OREGON COMMUNITY QUARTERBACK SCHOLARSHIP
Scholarship Application
Goal The Oregon Community Quarterback Scholarship is a renewable four‐year collegiate scholarship program for Oregon high school seniors who are emerging leaders who plan to attend an Oregon university or trade school. The program is intended to facilitate the growth of promising leaders in the state of Oregon by developing the skills needed to flourish within their local communities. This is a need‐based scholarship with criteria focusing on an individual’s involvement in his or her community, rather than academic or athletic performance. Four scholarships will be issued for the 2015/16 academic year. Each scholarship is worth $2,500 and renewable for a four‐year total of $10,000 per student. The Foundation is making for a total annual commitment of $40,000 a year in perpetuity. Background
For the past three years, the Harrington Family Foundation (HFF) has raised more than $1M for Oregon students, led by local favorite, Joey Harrington. Joey was born and raised in Oregon and feels a vital connection to the state that has provided him many opportunities. It is the place he and his wife Emily, have chosen to grow their family post‐NFL, and remain close to those who helped in his success. Joey believes investing in dedicated Oregon college students ultimately invests in the good of Oregon. Joey recognizes leaders do not only exist on the athletic field, or in front of a television camera. The Oregon Community Quarterback Scholarship is designed to find and encourage students who have shown a take‐charge ability in their community, but may need help reaching their potential. Following are HFF events supporting the Oregon Community Quarterback Scholarship: The Pacific Office Automation Battle at Bandon, June 19‐21, 2015 Joey Harrington’s Battle at Bandon is a competitive, handicapped golf tournament where current and former athletes and coaches play for their respective PAC‐12 universities. Each PAC‐12 school is represented by a team comprised of two athletes/coaches and two amateurs. Over the course of the weekend, the amateurs pair with the athletes/coaches to compete in a series of two‐ man, best ball matches. The Great Summer Chef Off, August 8, 2015 This one‐of‐a‐kind cook off is a new event for the Foundation. Three of the region’s top chefs go head to head in a culinary contest: Last year’s participants were OX, The Oregonian’s 2013 Restaurant of the Year; Chef & Owner Greg Denton; Lardo, Chef & Owner Rick Gencarelli; and Iorio Restaurant, Chefs & Owners Chris Thompson and Hilary Benson. Guests enjoyed watching these noteworthy chefs “at war” with each other. The winning chef—voted for by event attendees—will receive $5,000 for donation on their behalf to a children’s charity in Oregon. Bridges to Breakers Hammerhead 100, September 19, 2015 Following Joey Harrington’s bicycle riding accident three summers ago on the streets of Portland, the 1
Harrington Family Foundation has worked with community partners and volunteers from the Children’s Cancer Association (CCA) and the OHSU Sports Medicine Team to launch the Bridges to Breakers Hammerhead 100. The Hammerhead 100 is a 100‐mile bike ride that starts in Portland and ends at the McMenamins Sand Trap Pub in Gearhart. Criteria
Eligible applicants must meet the following criteria: • Achieve a high school diploma or GED in the state of Oregon • Completed an application to at least one Oregon collegiate program (university, college, or trade program) • Committed to attending an Oregon university, college, or trade school in 2015/16 academic year • Completed standardized testing required for program admission (SAT or ACT) • Proof of Community Involvement/Volunteerism • Financial Need Required Documentation •
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Completed Application Form One‐Page Personal Essay Two Letters of Recommendation Selection
The Scholarship Advisory Committee will select scholarship recipients based on: • 45% Leadership • 45% Financial Need • 10% ‘Something Special’ Instructions
Carefully read entire application prior to completing. • Application forms found on our website: http://harringtonfamilyfoundation.org/ • Application must be printed and mailed to: Harrington Family Foundation, 1355 NW 13th Ave., Portland, Oregon 97209 • Applications cannot be submitted online. • All supporting documents from the checklist must be included with the application as a package. Incomplete applications will be disqualified. Deadline: Applications must be received by 5:00pm on Monday, March 2, 2015 Awards
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Scholarship recipients will be notified by Friday, May 1, 2015. Funds may be used for tuition, books, and fees at Oregon accredited universities, colleges, or trade programs. 2
PERSONAL/ACADEMIC INFORMATION Name: _____________________________________________________________________ Last First Middle Initial Cell Phone: ____________________ Home Phone: ____________________________ E‐mail Address: ______________________________________________________________ Permanent Home Address: ___________________________________________________ Number Street Apt. # ___________________________________________________ City State Zip Code Current School: ______________________________________________________________ High School Graduation Date: ________________ Current Cumulative GPA: ______ SAT Score: _________ School Telephone: ____________________ Counselor: ________________________ Colleges, or Trade School Programs applied to: 1. ______________________________________ Accepted? [ ] Yes [ ] No [ ] In Progress 2. ______________________________________ Accepted? [ ] Yes [ ] No [ ] In Progress 3. ______________________________________ Accepted? [ ] Yes [ ] No [ ] In Progress Have you decided which Oregon college or program you will attend? Yes / No If yes, give name: _______________________________________________________________ Date of Enrollment: ______________________ Intended Major: _________________________ Career Goal: ___________________________________________________________________ List Other Funding Applied For: Name of Scholarship/Funding Amount Pending Amount Awarded Total Funds: $ $ 3
FINANCIAL INFORMATION Complete the personal information below and indicate all sources of financial assistance you expect to receive for the upcoming academic year. Your expected expenses should include your dependents, if applicable. Please DO NOT leave blanks. Total Annual Household Income for Students & Parent/Guardians: $_____________________________ Number of Students in Household Attending College 2014/15 School Year: #_____________________________ $_____________________________ $_____________________________ Estimated Tuition/Room/Board/Books Expense: Estimated Grant/Scholarship Aid to Date: Estimated Family Contribution (Student & Parent/Guardian): $_____________________________ Amount of Annual College Expense Unfunded (Intend to Use Student Loans): CHECKLIST OF ATTACHMENTS Include the following information with your $_____________________________ application. All items should be delivered in 4
one package. Incomplete applications will not be accepted. One‐page essay: - Describe what leadership means to you. - Format must be one page, single spaced, 12 pt. font. List of community service and/or extracurricular activities (may include job/internships). Must include the following: - School and Community Service Activities Description of how you contributed to your community - Highlight what you gained from this experience Two letters of recommendation: - Letters should discuss your personal and academic achievements as well as your potential for future success. Qualities such as personal growth, motivation, self‐
confidence, leadership and commitment should be addressed. Scholarship recipients must maintain and show proof of satisfactory progress to continue receiving awarded funds for subsequent years. ________________________________________________________________ I certify that all information provided is complete and accurate to the best of my knowledge. I certify that I will enroll as a student for the upcoming academic year and will use the Oregon Community Quarterback Scholarship funds toward expenses related to the school I attend. I give Harrington Family Foundation permission to share my name, should I become a recipient, for the purpose of public relations. I give Harrington Family Foundation permission to access my academic records for the purpose of tracking, monitoring, and evaluating my progress. Falsification of information may result in termination and forfeiture of any scholarship granted. All application materials become property of Harrington Family Foundation. ___________________________ _______________________ __________ Printed Name Signature of Applicant Date 5