Scholarship Application Form 1GPA / GED2FAFSA and Transcripts3About Yourself4School Attendance5Financial Need6Essay Questions7Student Involvement8College Students9Houghton Lake Students10Roscommon Students11Additional Questions12Scholarship Eligibility13Additional Documentation14Summary15Consent INITIAL REQUIREMENTS – GPA or GEDYou MUST have a cumulative grade point average of 2.25 or above or GED score of 145 to complete this application.Are you currently enrolled in a public or non-public high school or college?(Required) Yes No What is your cumulative grade point average?(Required)You must have a minimum GPA of 2.25 to complete this application.Please enter a number from 2.25 to 4.0.Do you have a GED?(Required) Yes No What is your GED score?(Required)You must have a minimum GED score of 145 to complete this application.Please enter a number from 145 to 200.You must have a minimum GPA of 2.25 to continue to the next page and to complete this application.You must have a GED score of 145 to continue to the next page and to complete this application.You must be currently enrolled in a public or non-public high school or college OR have completed the GED to continue to the next page and complete this application. INITIAL REQUIREMENTS – FAFSAYou MUST provide a copy of your FAFSA submission summary. A copy of your FAFSA submission summary, received by your family after submitting the Free Application for Student Aid (FAFSA), is required to establish financial need. If you have not yet completed a FAFSA application, go to https://fafsa.gov to apply. You MUST either upload a copy of your transcript or request that your transcript be sent to info@myrccf.org or PO Box 824, Roscommon, MI 48653. Your transcript must be received by the deadline, or your application won’t be considered.Have you completed your FAFSA (Federal Application for Student Aid)?(Required) Yes No Please upload your FAFSA submission summary(Required) Drop files here or Select files Accepted file types: pdf, png, jpg, Max. file size: 256 MB, Max. files: 1. Do you have a copy of your school or GED transcript?(Required) Yes No Please upload transcript(Required) Drop files here or Select files Accepted file types: pdf, png, jpg, Max. file size: 256 MB, Max. files: 1. Send Transcript(Required)I will request my transcript be sent to info@myrccf.org or PO Box 824, Roscommon, MI 48653. I understand that it must be received by the deadline, or my application won’t be considered. I will have my transcript sent to RCCF Please visit https://fafsa.gov to complete the FAFSA application. Once completed, you will need to upload a copy of your FAFSA application. TELL US ABOUT YOURSELFYour Name(Required) First Last I preferred to be called … Mailing Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is your physical address the same as your mailing address? Yes Physical Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Daytime Phone(Required)Cell Phone(Required)Email Address(Required)please provide the email address that you check most often Name of Parent/Guardian(Required) First Last Is your parent/guardian's physical address the same as your physical address? Yes Parent/Guardian's Physical Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/Guardian Daytime Phone(Required)Parent/Guardian Email Address(Required) Which COUNTY do you live in?(Required) Roscommon County Crawford County Which TOWNSHIP do you live in?(Required) Roscommon Township Richfield Township Denton Township Other Please enter the TOWNSHIP you live in(Required) Which college do you attend or plan to attend?(Required) What major are you pursuing or plan to pursue?(Required) To complete a degree in your chosen area of education, how long is your program?(Required) One-year program Two-year program Four-year program How many members of your household (including yourself) will attend college in the 2025-2026 academic year?(Required)What the adjusted gross income (AGI) on your most recent federal income tax return?(Required)If you’re a dependent student, this will be your parent(s). SCHOOL ATTENDANCEWhere are you a student?(Required) Houghton Lake High School Roscommon High School Charlton Heston High School Immanuel Christian School A college student STATEMENT OF FINANCIAL NEEDWhat is the Cost of Attendance (COA)? Please enter your estimated cost per year into the fields below.Tuition(Required)Books(Required)Dorm/Rent(Required)Lab Fees(Required)What is your student aid index (SAI)?(Required)(according to your FAFSA submission summary) Are you or your family facing any special challenges?(Required)i.e. first in family to go to college, divorced parents, single parent, foster care or guardianship, you/parent/sibling with chronic illness or disability, incarcerated parent, living with another family, homeless or at risk of being homeless, etc. Yes No State any special challenges you or your family may be facing.(Required)In 300 words or less, explain a hardship you faced and how you overcame it.(Required)In 300 words or less, state your long term goals and how college will help you to achieve those goals.(Required) STUDENT INVOLVEMENTPlease make sure to include the number of hours per year you participated in each activity, and list each activity by academic year. To add additional entries, click on the + button at the right of each row of fields.Extracurricular ActivitiesExample: student council, class officer, band/choir, clubs, civic organizations, church activities, etc.Did you participate in extracurricular activities while in school?