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Scholarship Form 2020
Step 1 of 11 - Graduating or Attending
9%
Which of the following applies to the applicant?
*
I will be graduating from the Martha's Vineyard Regional High School (MVRHS)
I will be graduating from a secondary school other than the MVRHS
I am currently attending a college/university or other post-secondary school/program
Scholarship Fund Checklist
Please carefully review the description of each of these scholarship funds and select only those funds for which you qualify.
Career Specific
Katharine Harding Deeble/Landscape gardening, Environmental Science
Harriet N. Goldberg Fund/Maritime
The Joy Fund/Special needs student or Pursuing Special Ed Studies
Mary I. Medeiros/Teaching
Wendy Weisman Jenkinson Culinary Arts Fund/Culinary Arts
Martha’s Vineyard Airport Commission/Aviation
Harriet N. Goldberg Fund/Maritime
Mary I. Medeiros/Teaching
Wendy Weisman Jenkinson Culinary Arts Fund/Culinary Arts
Martha’s Vineyard Airport Commission/Aviation
Katharine Harding Deeble/Landscape gardening, Environmental Science
Harriet N. Goldberg Fund/Maritime
The Joy Fund/Special needs student or Pursuing Special Ed Studies
Mary I. Medeiros/Teaching
Wendy Weisman Jenkinson Culinary Arts Fund/Culinary Arts
Martha’s Vineyard Airport Commission/Aviation
Environment
Thomas H. and Barbara F. Lee Scholarship Fund
Albridge C. and Margaret Righter Smith Scholarship Fund
General Education
Beatrice Bennett Great Aspirations Memorial Scholarship Fund
Walter and Irene Dumais Scholarship Fund
Rusty Flack Scholarship Fund (St. Andrew’s parishioner, and/or Music)
Anne Medeiros Kent Scholarship Fund
Betty Ann Lima-Bryant Scholarship Fund/Community Service, Social Activism
Inspiration Fund/Financial need, ELL, hardship on path to higher education
Our Island Club
Beatrice Bennett Great Aspirations Memorial Scholarship Fund
Rusty Flack Scholarship Fund (St. Andrew’s parishioner, and/or Music)
Anne Medeiros Kent Scholarship Fund
Betty Ann Lima-Bryant Scholarship Fund/Community Service, Social Activism
Inspiration Fund/Financial need, ELL, hardship on path to higher education
Our Island Club
Beatrice Bennett Great Aspirations Memorial Scholarship Fund
Walter and Irene Dumais Scholarship Fund
Rusty Flack Scholarship Fund (St. Andrew’s parishioner, and/or Music)
Betty Ann Lima-Bryant Scholarship Fund/Community Service, Social Activism
Inspiration Fund/Financial need, ELL, hardship on path to higher education
Medical
Dr. Clement R. Amaral and Vera E. Amaral Scholarship Fund/Dental Related Career
Agnes Mello Fund/Medical studies, Nursing preference
Dr. David Rappaport Memorial Scholarship Fund/Medical, Healthcare
James S. and Violet M. Rego Scholarship Fund/PT, services to disabled
Caroline A. Secor Scholarship Fund/Healthcare, Nursing priority
George and Margaret A. Yates Memorial Scholarship Fund/Health related, pharmacy priority
Agnes Mello Fund/Medical studies, Nursing preference
Dr. Clement R. Amaral and Vera E. Amaral Scholarship Fund/Dental Related Career
Agnes Mello Fund/Medical studies, Nursing preference
Dr. David Rappaport Memorial Scholarship Fund/Medical, Healthcare
James S. and Violet M. Rego Scholarship Fund/PT, services to disabled
Caroline A. Secor Scholarship Fund/Healthcare, Nursing priority
George and Margaret A. Yates Memorial Scholarship Fund/Health related, pharmacy priority
Other Funds
If applicable, the following funds will prompt for additional information while completing this scholarship form.
