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Zonta Club of Glens Falls
2021 Scholarship Application
Please read all information and instructions before completing this application.
Failure to follow these instructions may impact your chances to receive serious consideration by
the Committee.
Zonta International is a service organization of professionals and executives dedicated to
improving the status of women worldwide through service and advocacy. Its members are
leaders in their respective communities who have pledged themselves to conduct projects that
meet substantial civic, educational, and social needs in the area served by the local club.
Eligibility
To be eligible for the Zonta Club of Glens Falls Scholarship, the student must -
● Be a graduating high school senior, a past recipient, or returning adult planning to enroll
in:
- an undergraduate or graduate course of study at an accredited postsecondary
institution for the 2021-2022 academic year, or
-an accredited postsecondary course of study leading to a professional career.
● Be a resident of Warren, Washington or Northern Saratoga County.
● Demonstrate financial need.
● Demonstrate academic success, school and community involvement and a talent or
dream for future success.
Awards
If selected as a recipient, the student will receive an award in an amount determined by the
Zonta Club Scholarship Committee. Awards are not renewable, but students may reapply to the
program each year they meet eligibility requirements.
Application Documents
Interested students must complete the attached application and mail it along with the following
required documents:
● Official school transcripts or GED scores
● Current semester grades
● 2021 Student Aid Report (SAR)This part of your FAFSA report
● An essay of five hundred (500) words or less describing how you meet the following
criteria: financial need, academic achievement, and involvement in school and
community activities. Describe any special talent, dream, passion or focus you have for
the future, and provide evidence of your resourcefulness and initiative in meeting this
goal.
● Additionally, two written references should be sent directly from the reference to the
Scholarship Committee. Only two written references will be accepted. It is
recommended that references be provided a pre-addressed and stamped envelope in
which they can send their written reference to the Scholarship Committee.
Your name must be on each page of all documents submitted. Your application and other
required documents will not be returned. Keep a copy of all submissions for your reference.
Application Process & Deadline
Use only 8” x 11” paper. Please type or print legibly in ink.
Zonta Club of Glens Falls
2021 Scholarship Application
All documents, including references, must be sent via the United States Postal Service (USPS)
and received by the Scholarship Committee Chair no later than the date listed on the
application.
Mail all application documents to the Zonta Club of Glens Falls Scholarship Committee Chair at
the address listed on the application.
Selection of Recipients
The Scholarship Committee reviews all applications and selects potential scholarship recipients
in late May. The Scholarship Committee notifies potential recipients and schedules each for a
personal interview with the Scholarship Committee.
Potential recipients are asked to bring updated copies of the following documents to the
personal interview:
● Student Aid Report (SAR) This is part of the FAFSA
● Financial Aid Award Letter/s from the student’s selected institution/s and other
organizations
After all interviews are complete, the final scholarship recipients are selected by the Scholarship
Committee on the basis of all eligibility criteria, demonstrated financial need, and the personal
interview.
The Scholarship Committee will notify all interviewees of the Committee’s decisions.
Presentation & Payment of Awards
Final scholarship recipients are invited to the Zonta Club of Glens Falls annual scholarship
dinner in June.
The Zonta Club of Glens Falls Foundation processes scholarship payments after the recipient
submits proof of completing the first term of study at his or her institution to the Foundation
Treasurer. The check is made payable to and mailed to the recipient.
Additional Information
Questions regarding the scholarship program should be addressed to the Zonta Club of Glens
Falls Scholarship Chair.
Name Contact info
Karen T. Hartman ksullihart@gmail.com
Zonta Club of Glens Falls
2021 Scholarship Application
Please type or print legibly in ink.
Applicant Information
Name: ______________________________________________________________________
(Last) (First) (Middle Initial)
Home Address: _______________________________________________________________
City: _________________________________ State: ______________ Zip: ______________
Phone Number: ________________________ Email:_______________________________
Mailing Address (if different from above): ___________________________________________
City: _________________________________ State: ______________ Zip: _______________
Father’s / Spouse’s Name: ______________________________________________________
(Last) (First) (Middle Initial)
Employer: ___________________________________________________________________
Occupation: _________________________________________________________________
Mother’s / Spouse’s Name: _____________________________________________________
(Last) (First) (Middle Initial)
Employer: ___________________________________________________________________
Occupation: _________________________________________________________________
Siblings / Children in school:
Name
School Name
Grade
Applicant’s Academic History
High School:
School Name
Dates Attended
Graduation Date
Postsecondary:
School Name
Dates Attended
Graduation Date or Status
Name of postsecondary institution where applying for enrollment for upcoming academic year:
____________________________________________________________________________
Zonta Club of Glens Falls
2021 Scholarship Application
Student Name (print): ____________________________
Financial Aid Information
This information will be kept confidential and is subject to verification. Please respond to the
best of your ability.
Anticipated Costs
Anticipated Financial Aid
Tuition
Parents/Spouse
Room & Board
Savings (personal)
Books
Work Study
Other
Scholarships
Other
Loans
Other
Other
Total
Total
Please list other scholarships and financial aid for which you have applied that are not
mentioned above: _____________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Certification
I certify that I meet eligibility requirements of the program and the information provided is
complete and accurate to the best of my knowledge. Falsification of information may result in
termination of any award granted.
Student Signature: _____________________________________________________________
Parent Signature (if applicant is under 18): __________________________________________
Application must be received no later than April 15, 2021
Mail all application documents to:
Zonta Club of Glens Falls Scholarship Committee Chair
Karen T. Hartman
15 Sycamore Drive
Queensbury, NY 12804
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Completed 18 February 2021

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