Students

2024 Inskeep Scholarship Application

This scholarship is not available to members or relatives of the San Juan Island Community Foundation (SJICF) Board; Members or relatives of SJICF Scholarship Review Committees; SJICF employees and their relatives; and employees or family members of donors to the scholarship for which you are applying.

"*" indicates required fields

1Applicant Information

2Parental/Guardian Information

3Financial Information

4Community Service & Work Experience

5Supporting Documents

APPLICANT INFORMATION

Last Name*

First Name*

Middle Initial

Permanent Mailing Address*

Address City State ZIP Code

Phone*

Type*

Email*

Date of Birth*

MM slash DD slash YYYY

Preferred Pronouns

High School*

Graduation Date*

MM slash DD slash YYYY

COLLEGE INFORMATION

First Choice*

School Name

Accepted?*

Yes

Don't Know

Why did you select this school?*

Second Choice*

School Name

Accepted?*

Yes

Don't Know

Why did you select this school?*

Do you plan to enroll in Fall 2024? If yes, what level?*

Freshman

Sophomore

Junior

Senior

Will you be attending for the full academic year?*

Yes

Declared or intended major*

What degree or certification do you expect to receive?*

What is your projected graduation or completion date (mm/yy)?*

How much will your program cost for a single year?

Tuition and Fees*

Books and Supplies*

According to IRS regulations, "supplies & equipment" means materials required for every student in the course.

Room and Board*

Total Annual Program Cost*

PARENTAL/GUARDIAN INFORMATION

If you are a high school senior or undergraduate student under the age of 24, are single, and have no children, you are considered a dependent student for financial aid purposes; parental/legal guardian information must be supplied by a dependent student. Financial information inclusive of income and assets is required for responsible parties, which for this application, can be parents, stepparents, and/or legal guardians. A dependent student should have a least one responsible party but could have more. For example, a student whose parents have divorced and both remarried would have four responsible parties.

RESPONSIBLE PARTY 1*

Name

Relationship to Applicant*

Occupation*

Employer*

Primary Phone*

Type*

Secondary Phone

Type

Email*

RESPONSIBLE PARTY 2

Name

Relationship to Applicant

Occupation

Employer

Primary Phone

Type

Secondary Phone

Type

RESPONSIBLE PARTY 3

Name

Relationship to Applicant

Occupation

Employer

Primary Phone

Type

Secondary Phone

Type

RESPONSIBLE PARTY 4

Name

Relationship to Applicant

Occupation

Employer

Primary Phone

Type

Secondary Phone

Type

FINANCIAL INFORMATION - CONFIDENTIAL

Annual Income Before Taxes for 2023

(See line 11 of IRS 1040 if filed)

Responsible Party 1*

Responsible Party 2 (enter 0 if not applicable)*

Responsible Party 3 (enter 0 if not applicable)*

Responsible Party 4 (enter 0 if not applicable)*

Self*

Spouse (enter 0 if not applicable)*

Other Income (social security, child support, etc.)*

TOTAL FAMILY INCOME EARNED IN 2023*

Assets and Other Resources

Family Savings, Investments & Trusts*

excluding official retirement accounts

Student's Savings*

Student's Trusts, Funds or Other*

Total Assets & Other Resources*

Total Number in Family*

Number of Dependent(s) Other Than Applicant Currently Attending College*

COMMUNITY SERVICE ACTIVITIES

List school activities in which you have participated during the last four years (e.g. student government, music, athletics, etc.) List all community activities in which you have participated without pay during the past four years (e.g. community volunteer). Please list participation dates as "From - To" (month/year), and use the "+" icon on the right to add additional lines as needed.

Activity

Participation Dates (From - To)

Special Awards/Honors

Offices Held

PAID WORK EXPERIENCE

Describe your work experience during the past four years or up to two of your most recent jobs (i.e., internships, office work, babysitting, etc.) Indicate dates of employment for each position (mm/yy - mm/yy) and approximate number of hours worked each week. Please use the "+" icon on the right to add additional lines as needed.

Business/Employer

Job Responsibility/Title

Dates of Employment (From - To)

Hours/Week

SUPPORTING DOCUMENTS

The following support materials MUST be received in the San Juan Island Community Foundation office in order to have your application reviewed. If your completed application and support documents are not received by April 23, 2024, your application will be considered incomplete and not eligible for review.

1. PERSONAL ESSAY*

Submit a short (maximum 600 words) essay using one of the three prompts below. This essay should demonstrate your ability to organize thoughts and express yourself; please do not use artificial intelligence. Grammar, spelling, and clarity are important.

Personal challenge often accompanies learning and growth. Please describe a period or event in your life in which you faced some challenges and adversity. How did you overcome it? What life lessons and/or strategies did you learn, and how would you apply them in college?
Discuss an accomplishment, event, or realization that sparked a period of personal growth and a new understanding of yourself or others.
Reflect on a time when you questioned a belief or idea. What prompted your thinking? What was the outcome?

2. OFFICIAL TRANSCRIPTS

Please have an official transcript sent directly from your high school to the San Juan Island Community Foundation via email (scholarships@sjicf.org) or mail (PO Box 1352, Friday Harbor, WA 98250). If you have been taking college courses, please have an official transcript sent directly from the college to the Foundation as well. Please ensure you've submitted your request(s) in plenty of time to be processed and received by the deadline.

3. FAFSA/WASFA SUBMISSION SUMMARY*

Please attach a copy of your 2024-2025 FAFSA Submission Summary (previously known as the FAFSA Student Aid Report/SAR) or your 2024-2025 WASFA Application.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 512 MB, Max. files: 1.

4. ACADEMIC & EMPLOYER/EXTRACURRICULAR LETTERS OF RECOMMENDATION

Please provide the following link to two community leader(s) and/or employer(s) so they can fill out and submit your letter of recommendation directly to the San Juan Island Community Foundation by the April 23, 2024 deadline: https://sjicf.org/scholarship-letter-of-recommendation/. They can submit their recommendation letter directly online, or print out a hard copy to mail to the Foundation at PO Box 1352, Friday Harbor, WA 98250. A parent or relative may not be used as a reference.

IMPORTANT! Your application will not be considered complete until all of the above items have been received at the San Juan Island Community Foundation office. All materials must be received by April 23, 2024. If you'd like to check the status of your application, please send an email to scholarships@sjicf.org or call 360-378-1001.

VERIFICATION

The information included with my application is true and accurate in all respects, and I intend to pursue a degree in higher education. I understand that, if selected, the awarding of funds is contingent upon my full-time enrollment in an accredited institution, and that the funds will be paid directly to the institution and used toward the cost of my education. I authorize SJICF to share this information with SJICF staff and Scholarship Committee members. I authorize SJICF staff and Scholarship Committee members to contact school officials for additional information, if needed.

Verification Agreement*

I have read and agree to the above verification.

Signature*

Printed Name*

Date*

MM slash DD slash YYYY

Parent/Guardian's Signature (If applicant is under 18 years old)

Parent/Guardian's Printed Name

Date

MM slash DD slash YYYY