AUTOMOTIVE SCHOLARSHIP OPPORTUNITIES
Dear School,
I just wanted to remind you that the NH Automotive Education Foundation offers Scholarships to NH students who plan to pursue a career in Automotive Technology at any of NH’s Community Colleges that offer Automotive programs.
Go to the following web page to learn about the scholarship:
http://www.nhada.com/main.cfm?id=144&r1=1.50&r2=5.00&r3=0.00&r4=0.00&level=2&eid=1309
Visit the following web page for the application:
http://www.nhada.com/docs/Medallion%20Fund%20Application%20Form.pdf
For those of you who cannot follow the links above, I pasted the information below (unfortunately, it lost is nice formatting, but it should give you the basic information on what you need to do)
Please pass this information onto any student you feel will benefit by this scholarship.
AUTOMOTIVE SCHOLARSHIP OPPORTUNITIES
The New Hampshire Automotive Education Foundation (NHAEF), in conjunction with the New Hampshire Automobile Dealers Association (NHADA), offers scholarships for New Hampshire students pursuing a career in Automotive Technology at any of New Hampshire's Community Technical Colleges' Automotive Technology programs (Berlin, Laconia, Manchester, Nashua, and Stratham campuses).
NHAEF is pleased to announce that we have joined forces with the New Hampshire Charitable Foundation to enhance students' scholarship opportunities through The Medallion Fund.
While the applications are sent to and administered through The Medallion Fund, NHAEF Automotive Technology scholarships are awarded competitively by the NHAEF Board, or its designees, based on the following criteria:
It is important that if you want to be considered for an NHAEF Automotive Technology Scholarship, you must check "Automotive" under "FIELD OF STUDY" on the application.
Please note that in addition to the completed Medallion Fund application, NHAEF requires that the following items must be submitted:
Please click on the Medallion Fund Scholarship Application below and print the application
The Medallion Fund – Scholarships for vocational and technical careers
in partnership with the New Hampshire Charitable Foundation
The Program
The Medallion Fund was created by a group of area businessmen who recognize that a skilled workforce is critical for expanding economic development. The goal of the Fund is to assist individuals who are interested in attending accredited vocational or technical programs for the purpose of improving their workforce skills, especially in areas of need in the State of New Hampshire.
Founding businesses include All Metals Industries, Inc.; Goffstown Rotary Club; New Hampshire Automobile Dealers Association; Northeastern Sheetmetal, Inc.; Ocean National Bank; St. Mary’s Credit Union as well as many individuals.
Who Should Apply
The Medallion Fund provides scholarships to individuals of any age who are enrolling in any accredited vocational or technical program that does NOT lead to a four-year baccalaureate or advanced degree.
For example, a candidate might be planning to attend a community college, vocational school, trade school, apprenticeship or other short-term training program such as automotive technology, tractor trailer school, HVAV certification, nursing assistant certification, etc.
Because Medallion Fund resources are limited, the Committee does give preference in funding to the following:
• Applicants whose fields are in the traditional manufacturing trade sector such as plumbing, electrical, contstruction, machining, etc.
• Applicants who have a clear vision for how their education will help them achieve or improve their employment goals
• Applicants who have had little or no other educational or training opportunities
• Applicants who have made a commitment to their educational program both financially and otherwise
Qualifications
The Medallion Fund is interested in supporting individuals who have the drive to set and complete their training goals. We expect applicants to demonstrate competency and a commitment to their chosen field of study.
An applicant must:
• be a legal resident of New Hampshire
• have a keen desire to work in a vocational/technical career
Special Eligibility
Many funds that make up the Medallion Fund Program have special areas of interest. Please read the list carefully, and check any special eligibility codes, which fit your circumstances. You may check more than one. If you do not qualify for any restricted funds, you may still be eligible for awards from unrestricted funds.
When To Apply
There is no deadline for application to the Medallion Fund. Applications are accepted at any time during the year. The Medallion Fund usually meets monthly to consider awards.
You may receive an inquiry about your application for clarification or more information from a Committee member. Once the Committee has made its award decisions, the applicant will be immediately notified.
