FRED LUSTER, SR. EDUCATION FOUNDATION SCHOLARSHIP FUND

APPLICATION INSTRUCTIONS
Please read before completing this application.
To be completed by the student (please type or print).

ELIGIBILITY REQUIREMENTS
College bound high school seniors majoring in Chemistry, Business or Engineering may apply. Students must be enrolled as a college freshman in a four-year college for the 2009-2010 school year. A minimum 3.0 grade point average (4.0 scale) is required. Under any grade point system, the student must be a B student.
Scholarships will be awarded based on financial need.

Two letters of recommendation (one from a school official) is required along with your high school transcript and/or college transcript.

AWARDS
Student awards in the amount of $250 will be presented.

SELECTION
Your application will be rated based on your scholastic record, school activities, financial need and extra curricular activities.

FRED LUSTER, SR. EDUCATION FOUNDATION SCHOLARSHIP FUND APPLICATION

Name

Sex: M F

Mailing Address

City

State

Zip Code

Home Phone

Social Security Number

Name of Parent(s)/Guardian(s)

High School or College

Address

City

State

Zip Code

School Phone

Principal's Name (If high school student)

Counselor's Name

Grade Point Average (Minimum 3.0 (on a 4.0 scale) required.):

How many members in household?

How many children in household?

How many are attending college?

Household Annual Gross Income? (Must send proof of income) $

Are there any special financial circumstances the selection committee should consider?

Have you received or do you expect to receive any other scholarships/grants?

NAME		AMOUNT
NAME		AMOUNT
NAME		AMOUNT

School Activities, Clubs and Organizations:

Community Activities and Involvement:

College or University Selected

Anticipated Major

Anticipated Minor

Career Goals

Are you presently employed? Yes No

If yes, who is your employer?

Full time Part time

Salary $

VERIFICATION OF APPLICATION
By signing below, the student confirms that the information provided is accurate.

Student's signature
School official's signature
Title
Phone
Employed by
Signature
Date Submitted

Note: These items must be received with the application:

Official high school transcript.

College transcript if you're a college student

Two letters of recommendation.

Black & white photograph (for publicity purposes).

Proof of Income

Applications must be postmarked by April 15, 2009.

Submit application to:

Fred Luster, Sr. Education Foundation
c/o AHBAI
P.O. Box 19510, Chicago, IL 60619