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. Please note that payment may be issued 60 days from the date of the funding approval letter.
- Activity Brochure or informational pamphlet
The applicant must submit a brochure or pamphlet describing information regarding the activity.
- Submitting Applications
CRHDO will accept applications year round. It is recommended that applications be submitted 120 days before payment is due. 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: _____________________________________________________________ |
| Age ____ Current Grade ____ Grade Average _____ Expected Year of Graduation ________ |
| Parent/Guardian's Name (if applicable) ___________________________________________ |
| Name and Address of School ___________________________________________________ |
| ___________________________________________________ |
| Description of Activity _________________________________________________________ |
| _________________________________________________________ |
| Date Payment Due _________________________ Date of Activity ____________________ |
| Name & Address of School/Organization to be paid: _________________________________ |
| ____________________________________________________ |
| Phone number of organization: ________________ Amount of Payment Requested: _______ |
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. |
|
_________________________________________________________________ ________________________________________________________________ |
Funding for the CRHDO Academic Enrichment program is provided by organizations and private individuals that believe every student should have the opportunity to participate in academic enrichment programs.
To demonstrate the success of this program, we ask that if your application for this program is approved, you provide photos, letter of support or letters describing your experience during the activity.
| 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: __________________________ |