Where To Send The Application
Please mail or deliver your application to:
The MEDALLION FUND
c/o NHCF
37 Pleasant Street
Concord, NH 03301-4005
If your application is incomplete, you will be asked to supply the missing information before your application is reviewed by the Medallion Fund Committee.
How Awards Are Paid
If you receive an award, you can expect the award to be sent to you within two weeks of the Committee’s action. Most often your award check will be made co-payable to you and to the training program you plan to attend.
For More Information
If you have any questions about this application or about the Medallion Fund, please call the Student Aid Office at the Foundation at 1-800-464-6641.
MEDL
MEDALLION FUND
PERSONAL INFORMATION
Name □ Ms. ______________________________________________________________
□ Mr. first middle initial last
Mailing Address ____________________________________________________________________
____________________________________________________________________
city, state zip code
Home Town (if different from above): _______________________________________________________
(_____)__________________ (_____)__________________ email address: _______________________
home phone work phone
Birth Date _____/_____/_____ Social Security No. _______-______-_________
I am a □ high school senior □ high school graduate □ undergraduate student □ GED student
High School ___________________________________________ ___/___
school name graduation date
Training Opportunity
for which ___________________________________________ ___/___
aid is requested school name, state expected completion
Area of Study ________________________________________________________________
CHECK ONE
My Program of Study
Will Lead To: □ Certification
□ Professional License (please describe)_______________________________
□ Two-year or Three-year/AA Degree
□ Other (please describe) ___________________________________________
□ Noncredit program (please describe) ________________________________
I will be a □ 1st year student □ 2nd year student □ 3rd year student □ other
I will be enrolled □ full-time □ half-time or more (6+ credits) □ less than half-time
I will live □ on campus □ off campus □ at home
GOALS AND ACCOMPLISHMENTS
We would like to learn more about what you have already done in your schooling, your work life and in your community. Please take the time to thoughtfully answer the questions in the next section, being as detailed as possible. If you need help with this section, please call the NHCF Student Aid Office at 1-800-464-6641.
MEDL
MEDALLION FUND
Work Experience - We are interested in the paid work you have. You may attach a current resume instead of filling out this section.
Employer Name & Address How Long? Your Responsibilities
_______________________________________________ ___/___ to ___/___ ______________________
_______________________________________________ ___/___ to ___/___ ______________________
_______________________________________________ ___/___ to ___/___ ______________________
What do you hope to do with your training? - We would like to know what your career plans are; what type of work you hope to be doing upon completion of your training. _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What technical student groups have you been involved with in high school (check any that apply)?
□ FFA □ FCCLA □ HOSA □ SkillsUSA (VICA)
□ FBLA □ DECA □ TSA □Other ____________
Please tell us what leadership position(s) or award(s) you had (if any) with these groups:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What Other Activities Have you been involved in? (attach additional sheet if necessary)
Include things like church related work; community volunteer activities; school sports or clubs. Please let us know if you have received any special recognition or awards related to these activities.
Activity How Long? Awards
_______________________________________________ ___/___ to ___/___ ______________________
_______________________________________________ ___/___ to ___/___ ______________________
_______________________________________________ ___/___ to ___/___ ______________________
Are there any special things that we should know about you or your family?
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
GRADE REPORT
If you are a graduating high school senior, you must include a high school transcript with this application. You should also include a Program Certificate or Competency Profile for any fields in which you studied. If you are already enrolled in a post high school training program, please include your most recent grades or progress report. We prefer that you enclose transcripts with your application; however, if your school does not allow this, be sure to ask that the grade reports be forwarded to us AS SOON AS POSSIBLE. If you are a first-time applicant and have not attended any academic program during the past five years, the transcript requirement is waived, otherwise, please send us your most recent transcript from any education/training program. MEDL
MEDALLION FUND
APPLICANT EVALUATION
Applicant's Name: ____________________________________________________________________________
TO THE APPLICANT: This section should be filled out by a teacher, guidance officer, employer, pastor or someone who knows you and your abilities well. You should be sure that the person you select has enough time to complete this form before it is due to the Foundation. The evaluation should be returned to YOU and included with all your other application materials.
