CRHDO Academic Enrichment Application

CRHDO Academic Enrichment Application

The Council of Rural Housing & Development of Ohio (CRHDO) would like to encourage students in grades 7-12 to participate in academic enrichment programs and encourage academic excellence among all scholarship applicants. The CRHDO Academic Enrichment Committee will offer annual grants in the amount not to exceed $1,000 per student, per year, to enable students to participate in an academic enrichment activity. 

 Download CRHDO Academic Enrichment Application Here

General Application Requirements and Eligibility Criteria of Applicants:

  • Status

The Applicant must be a live in a community that is a participating member of CRHDO at the time of the application.

  • Eligible Activities

4H Camp; Music or Band Camp; Football Camp; Cheerleading Camp; International Youth Exchange Program, or to allow a student to accompany their class to a foreign country or other school sponsored Trips.  This list is not all inclusive, additional academic building opportunities will be considered.

  • Minimum Grade Point Recommendation

Recommended accumulative 2.5 grade point average (GPA) for high school.  Must provide evidence of grades and high school affiliation.

  • Application Form

The application form must be completed in its entirety. Incomplete applications will not be considered.

  •  Activity Brochure or informational pamphlet

The applicant must submit a brochure or pamphlet describing information regarding the activity.

  •  Submitting Applications

CRHDO will accept applications on June 1, 2016 through May 31, 2017.  Applications should be signed by the Site Manager or Member Representative. Applications can be submitted to the Site Manager, Member Representative or to the CRHDO office by e-mail at office@crhdo.org  or by mailing application to:

Council for Rural Housing & Development of Ohio

Attn: Academic Enrichment Committee

PO Box 2194

Columbus, OH 43216

 

TO BE COMPLETED BY SITE MANAGER OR MEMBER REPRESENTATIVE

Name of Site: _______________________________________________________________
Representative: _____________________________________________________________
Title: ______________________________________________________________________
Director's or Site Manager's Signature: ___________________________________________
Site Address: _______________________________________________________________
City, State, Zip: _____________________________________________________________
Phone #: ________________ FAX #: ________________ E-mail: _____________________

 

TO BE COMPLETED BY APPLICANT AND PARENT/GUARDIAN

Applicant Name: _____________________________ Phone Number: __________________
Address: ___________________________________________________________________
City, State, Zip: _____________________________________________________________
Date of Birth __________________   Age __________
Parent/Guardian's Name (if applicable) ___________________________________________
Address: ___________________________________________________________________
City, State, Zip Code: _________________________________________________________
Name & Address of High School: ___________________________________________________________________________
Date of expected HS Graduation: _________________________  GPA Score _____________

 

To be completed by ALL Applicants
Have you received any other financial assistance for this activity?  If yes, list type of assistance and dollar amount received:

_________________________________________________________________

_________________________________________________________________

Summarize your academic achievements.  (i.e., scholarships, honors, awards, etc.):

_________________________________________________________________

_________________________________________________________________

List extracurricular school activities in which you are/were participating, (i.e., clubs, teams, etc.)  Use a separate sheet if necessary.  

_________________________________________________________________

_________________________________________________________________

Indicate Community activities in which you are participating. (i.e., church, community service, etc.) Use a separate sheet if necessary

_________________________________________________________________

________________________________________________________________

Indicate any jobs, which you are holding or have held in the past.

_________________________________________________________________

________________________________________________________________

Indicate your future academic plans.

_________________________________________________________________

________________________________________________________________

 

Signatures
Your signature below indicates your approval and release for the Council for Rural Housing and Development of Ohio to use any photos or videos of you or your child together with their first and last name in our print and online marketing and business related materials.
Applicant:  _____________________________________   Date: __________________________
Parent/Guardian:  _______________________________   Date:  __________________________

 

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