(Required) Yes, I participated in extracurricular activities No, I did NOT participate in extracurricular activities Please select all years that you participated in at least ONE extracurricular activity(Required)(check all that apply) Freshman year Sophomore year Junior year Senior year Select AllFreshman(Required)To add additional entries, click on the + button at the right.ActivityRoleHours per Year Add RemoveSophomore(Required)To add additional entries, click on the + button at the right.ActivityRoleHours per Year Add RemoveJunior(Required)To add additional entries, click on the + button at the right.ActivityRoleHours per Year Add RemoveSenior(Required)To add additional entries, click on the + button at the right.ActivityRoleHours per Year Add RemoveSports ParticipationDid you participate in sports while in school?(Required) Yes, I participated in sports No, I did NOT participate in sports What sports team did you participate in?(Required) Girls Boys Please select all years that you participated in at least ONE sport(Required)(check all that apply) Freshman year Sophomore year Junior year Senior year Select AllFreshman year sports participation(Required)To add additional entries, click on the + button at the right.SportHours per Year Add RemoveSophomore year sports participation(Required)To add additional entries, click on the + button at the right.SportHours per Year Add RemoveJunior year sports participation(Required)To add additional entries, click on the + button at the right.SportHours per Year Add RemoveSenior year sports participation(Required)To add additional entries, click on the + button at the right.SportHours per Year Add RemoveVolunteer/Community ServiceDid you perform voluntary/community service while in school?(Required) Yes, I performed voluntary/community service No, I did NOT perform voluntary/community service Please select all years that you performed at least ONE act of voluntary/community service(Required)(check all that apply) Freshman year Sophomore year Junior year Senior year Select AllFreshman(Required)Activity/OrganizationRoleHours per Year Add RemoveSophomore(Required)Activity/OrganizationRoleHours per Year Add RemoveJunior(Required)Activity/OrganizationRoleHours per Year Add RemoveSenior(Required)Activity/OrganizationRoleHours per Year Add RemoveWork ExperienceDid you work at a job while in school?(Required) Yes, I worked at a job while in school No, I did NOT work at a job while in school Please select all years that you worked in at least ONE job(Required)(check all that apply) Freshman year Sophomore year Junior year Senior year Select AllFreshman(Required)CompanyJob titleHours per Year Add RemoveSophomore(Required)CompanyJob titleHours per Year Add RemoveJunior(Required)CompanyJob titleHours per Year Add RemoveSenior(Required)CompanyJob titleHours per Year Add Remove COLLEGE STUDENTSPlease answer the following questions. These questions are based upon the school that you are currently attending.What school did you graduate from?(Required) Roscommon High School Houghton Lake High School Charlton Heston High School Immanuel Christian School I have a GED Will you be a Sophomore, Junior or Senior in college?(Required) Sophomore Junior Senior Have you been accepted into a teacher education program in Michigan?(Required)(a teacher education program leading to elementary or secondary teacher certification) Yes No HOUGHTON LAKE HIGH SCHOOL STUDENTSPlease answer the following questions. These questions are based upon the school that you are currently attending.Are you pursuing a degree in Fine Arts or Industrial Arts?(Required)Fine Arts including but not limited to communications, music, writing, or drama. Industrial Arts including but not limited to wood and/or metal working using a variety of hand, power, or machine tools, or auto mechanics. Yes No Are you pursuing a degree in Healthcare or Business?(Required) Yes No Are you pursuing a degree in Nursing?(Required) Yes No ROSCOMMON HIGH SCHOOL STUDENTSPlease answer the following questions. These questions are based upon the school that you are currently attending.Will you be attending a culinary arts school?(Required) Yes No Will you be attending college for Business Management?(Required) Yes No Are you pursuing a degree in the dental or medical fields?(Required) Yes No Are you pursuing a degree in the law and/or legal field?(Required) Yes No Do you plan to attend the University of Michigan?(Required) Yes No Have you participated in at least two sports each year during high school?(Required) Yes No Were you a member of the Roscommon soccer team for at least 3 years?(Required)(either a team member or a manager) Yes No Do you have an affiliation with the Masonic Temple?(Required) Yes No ADDITIONAL QUESTIONSWill you be studying abroad for at least one semester in the next academic year?(Required) Yes No What country do you plan to study abroad in?(Required) Are you pursuing a degree in Industrial Technologies, Public Services or Health Occupations?(Required)Industrial Technologies including by not limited to such fields as automotive, aviation, drafting, manufacturing processes, machine operations, and/or welding. Public Services including but not limited to such fields as correction administration, corrections officers, criminal justice administration, firefighting, and/or law enforcement. Health Occupations including but not limited to such fields as Nursing, Practical Nursing, Nursing Refresher courses, lab technicians and/or technologists. Yes No Which degree area are you pursuing?(Required) Industrial Technologies Public Services Health Occupations Do you have an affiliation with the Knights of Columbus #6548?(Required) Yes No Do you plan to pursue a skilled trade occupation?