TO THE EVALUATOR: Please check the choice that most accurately describes this applicant. In addition, we encourage you to make thoughtful comments about the applicant's skills and abilities and other things that may help us understand this individual. We are particularly interested if there are any special circumstances or hardships that this person needed to overcome. Once you have completed your evaluation, please return this form to the student in a sealed envelope with your signature across the seal. Thank you for your time.
CHECK APPROPRIATE CHOICE
Applicant has worked to the best of his/her ability □ □ □
Strongly Neutral Strongly
Agree Disagree
Applicant is able to set realistic and attainable goals □ □ □
Strongly Neutral Strongly
Agree Disagree
Applicant follows through and completes tasks □ □ □
Strongly Neutral Strongly
Agree Disagree
Applicant shows respect for him/herself and others □ □ □
Strongly Neutral Strongly
Agree Disagree
Additional Comments – We encourage you to add information that you think we need to know about this candidate to make an informed decision. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________
________________________________________________________________
Appraiser's Signature, Title & Date
Address & Phone Number
MEDL
SPECIAL ELIGIBILITY CODES
To help us match you to funds that we have, Please check the following list for what applies to you. If you do not qualify for any of our specially restricted funds, you are still eligible for funding from our unrestricted funds. If you have any questions, please contact the Student Aid Office at 1-800-464-6641.
REGION (check one)
Androscoggin/Mt. Washington Valley
Lakes Region
Monadnock Region
Pemigewasset-Baker River Valleys
Seacoast Region
COUNTY (check one)
Belknap County
Carroll County
Cheshire County
Coos County
Grafton County
Hillsboro County
Merrimack County
Rockingham County
Strafford County
TOWN (check one)
Amherst
Bartlett
Bedford
Brookfield
Canterbury
Claremont
Concord (Penacook)
Deerfield
Exeter
Farmington
Gilmanton
Goffstown
Greenland
Hopkinton
Hudson
Lancaster
Lebanon
Litchfield
Londonderry
Manchester
Merrimack
Milford
Mont Vernon
Nashua
New Castle
New Durham
New London
Newington
Portsmouth
Rochester
Sandown
Sandwich
Sutton
Swanzey
Tuftonboro
Union
Wakefield
Warner
Wilmot
FIELD OF STUDY (check only one major field)
Accounting (Banking & Finance)
Automotive
Agriculture
Animal Studies (zoology; husbandry, etc.)
Architecture; Fine Arts; Mechanical Engineering
Civil Engineering
Computer Technology
Criminal Justice (Law Enforcement)
Culinary Arts
Elementary/Early Childhood Education
Education; Teaching
Engineering
Environmental Studies
Fire; Rescue; Medical Emergency Services
Graphic Arts; Architectural Drawing (CAD)
History
Hotel Management; Hospitality
Human Services (social work)
Industrial Maintenance
Jazz Music
Law (government; civics)
Mathematics
Medical Studies (dentistry)
Mental Health (counseling)
Music or Voice
Nursing
Pipe Organ Music
Performing Arts
Planning (Urban, Regional or Community)
Physical Sciences (chemistry, physics, etc. NOT life sciences)
Political Science
Protestant Ministry
Special Education
Veterinary Medicine
SPECIAL POPULATION (check any that apply)
written documentation required
Participated in Portsmouth HS Athletics
Belgian Descent
Concord Hospital Employee
Dunkin Donuts Employee
Granite State Telephone customer
Handicapped
Life threatening or chronic illness
Lithuanian Descent
NH Adjustors Association Member or Dependent
NH Police Association Member or Dependent
Dependent of NH Protestant Episcopal Minister
Polish Descent
Naval Junior ROTC or Sea Cadet
State Employee Association Member or Dependent
St. Mary’s Bank Credit Union Member or Dependent
Employed in the tourism industry
SCHOOL ENROLLMENT (check one)
Any Trade or Voc/Technical School
Dartmouth College
Plymouth State University
University of New Hampshire
Whittemore School at UNH
OTHER (check any that apply)
Willing to repay award
Plan to stay in NH after studies
MEDL
FAMILY FINANCIAL STATEMENT
If you are a dependent student, please have your parents complete the PARENT INFORMATION section of this form using information from their most recent IRS Tax Return. You must complete the APPLICANT INFORMATION section. You are a dependent student if you are under 24 years of age.