Island Community Chorus Peter R. Boak Music Award
Bagehot Backs Bursary for Building Skills / Trades, Craftsmanship
Blankenship/Hughes Scholarship Fund / Essay "Improving Island Life"
Applicant Information
Applicant's Name
*
First
Middle
Last
Suffix
Mailing Address
*
Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Email
Please enter your primary email address. A copy of your application submission will be sent to this address.
Additional Email Addresses
*
Phone Number(s)
*
Residential Address
Same as mailing
*
Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Family Information
First Parent/Guardian Name
*
First
Last
Second Parent/Guardian Name
First
Last
Parent/Guardian Address
Same as above
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Number of Siblings
*
Select...
0
1
2
3
4
5
6
7
8
9
Age(s) of Siblings
*
Number of siblings attending college or equivalent?
*
Select...
0
1
2
3
4
5
6
7
8
9
How many years have you lived on Martha’s Vineyard?
*
Please enter a number greater than or equal to
0
.
Is English a second language for you?
*
Yes
No
Are you the first member of your immediate family (parents and/or siblings) to attend college?
*
Yes
No
Secondary School Information
High School Attending
*
MV Public Charter School
Other
High School Attended
*
Select...
MV Regional High School
MV Public Charter School
Other
Name of Other School
*
Date of Graduation
*
School Phone
*
Name of Guidance Counselor
*
Class Rank Percentile
*
GPA
*
SAT Scores
Total Score
Evidence-Based Reading and Writing Score
Math Score
How many years have you attended high school at:
How many years did you attended high school at:
Martha’s Vineyard Regional High School
*
Select...
0
1
2
3
4
5
Martha’s Vineyard Charter School
*
Select...
0
1
2
3
4
5
Private Secondary School
*
Select...
0
1
2
3
4
5
Home School
*
Select...
0
1
2
3
4
5
College/Program Information
Which of the following applies to the applicant?
*
I am presently enrolled in a post-secondary school
I am presently applying to a post-secondary school
Name of school or program in which you are enrolled
*
Major or Field of Study
*
Name of school or program you are applying to
*
Intended Major or Field of Study
*
College/University or Other Program
*
Name of the College/University or Other Program you plan to attend. If undecided, please list schools (at least three) in order of preference.
Type
*
(choose one)
4 year college
2 year college
Vocational/Technical School
Degree sought:
*
Bachelor
Associate
Certificate
Master
Other
Other Degree
*
Upload Transcript
*
Please attach a copy of your most recent transcript listing all coursework to date. Transcripts do not have to be official, but your name and student ID MUST be on them. Please upload and attach as a PDF. PLEASE NO LINKS!
Accepted file types: pdf.
Intended Field of Study or Major
*
Year of Study in Fall 2020
*
Select...
Freshman
Sophomore
Junior
Senior
Graduate
Other
Other
*
Anticipated Date of Graduation
*
Admission Status at above institution:
Applied/Pending
Accepted
Currently Attending
Waitlisted
Projected College Costs
Tuition
*
Room & Board
*
Other Expenses
*
Activities, Awards & Honors
List school and community activities you have participated in that were meaningful to you during the past two or three years.
Activities, Awards and Honors
*
Activity
# of Years
Award/Honor/Position/Other
Work Experience
Employer
Position/Description
Dates
Hours per Week
Paid/Unpaid
Volunteer Experience
Organization
Position / Description
Dates
Hours per Week
Career Goals
*
Unique Circumstances
Please explain any unique family or personal circumstances that may have adversely affected your academic progress, community service or financial need.
Counselor Recommendation
*
MVRHS Seniors: Please upload a recent letter of recommendation.
Accepted file types: jpg, gif, png, tiff, pdf, doc, docx.
Upload Transcript
*
Please attach a copy of your most recent transcript.
Recommendation
All applicants are required to submit 1 letter of a current recommendation with their application. The letters must be completed by a non-family member professional reference, such as a teacher or counselor or advisor, an instructor, coach, or a work/volunteer supervisor with whom you have worked in the past year. Please provide the email address of your reference. They will be sent a link to the recommendation form, which they should submit under separate cover.
