Each year The Griffin Foundation will award scholarships to qualified
applicants who have an associate degree or at least sixty academic
hours from a junior or community college and are seeking to complete a
baccalaureate degree. These scholarships can be used only at Colorado
State University (Fort Collins Campus), the University of Northern
Colorado, or the University of Wyoming (Laramie Campus). These
will hereafter be known as the participating Universities. Recipients
must be eligible for instate tuition. The scholarships are worth $5,000 a
semester at the Participating Universities and will be renewable for up
to two academic years (four semesters) upon submission of evidence of
satisfactory academic progress as a full-time, on-campus student. The
scholarship funds for each recipient will be forwarded to the Participating
University involved for further disbursement to the recipient.
These scholarships will be awarded on a competitive basis by ranking
applicants in the following areas for their activities since graduation from
high school:
• Scholarship – achievement at the college level in academic courses as
evidenced by college transcripts from all institutions attended.
• Leadership and service – activities and awards in college and
community, academic service or social organizations. Employment and
family responsibilities will be an important consideration.
• Personal traits – recommendations of three personal references, at
least one of which is from a college administrator, counselor or faculty
member. The applicant’s essay will also apply.
• Financial need – determined by voluntary submission of the data
shown on the application form. Financial need is not a requirement for
this scholarship; however, it is a factor that will be considered among
candidates whose other attributes are substantially equal.
Produced by LCCC Public Relations PRS 13133 5/12
SCHOLARSHIP APPLICATION
SPECIAL INSTRUCTIONS
1. Review the list of eligibility requirements before completing the application.
2. Type or print legibly. If we cannot read your application, we cannot consider it.
3. This form may be copied. Submit only a copy of this form. If space provided on the
application form is inadequate, you may attach additional sheets. Please do not write
on both sides of the application.
4. Attach three letters of recommendation, at least one of which is from a college faculty
member, counselor or administrator who can comment on your qualifications. Be
sure recommendations are signed. Recommendations from college professors should
be on college letterhead stationery.
5. Attach an official copy of grade transcript(s) from each college you have attended.
6. Scholarship applications must be received on or before March 1. Applications
received after this date cannot be considered. Notification will be sent to all
applicants concerning the committee’s decisions.
7. Applications can be downloaded from our website:
www.thegriffinfoundation.org
Send to: Carol Wood, Program Director
The Griffin Foundation
303 West Prospect Road
Fort Collins, Colorado 80526
(970) 482-3030
FAX (970) 484-6648
carol.wood@thegriffinfoundation.org
ELIGIBILITY REQUIREMENTS
1. Applicants must have a cumulative grade point average of at least a 3.5 on a 4.0 scale
(B+) in all college level work to be considered for this scholarship.
2. Applicant must have earned an Associate Degree or at least 60 semester academic
(not vocational or technical) credits prior to their entry into one of the Participating
Universities* selected with this scholarship.
3. Recipients must be eligible for instate tuition at the Participating University selected.
4. Recipients must be admitted as full-time, on-campus students in a baccalaureate
degree program at the Participating University they select under this scholarship.
Wyoming students must attend the Laramie Campus and Colorado State University
students must attend the Fort Collins campus.
5. Applicants must have reasonable expectations of completing within two years (four
semesters) a baccalaureate degree at the Participating University they enter under
this scholarship. Summer session enrollments are acceptable; however, the value of
the scholarship will not be changed to accommodate such additional attendance.
6. Recipients must successfully complete at least 12 semester credits toward their
degree each semester at the Participating University and maintain at least a 3.0
GPA at the Participating University to remain eligible to continue to receive the
scholarship.
7. Recipients must give written notice each semester of their intention to continue their
scholarship under the applicable eligibility requirements. Requests for scholarship
continuation must be accompanied by a copy of grade transcripts from the
Participating University before tuition is due the following semester.
8. Students currently enrolled at the Participating Universities are ineligible.
* Colorado State University, the University of Northern Colorado
and the University of Wyoming
SCHOLARSHIP APPLICATION
1. Name ___________________________ ___________________________ _____________ Male Female
Last First Middle
2. I prefer to be called _____________________________________________________________________________
Preferred Name
3. Permanent Address _____________________________________________________________________________
Number and Street
_________________ _____________ ________ _________ Telephone ____________________
City County State ZIP Code
4. Address and phone where you can be reached other than above
_____________________________________________________________________________
Number and Street
_________________ _____________ ________ _________ Telephone ____________________
City County State ZIP Code
5. Email Address _________________________________________________________________________________
6. Date of Birth _________________ Location ____________________________________ ________
(mm/dd/yyyy) City State
7. Are you a U.S. Citizen? Yes No
If a naturalized citizen, what was the country of previous citizenship, _________________________________
Country
and when did you obtain U.S. citizenship? _________
Year
If you are not a U.S. citizen, do you intend to remain here after graduation? Yes No
8. I have been a resident of _____________________________ since ______________
State mm/yyyy
9. My prior residency was ____________________________________ ________
City State
10. Current college enrollment ______________________________________ _________________________________
Name of College Location
11. Tell us about your family.
12. Provide information of your employment history for the past three years.
LENGTH OF
EMPLOYER POSITION
EMPLOYMENT
13. Provide the name of the secondary (high) school from which you graduated and the date of your
graduation.
_________________________________________ _________________________________________ ____________
Name Location Date (mm/yyyy)
14. List all colleges you have attended, dates of attendance and the dates you have received or expect to
receive a degree.
DATE RECEIVED OR EXPECT
COLLEGE DATES OF ATTENDANCE
TO RECEIVE DEGREE
15. List college student organizations and clubs in which you have participated.
16. List community organizations and services in which you
have participated since you graduated from high school.
17. What is your prospective university major field of study? ____________________________________________
Major field of study
18. Which university do you plan to attend? (Colorado residents only) ___________________________________
University
19. List all scholarships, grants, loans, or work study (specify total earnings)
that have been awarded to you by any institution or agency.
YEAR NAME OR TYPE OF AWARD AMOUNT INSTITUTION
20. Personal Statement
Write a short essay, NOT TO EXCEED ONE PAGE, about one of the topics listed below.
This personal statement helps us become acquainted with you in ways different from courses, grades, and
other objective data. It enables you to demonstrate your ability to organize thoughts and express yourself.
1) Evaluate a significant experience or achievement that has special meaning to you.
2) Discuss some issue of personal, local, or national concern and its importance to you
3) Indicate a person who has had a significant influence on you, and describe that influence.
21. What responsibilities do you feel you would have if you became a Griffin Scholar?
22. Are you willing to participate in a personal interview with the Selection Committee? Yes No
If your answer is no, please explain.
I certify that the above information is correct.
__________________________________________________________ ______________________________________
APPLICANTS SIGNATURE DATE
SCHOLARSHIP FINANCIAL INFORMATION
Financial need is a factor considered by the selection committee. You may complete the following information
concerning financial data and if you do, it will be considered.
1. Name _________________________________________________________________________________________
2.
Have you applied for other financial aid? Yes No
3. Have you received loans?
Yes No
4. Have you received other scholarships?
Yes No
5. Do you work during the school year or the summer?
Yes No
If yes, where and how many hours per week? ___________________________________________ __________
Where Hours
6. Are other persons dependent on you for financial support? Yes No
If yes, please explain.
7. Why do you feel you need financial support?
__________________________________________________________ ______________________________________
APPLICANTS SIGNATURE DATE
PRS 13133 5/12
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