If you are independent, information about you and your spouse (if applicable) must be included. You do not need to supply information from your parents. Figures should be taken from your most recent U.S. Income Tax Return. You are an independent student if you are 24 years of age or older. If you are under 24, you may claim independent status only if you have (1) served in the military or (2) are a ward of the courts (3) are married and living away from your parents or (4) have not been claimed by your parents for two consecutive years and have earned at least $4,000 in each of those two years.
PARENT (or spouse) INFORMATION
Adjusted gross income..........................$___________
Total U.S. income tax paid....................$___________
Income earned from work by
father.....................................................$___________
mother...................................................$___________
Untaxed income and benefits
(Child Support, AFDC, ADC, SSI).......$___________
Medical/dental expenses not covered by
insurance...............................................$___________
Cash, savings, stocks, bonds,
CD's, etc................................................$___________
Net value of real estate not used as primary residence (market value less balance
of mortgage)..........................................$___________
Total number of family members..........#___________
APPLICANT INFORMATION
Adjusted gross income...........................$___________
Total U.S. income tax paid....................$___________
Income earned from work by
you.........................................................$___________
your spouse (if applicable).....................$___________
Untaxed income and benefits
(Child Support, AFDC, ADC, SSI.........$___________
Medical/dental expenses not covered by
insurance................................................$___________
Cash, savings, stocks, bonds,
CD's, etc.................................................$___________
Net value of real estate not used as primary residence (market value less balance
of mortgage)..........................................$___________
Total number of family members..........#___________
OTHER INFORMATION
Parent's current marital status: □ single □ married □ separated □ divorced □ widowed
Your current marital status: □ single □ married □ separated □ divorced □ widowed
Total number of family members who will be attending college during the next academic year: _____
CERTIFICATION
I certify that all information on this form is true and complete to the best of my knowledge. If asked by any authorized official of NHCF, I agree to give documentation for information given on this form. I realize that this proof may include a copy of a US tax return.
__________________________________________________________
Applicant Signature and Date
MEDL
MEDALLION FUND
PERSONAL INFORMATION
Name □ Ms. ______________________________________________________________
□ Mr. first middle initial last
Mailing Address ____________________________________________________________________
____________________________________________________________________
city, state zip code
Home Town (if different from above): _______________________________________________________
(_____)__________________ (_____)__________________ email address: _______________________
home phone work phone
Birth Date _____/_____/_____ Social Security No. _______-______-_________
I am a □ high school senior □ high school graduate □ undergraduate student □ GED student
High School ___________________________________________ ___/___
school name graduation date
Training Opportunity
for which ___________________________________________ ___/___
aid is requested school name, state expected completion
Area of Study ________________________________________________________________
CHECK ONE
My Program of Study
Will Lead To: □ Certification
□ Professional License (please describe)_______________________________
□ Two-year or Three-year/AA Degree
□ Other (please describe) ___________________________________________
□ Noncredit program (please describe) ________________________________
I will be a □ 1st year student □ 2nd year student □ 3rd year student □ other
I will be enrolled □ full-time □ half-time or more (6+ credits) □ less than half-time
I will live □ on campus □ off campus □ at home
GOALS AND ACCOMPLISHMENTS
We would like to learn more about what you have already done in your schooling, your work life and in your community. Please take the time to thoughtfully answer the questions in the next section, being as detailed as possible. If you need help with this section, please call the NHCF Student Aid Office at 1-800-464-6641.
MEDALLION FUND
Work Experience - We are interested in the paid work you have. You may attach a current resume instead of filling out this section.
Employer Name & Address How Long? Your Responsibilities
_______________________________________________ ___/___ to ___/___ ______________________
_______________________________________________ ___/___ to ___/___ ______________________
_______________________________________________ ___/___ to ___/___ ______________________
What do you hope to do with your training? - We would like to know what your career plans are; what type of work you hope to be doing upon completion of your training. _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What technical student groups have you been involved with in high school (check any that apply)?