Upload Recommendation
Alternatively, if you have your
recommendation form
already filled out, you may upload it here.
Accepted file types: pdf, jpg.
Choose from the following:
*
I am a dependent student.
The data below represents my parents' finances
I am an independent student.
The data below represents my personal finance
First Parent/Guardian's Occupation
*
Second Parent/Guardian's Occupation
I choose to be evaluated on academic merit only.
Adjusted Gross Family Income
*
Enter the amount of both parents/guardians' adjusted gross income from the most recent IRS filing. Include information for both parents if divorced and/or separated.
Untaxed Income and Benefits
*
i.e., child support, social security, FDC, ADC etc.
Medical and Dental Expenses Not Covered by Insurance
*
Total Family Savings Available for Applicant’s Education
*
Total Applicant Savings Available for Education (include projected summer savings)
*
Expected Family Contribution (EFC)
Please select the option applicable to you:
Eligible and I have filed
Eligible and I chose NOT to file
Not eligible to file
Expected Family Contribution (EFC)
*
This figure is calculated from the Free Application for Federal Student Aid (FAFSA) application available from the U.S. Department of Education.
Past Awards from the Endowment:
Fund
Year
Amount
List Amount of All Awards Received This Year
*
Please Note: Depending on the funds selected, you may not be required to fill out information on steps 8-10. If they are not applicable, you will proceed directly to the last step of the form after clicking "Next"
Island Community Chorus Peter R. Boak Music Award Applicants Only. Please provide the required information below:
CDs and Videos demonstrating talent are recommended. Please provide a web-link to your music video, send CDs demonstrating talent to the Permanent Endowment OR upload/attach any supporting files here.
Links to music or videos showcasing talent
Files
Drop files here or
Accepted file types: jpg, mp3, mov, pdf, png, gif.
Recommendations
Applicants must submit at least two completed
recommendation forms
, one from a music teacher or dramatic coach. Referents may not be related to the applicant.
Email (1)
Please provide the email addresses of your references. They will be sent a link to the recommendation form, which they should submit under separate cover.
Email (2)
Email (3)
Upload Recommendation Forms
Alternatively, if you have your recommendation forms already filled out, you may upload them here.
Drop files here or
Accepted file types: pdf, jpg.
Bagehot Backs Building Skills Fund Applicants Only. Please provide the required information below:
Name of Major/Program/Course/Internship
*
Description
*
Location
*
Dates
*
Costs
*
This fund is open to all residents of the Island. Preference may be given to descendants of those who worked in any capacity at Bagehot Backs, (the donor’s Island residence at 55 Oyster Watcha Road, Edgartown, MA 02539), but is not a prerequisite.
Purpose
*
Please tell us why this educational opportunity is important to you and how it fits into your career goals.
Are you one of the descendants of those who worked in any capacity at Bagehot Backs, (the donor’s Island residence) at 55 Oyster Watcha Road, Edgartown, MA 02539?
*
Yes
No
List
*
Name of Qualifying Relation
Their Profession/Trade
Relationship to Applicant
Blankenship/Hughes Essay
*
The is an Essay Scholarship. Please submit an essay answering the question, “How can I help improve the quality of life on the Vineyard?” Essays should not exceed two pages.
Personal Statement
*
In one page or less, please tell us a little about yourself so we will know you better. If you are interested in a particular scholarship, share with us what makes you a good candidate.
*
By checking this box, you certify all answers are truthful and accurate.
CAPTCHA
About
Mission
Our Impact
Board Members
Staff
News
Timeline
Contact Us
Grants
Grant Funds & Fiscal Sponsorships
Grant Recipients
Community & Impact Grants
Emergency Response Fund
Creative Living Award
Apply Online
Scholarships
Scholarship Funds
Scholarship Recipients
Apply Online
Scholarship Portal Login
Current Initiatives
For Donors
Donor Spotlight
Financials
Funding Models
Donor FAQs
Fund Advisor Login
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