SNF Foundation Scholarship Application

College Scholarship Application
Date*

MonthDayYear
Date
College / Technical Program*
Applicant Information
Applicant Name*

First NameMiddle NameLast Name
Applicant Email*
example@example.com
Applicant Phone Number*

Area CodePhone Number
Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is at least one of your parents or legal guardians employed by SNF Holding Company, or one of its subsidiaries?

YesNo
In which county or parish do you reside?
Scholarships are currently only available to students in Liberty County, GA, or Iberville Parish, LA, if those students do not have parents or guardians employed by SNF Holding Company or its subsidiaries.
SNF Employee Name

First NameLast Name
Occupation*
SNF Facility Location
Parent or Guardian 1*

First NameLast Name
Occupation*
Parent or Guardian 2 (If Applicable)

First NameLast Name
Occupation
High School Information
Name of High School*
H.S. Phone Number*

Area CodePhone Number
Principal's Name*

First NameLast Name
High school Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Name of Counselor *

First NameLast Name
Counselor Email*
example@example.edu
Standardized Test Taken*
SAT Score*
Composite ACT Score*
GPA*
Anticipated Graduation Date*

MonthDayYear
Date
College / Technical School Information
College, University, or Technical School Name*
College, University, or Technical School Address*

Street Address

Street Address Line 2

CityState

Zip Code
Approximate Enrollment Semester*

SummerFallWinterSpring
Year 20XX*
College Major or Program of Study *
List all other non-repayable grants and scholarships with anticipated award amounts that you will be receiving.
Scholarship Essay
Please select three of the following eight questions and write a short essay on each. The essay should not exceed 300 words in length per question.*

Why is clean water important in everyday life?What ideas from your intended field of study could help with the movement towards a cleaner, less carbon-intensive world?How has your family cultural background or community influenced your values and beliefs?Who has been your biggest influence or inspiration?How will this scholarship make a difference to you?Tell us about a contribution you've made to your community.Tell us about a time you failed. What did you learn from the experience?Tell us about a time you stepped up as a leader.
Why is clean water important in everyday life?*

0/300
What ideas from your intended field of study could help with the movement towards a cleaner, less carbon-intensive world?*

0/300
How have your family cultural background, or community influenced your values and beliefs?*

0/300
Who has been your biggest influence or inspiration?*

0/300
How will this scholarship make a difference to you?*

0/300
Tell us about a contribution you've made to your community?*

0/300
Tell us about a time you failed? What did you learn from the experience?*

0/300
Tell us about a time you stepped up as a leader?*

0/300
In 200 words or less, please tell us about your extracurricular activities or anything else you would like the committee to know about you to assist in reviewing your application for a scholarship.*

0/200
Attachments
High School Recommendation Letter*

Cancelof
High School Transcripts*

Cancelof
SAT / ACT Score Report*

Cancelof
College Acceptance Letter*

Cancelof
Student Certification, Authorization, and Agreement
I certify that the information reported above and any other document or writing in connection with this application for SNF Foundation Scholarship is or will be true, correct, and complete to the best of my knowledge. I authorize the release and exchange of information between SNF Foundation and educational institutions, state, federal agencies, and private lending institutions from which student financial assistance is sought or obtained by me and agree that such information exchanged may include financial, enrollment, academic status, and location necessary to ensure proper administration of student aid.
Applicant Signature*

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Date*

MonthDayYear
Date
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College Scholarship Application

Applicant Information

High School Information

College / Technical School Information

Scholarship Essay

Attachments

Student Certification, Authorization, and Agreement