□ FFA □ FCCLA □ HOSA □ SkillsUSA (VICA)
□ FBLA □ DECA □ TSA □Other ____________
Please tell us what leadership position(s) or award(s) you had (if any) with these groups:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What Other Activities Have you been involved in? (attach additional sheet if necessary)
Include things like church related work; community volunteer activities; school sports or clubs. Please let us know if you have received any special recognition or awards related to these activities.
Activity How Long? Awards
_______________________________________________ ___/___ to ___/___ ______________________
_______________________________________________ ___/___ to ___/___ ______________________
_______________________________________________ ___/___ to ___/___ ______________________
Are there any special things that we should know about you or your family?
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
GRADE REPORT
If you are a graduating high school senior, you must include a high school transcript with this application. You should also include a Program Certificate or Competency Profile for any fields in which you studied. If you are already enrolled in a post high school training program, please include your most recent grades or progress report. We prefer that you enclose transcripts with your application; however, if your school does not allow this, be sure to ask that the grade reports be forwarded to us AS SOON AS POSSIBLE. If you are a first-time applicant and have not attended any academic program during the past five years, the transcript requirement is waived, otherwise, please send us your most recent transcript from any education/training program.
MEDALLION FUND
APPLICANT EVALUATION
Applicant's Name: ____________________________________________________________________________
TO THE APPLICANT: This section should be filled out by a teacher, guidance officer, employer, pastor or someone who knows you and your abilities well. You should be sure that the person you select has enough time to complete this form before it is due to the Foundation. The evaluation should be returned to YOU and included with all your other application materials.
TO THE EVALUATOR: Please check the choice that most accurately describes this applicant. In addition, we encourage you to make thoughtful comments about the applicant's skills and abilities and other things that may help us understand this individual. We are particularly interested if there are any special circumstances or hardships that this person needed to overcome. Once you have completed your evaluation, please return this form to the student in a sealed envelope with your signature across the seal. Thank you for your time.
CHECK APPROPRIATE CHOICE
Applicant has worked to the best of his/her ability □ □ □
Strongly Neutral Strongly
Agree Disagree
Applicant is able to set realistic and attainable goals □ □ □
Strongly Neutral Strongly
Agree Disagree
Applicant follows through and completes tasks □ □ □
Strongly Neutral Strongly
Agree Disagree
Applicant shows respect for him/herself and others □ □ □
Strongly Neutral Strongly
Agree Disagree
Additional Comments – We encourage you to add information that you think we need to know about this candidate to make an informed decision. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________
________________________________________________________________
Appraiser's Signature, Title & Date
Address & Phone Number
COST OF TRAINING
Applicants are expected to contribute toward the cost of their training program. In addition, candidates should have applied to all applicable federal & state aid programs, including the Stafford Loan Program. The assistance offered by the Medallion Fund is a supplement to these aid programs and not a substitute for them.
If you are unable to fill this out by yourself, you should take it to the financial aid office or director of the program that you plan to attend for help in completing this section.
PROGRAM COSTS
A. Tuition $__________________
B. Other Direct Costs
(fees, books, equipment, etc.) $__________________
TOTAL COST (A + B) $__________________
RESOURCES
A. What you (& your family) can pay $__________________
B. Federal aid for education you may receive $__________________
(Pell Grant, Stafford Loan, Perkins Loan, etc.)
C. Employer reimbursement $__________________
D. Veterens Benefits $__________________
E. NH Voc-Rehab $__________________
F. Other State Funding Programs $__________________
G. Other private aid or loans $__________________
TOTAL RESOURCES (A+B+C+D+E+F+G) $__________________
AID GAP (total cost – total resources) $__________________
AMOUNT YOU ARE REQUESTING
FROM THE MEDALLION FUND $__________________
Please be advised that the Medallion Fund does not have sufficient resources to fully fund most training programs. Awards from the Medallion Fund typically range between $250 and $1,000.
MEDALLION FUND