(Required) Yes No Have you been accepted into a qualified apprenticeship program?(Required) Yes No Are you pursuing a degree in a health care field?(Required) Yes No Are you a member of Interact?(Required) Yes No SCHOLARSHIP ELIGIBILITYBased upon your answers in filling out this form, you are eligible for the following scholarships. Please select the scholarships you’d like to apply for. You must select at least one scholarship to continue the application.Andrew Schmidt Trades Scholarship Andrew Schmidt Trades Scholarship Ava Raye Gasper Scholarship Ava Raye Gasper Scholarship Bertl Family Scholarship Bertl Family Scholarship Bobbe Morley Memorial Scholarship Bobbe Morley Memorial Scholarship Char Goddard Memorial Scholarship Char Goddard Memorial Scholarship Clyde F. Shaltz Memorial Scholarship Clyde F. Shaltz Memorial Scholarship Donald W. & Beverly Nester Memorial Scholarship Donald W. & Beverly Nester Memorial Scholarship Evelyn Fraser Scholarship Evelyn Fraser Scholarship Fidelity Chapter #SO, Order of the Eastern Star Scholarship Fidelity Chapter #5O, Order of the Eastern Star Scholarship Ford and Marguerite Silsby Scholarship Ford and Marguerite Silsby Scholarship Gerrish-Higgins Roscommon Alumni Association Scholarship Gerrish-Higgins Roscommon Alumni Association Scholarship Grace Bernardo, M.D. Memorial Health Careers Scholarship Grace Bernardo, M.D. Memorial Health Careers Scholarship Harry & Marjorie Walbridge Scholarship Harry & Marjorie Walbridge Scholarship Houghton Lake Class of 1983 Memorial Scholarship Houghton Lake Class of 1983 Memorial Scholarship Houghton Lake Rotary Club Memorial Scholarship Houghton Lake Rotary Club Memorial Scholarship Houghton Lake Sports Booster Scholarship Houghton Lake Sports Booster Scholarship Jack Danieleski Scholarship Jack Danieleski Scholarship Karen & Frank Arleth Memorial Scholarship Karen & Frank Arleth Memorial Scholarship Kyle Akin Scholarship Kyle Akin Scholarship Kelly Dunmire Memorial Scholarship Kelly Dunmire Memorial Scholarship Lawrence C. Dashner Scholarship Lawrence C. Dashner Scholarship Layton International Scholarship Layton International Scholarship Michael R. Treml Memorial Athletic Scholarship Michael R. Treml Memorial Athletic Scholarship Mike M. & Patricia M. lgnat Scholarship Mike M. & Patricia M. lgnat Scholarship Mr. J's Buckeye Nuts College Scholarship Mr. J’s Buckeye Nuts College Scholarship Patriot Scholarship Patriot Scholarship Ralph, Thela, and Kurt Ostling Memorial Scholarship Ralph, Thela, and Kurt Ostling Memorial Scholarship Rex & Arlene Gillen Scholarship Rex & Arlene Gillen Scholarship Robert A. Hess Memorial Pre-Law Scholarship Robert A. Hess Memorial Pre-Law Scholarship Robert J. Kunik Memorial Scholarship Robert J. Kunik Memorial Scholarship Roscommon Rotary Club General Fund Roscommon Rotary Club General Fund Roscommon Soccer Teams Scholarship Roscommon Soccer Teams Scholarship Ruth & Ralph Fisher Scholarship Ruth & Ralph Fisher Scholarship Sharon A. Hacker Nursing Scholarship Sharon A. Hacker Nursing Scholarship Steuernol & McLaren Funeral Home Scholarship Steuernol & McLaren Funeral Home Scholarship William C. Williams (class of 1950) Scholarship William C. Williams (class of 1950) Scholarship W.H. & Betty J. Scott Memorial Scholarship W.H. & Betty J. Scott Memorial Scholarship Additional DocumentationProof of acceptance into an apprenticeship programIf you have been accepted into an apprenticeship program, please upload proof of acceptance. Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 256 MB, Max. files: 1. Letters of recommendation(Required)You selected to apply for the Jack Danieleski Scholarship. Please upload THREE letters of recommendation. Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 256 MB, Max. files: 3. How has participation in athletics has impacted your life?(Required)You selected to apply for the Michael R. Treml Memorial Athletic Scholarship. In no more than 250 words, please describe how participation in athletics has impacted your life.Proof of Residency(Required)You selected to apply for the Rex & Arlene Gillen Scholarship or the Steuernol & McLaren Funeral Home Scholarship. Please upload TWO proofs of township residency (e.g.: copy of household property tax statement, utility bill and driver’s license/state ID). Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 256 MB, Max. files: 2. Application Summary{all_fields:exclude[195,197.198,199,200,201]} You MUST provide an official school transcript. Transcripts must be received by the application deadline to be considered for a scholarship. High school students should contact their guidance counselor to send their transcript. College students can make a request through a student clearinghouse transcript service such as Parchment. Transcripts can be sent by mail or email. US Post: Roscommon County Community Foundation PO Box 824 Roscommon, MI 48653 Email:info@myrccf.org Consent(Required)We, the applicant and parent/guardian, do herby state that this application is a truthful and honest representation of the applicant. We do hereby state the personal essay is the applicant’s own and not the work of another. We understand that if any of the application is found to be submitted under false pretenses, it will be automatically disqualified from consideration. By check the “I consent” checkbox, we do hereby give our permission to release information contained in this application to the Scholarship Committee and the Roscommon County Community Foundation for selection and administration purposes only. I consent.Authorization I authorize RCCF to discuss this application with my parent/guardian
