employment Informa on:
Do you have roommates, own your home, or do you live with your parents? _________________________
How much do you pay your roommates or parents each month for living expenses? (Rent/U li es)_______
Are your parent's helping to financially support you? (College Tui on/Transporta on/Etc) Yes
No
If yes, how much do you receive per month: $ ________
Are you currently working? Full Time
Part Time
No
Monthly income? _________________
Did your parents graduate from High School? Yes
No
What are your parent(s) formal level of educa on? ______________________________________________
What do your parent(s) do for a living? _______________________________________________________
Please check which financial bracket your parent(s) combined income falls under:
Under $10,000
$10,000-$25,000
$25,000-$50,000
$50,000-$100K
$100K or more
Book Informa on:
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of which you would like to purchase the book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Full Title/Name of Book:____________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of which you would like to purchase the book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of which you would like to purchase the book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
REIMBURSEMENT PROGRAM:
We are able to reimburse you for books you have recently purchased. Please provide the basic informa on
below and also include a photo copy of your receipt with this applica on.
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of where you purchased your book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Receipt Number: ______________________________________ Photo Copy Provided: Yes
No
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of where you purchased your book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Receipt Number: ______________________________________ Photo Copy Provided: Yes
No
Page 2 of 3
Fresno Student Scholarships
(CONTINUED, Page 3 of 3)
Where do you see yourself in 5 years?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Please name one or more of the biggest struggles and/or obstacles that you have
faced and overcome on your journey to success: ______________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
What is something you have done to help society or to help another person(s) in their
me of need? _________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Restrictions
To be eligible for a grant you must meet certain academic achievement requirements,
Generally, scoring above the 75th percen le on a college admissions test, or
Maintaining a cumula ve GPA of at least 3.25
I cer fy that the informa on provided above in this 3 page applica on is true to the best of my
knowledge, including all academic a,achments. If anything is proved to be false at any stage, or if
there is any, deliberate suppression of fact, my applica on is liable to be summarily rejected and
shall be bound to refund the amount if the same is paid to me on the basis of any wrong
informa on furnished by me, besides any other ac on or penalty that may be imposed on me.
I give permission to: Fresno Student Scholarships and their agents and representa ves to verify
any and all informa on I have provided.
_____________________________________
Print Name:
_____________________________________
Signature:
Page 3 of 3
_________________________
Date:
