Crawford Heritage Community Foundation - Scholarship Application

Complete applications are due to the Foundation no later than 5:00 PM on April 1. This form must be completed and supporting documents must be mailed by the deadline. If you have questions about the application process, please contact the Foundation by phone at 814-336-5206 or e-mail foundation@crawfordheritage.org.

Supporting documents should be mailed to:

Crawford Heritage Community Foundation

PO Box 933

Meadville, PA 16335-0933

First Name

Middle Initial

Last Name

Address

City

State (Abbreviation)

ZIP Code

Phone Number

Date of Birth

City

What is the estimated amount of tuition and fees to attend the educational institution for one year?

State (Abbreviation)

What is the estimated amount of room and board at the educational institution for one year

Zip Code

Additional Information

Record Authorization

I hereby authorize the Crawford Heritage Community Foundation to request from any school attended by me: information, transcripts, financial aid records and any other records deemed necessary for the administration of these scholarship programs, and I authorize any such school to submit any information, transcripts and other records that may be requested by the Foundation.

You may feel that this application has not given you adequate opportunity to present yourself or enough space to sufficiently list the requested information. If so, please prepare any additional comments which would offer a more complete picture of yourself and your qualifications.

Penalty of Perjury Statement

I declare under penalty of perjury, under the laws of the United States of America, that all statements contained in this application and any accompanying documents are true and correct, with full knowledge that all statements made in this application are subject to investigation and that any false or dishonest answer to any question may be grounds for denial or subsequent revocation of a scholarship.