2025 Chamber Foundation Scholarship Application

- CLICK HERE: TO DOWNLOAD THE MEMBERSHIP APPLICATION

2025 Chamber Foundation Scholarship Application
**Applicant MUST live and/or study in the Mid-Hudson Valley (counties of Columbia, Dutchess, Greene, Orange, Putnam and Ulster)

For more information about the specific residency requirements of each scholarship at www.dcrcoc.org/scholarships

The deadline to submit application is April 11, 2025.

A complete application includes:

— a complete application form;

— a resume

— an essay

(see specific essay requirements for each scholarship);

— your most recent high school and/or higher education transcript

(if you are a current college student, please submit your college transcript). Please email to foundation@chamberfdn.org by April 11, 2025.

— a copy of your Student Aid Index (SAI) number

which you receive when you complete your Free Application for Federal Student Aid (FAFSA);

— and two current letters of recommendation

from someone who is familiar with your educational goals, skills and abilities but is not a family member. They may be from a teacher, coach, guidance counselor, employer, clergy, or person other than a family member who is familiar with your skills and abilities. Please email to foundation@chamberfdn.org by April 11, 2025.

*IMPORTANT*

If you are a high school freshman, sophomore or junior, please immediately stop filling out the application as you are NOT eligible for any scholarships.

Scholarship recipients are permitted to use scholarship dollars towards tuition ONLY, if awarded, the dollars will not be permitted to be used for supplies, books, or other items. *

I acknowledge

__________________________________________________________

Applicant's Information:

First Name *

Middle Name *

Last Name *

Date of Birth *
Format: mm/dd/yyyy

Preferred Pronouns

Physical Address Line 1 *

Physical Address Line 2

City *

State *
Applicant MUST reside in NY

Zip Code *

Mailing Address Line 1
Leave blank if the same as Physical Address

Mailing Address Line 2
Leave blank if the same as Physical Address

City
Leave blank if the same as Physical Address

State
Leave blank if the same as Physical Address

Zip Code
Leave blank if the same as Physical Address

County of Residence *

Have you lived in the above County for at least 5 years? *

Daytime Phone *

Email *

__________________________________________________________

Family Information

Primary Parent/Guardian Information

First Name *

Middle Name *

Last Name *

Job Title/Employment Status *

Email *

Daytime Phone *

Parent/Guardian Marital Status *

Secondary Parent/Guardian Information

First Name

Middle Name

Last Name

Job Title/Employment Status

Email

Daytime Phone

Parent/Guardian Marital Status

__________________________________________________________

How many siblings do you have? *

If you do have siblings, how many are currently attending college? *

__________________________________________________________

Current Education Level*

What is the last full year of education level you completed? *
example: High School Senior, 1st year college, 2nd year college, etc.

GED*

Are you working on or have you achieved your GED or High School Diploma? *

Are you currently enrolled in school? *

What is the name of the school you are currently enrolled in? *

Date of High School Graduation/Diploma

Enter the date of your High School Graduation, High School Withdrawal, or completion of High School Equivalency Diploma *
Format: M/d/yyyy

Have you been out of high school for 5 years or more? *

What is your class rank? (if available)

What is your class size? (if available)

What is your High School/GED/College Cumulative GPA? *

What is your SAT total score? (if applicable)

What is your SAT Evidence- Based Reading & Writing score? (if applicable)

What is your SAT Math score? (if applicable)

What is your ACT Composite score? (if applicable)

__________________________________________________________

Higher Education

Do you CURRENTLY attend college as an undergraduate student? *

What college are you currently enrolled in?

What school(s) are you considering? *

What is the name of the college/school for which scholarship aid is requested? *

__________________________________________________________

College Major/Minor

What is your current or expected field of study? *

What is the length of time to complete this course of study? (number of years) *

The type of school I plan to attend next year is _____ *

I will be enrolled _____ *

I will live ______ *

Cost of Tuition for 1 year *
Tuition only; do not include other expenses. If you are considering more than one school, enter the higher tuition cost.

__________________________________________________________

Financial Information

Should your scholarship be awarded, you will be required to provide the following documentation: Your Student Aid index (SAI) number, which you will receive when you complete and submit your Free Application for Federal Student Aid (FAFSA). Please provide the most recent 2 Years of Tax Returns for yourself and/or a parent/guardian based on how you file.

Student Aid Index (SAI) number *

Adjusted Gross Income (for yourself AND/OR your parent/guardian) *

Taxable Income (for yourself AND/OR your parent/guardian) *
Information may be found on Line 22 of IRS form 1040 or line 6 of IRS form 1040EZ. *If parents/guardians file separately, combine and enter the total for both here. *ALL* parent(s) and/or guardian(s) must be included, as well as yourself.

Are you receiving any additional support to aid you in paying for higher education? *
Must include ALL contributions from family members, other scholarships (please include the intended amount), funds, grants (Federal Supplemental Educational Opportunity Grant (FSEOG), etc.

Do you, or a member of your household currently receive financial assistance? *
Examples. SNAP, Medicaid, NYS TAP, Supplemental Security Income (SSI), etc.

Are you planning on taking out a subsidized or unsubsidized loan to pay for your continued education? *
For a Subsidized Loan, you will not be charged interest while you’re in school, during your grace period, or during other periods of deferment. With an Unsubsidized Loan, interest will accrue on your loan as soon as it is disbursed, even while you are in school.

Describe any special personal, financial, emotional, physical, developmental or family obstacles which affect your financial resources that you would like the Committee to take into consideration in reviewing your application.
Examples: job changes, housing changes, family illness, caregiving, etc.

Additional Notes
Use this additional space to explain or elaborate on any of the previous questions that you would like to provide more information about to the Committee.

__________________________________________________________

SUPPORTING DOCUMENTATION

The supporting documents are required.

Accepted file format: PDF only

Employment, Extracurricular Activities, and Volunteer Work

Have you been employed (paid work) within the last year? This includes being a baby sitter, life guard, cashier, landscaper, etc. *

Resume

Before uploading your resume, please be sure to include the following relevant information: Name or organization/Employer, title/position held (paid or unpaid) and responsibilities, the month and year started and ended (if no longer working there) and approximate hours per week, extracurricular activities, volunteer and community service work, awards and honors that you received.

Applicant's Resume *
UPLOAD HERE (PDF only)

Do you plan on being employed while studying for your degree? *

__________________________________________________________

Consent & Certification

If applicant is under the age of 18, a parent/guardian MUST give consent.

Student Certification

I, as the applicant, confirm that I am over the age of 18 and consent the release of my name and image(s) for any scholarship received to the media and for publication. I certify that the information on this form is true and complete to the best of my knowledge. *

Enter Applicants Full Name *
By typing in your name, you confirm consent to the above.

Parent/Guardian Certification

If applicant is over the age of 18, and certified above, you may skip this confirmation.

I, as the Parent/Guardian, confirm that I am over the age of 18 and consent the release of my student's name and image(s) for any scholarship received to the media and for publication. I certify that the information on this form is true and complete to the best of my knowledge.

Enter Parent/Guardian Full Name
Skip if not applicable. By typing in your name, you confirm consent to the above.

__________________________________________________________

Essays

Upload all essay files in Adobe Acrobat (PDF) format only.

Which scholarship(s) are you applying for? Check all that apply. *

Cosimo DiBrizzi Culinary Arts Scholarship (General Essay) Eileen Hickey Nursing Scholarship (General Essay) Juan Lafuente Leadership Scholarship (General Essay) Richard W. Mitchell Memorial Scholarship (General Essay AND Overcoming Obstacles Essay) Jeffrey B. Senft Memorial Scholarship for the Trades (Trades Career Essay)

General Essay

Required

PLEASE NOTE: This essay will automatically be added to any application which uses a general essay. ESSAYS THAT DO NOT ADDRESS THE TOPIC WILL NOT BE CONSIDERED.

Discuss your career goals, personal values and community services. The essay should not exceed 500 words.

General Essay Upload *
Please upload your separate PDF file by selecting the "choose file" button above.

Overcoming Obstacles Essay

*** To be completed for Richard W. Mitchell Memorial Scholarship ONLY

PLEASE NOTE: This essay will automatically be added to any application which uses a general essay.

Describe how you overcame or are coping with obstacles in your life (personal, financial, emotional, family, educational, economic, physical, developmental, etc.) and your future aspirations. The essay should not exceed 500 words. ESSAYS THAT DO NOT ADDRESS THE TOPIC WILL NOT BE CONSIDERED.

Overcoming Obstacles Essay Upload
Please upload your separate PDF file by selecting the "choose file" button above.

Trades Career Essay

*** To be completed for Jeffrey B. Senft Memorial Scholarship for the Trades ONLY

PLEASE NOTE: This essay will automatically be added to any application which uses a general essay.

Applicants are asked to write a 500-word essay explaining why they are insured in pursuing a career in the trades.

Trades Career Essay Upload
Please upload your separate PDF file by selecting the "choose file" button above.

__________________________________________________________

Transcripts/GED/High School Diploma

In order to be considered for a scholarship, a copy of your most recent high school and/or higher education transcript must be sent directly to: foundation@chamberfdn.org no later than April 11, 2025. NOTE: If you are a current college student, please submit your college transcript.

__________________________________________________________

Letters of Recommendations

You are required to provide 2 letters of recommendation. They may be from a teacher, coach, guidance counselor, employer, clergy, or person other than a family member who is familiar with your skills and abilities. Send directly to: foundation@chamberfdn.org no later than April 11, 2025.

__________________________________________________________

-Before You Submit Your Application-

Before clicking 'Submit' below, please ensure you have thoroughly reviewed the information you provided, including personal and financial information, uploading your resume and essay(s), as well as making a note to send your transcript and 2 letters of recommendation to foundation@chamberfdn.org no later than April 11, 2025.
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