Explore America EXPLORER SCHOLARSHIP APPLICATION We believe every student should have the opportunity to explore the history, culture and beauty of our nation firsthand. The Explorer Scholarship is one way we help make that possible. Select students from around the country are awarded with this scholarship to make travel more accessible, and offered a chance to transform the way they look at the world—and themselves. Every year, hundreds of students apply for the Explorer Scholarship. The selection process is highly competitive and recipients are chosen based on their essay submission and demonstrated financial need. Essays are evaluated on argument, spelling and grammar, and creativity and play a big part in determining scholarship recipients. All decisions are final and awards are non-transferable. Explore America EXPLORER SCHOLARSHIP DETAILS How to apply for this need-based scholarship: 1 A parent or guardian must sign and complete the Explorer Scholarship worksheet and tax form (pages 2-3). 2 T he student must answer the essay question (page 4), “Why do you want to go on this EF Explore America trip?” 3 T he worksheet, tax form and essay must be received by EF Explore America by the deadline as specified below. Explorer Scholarships are awarded monthly, based on the following schedule. We will let you know if you’re a winner no later than 120 days before your trip. Tour departure month Application deadline January 2015 July 15, 2014 February 2015 August 12, 2014 March 2015 September 12, 2014 April 2015 October 12, 2014 May 2015 November 12, 2014 June 2015 December 12, 2014 July 2015 January 12, 2015 August 2015 February 12, 2015 September 2015 March 14, 2015 October 2015 April 14, 2015 November 2015 May 14, 2015 December 2015 June 14, 2015 Make sure your Explorer Scholarship application is complete before submitting it; please include: � Explorer Scholarship financial aid worksheet � Supporting financial documents (specified on worksheet) � Your essay submission PLEASE SUBMIT MATERIALS BY MAIL OR FAX Mail Fax Explorer Scholarship, EF Explore America 8 Education Street, Cambridge, MA, 02141 617.619.1805 Attention: EF Explore America Explore America EXPLORER SCHOLARSHIP WORKSHEET Traveler information Complete legal name Address Date of birth ________ / _______ / _________ Phone number ( ______ ) ______ - _________ Email Tour number Departure date ________ / _______ / _________ Group Leader name Parent/guardian information Complete legal name Address Date of birth ________ / _______ /_________ Phone number ( ______ ) ______ - _________ Email Family information List the people in your household, including: • Yourself, spouse/partner and your children • O ther children, even if they don’t live in your household if you will provide more than half of their support from July 1, 2014 through June 30, 2015 • O ther people who live in your household and you provide more than half of their support and will continue to provide more than half of their support from July 1, 2014 through June 30, 2015 Name Age Relationship to you Student name Tour number Explore America Departure date TAX FORMS AND INCOME INFORMATION Check only one box below. Tax returns include the 2013 IRS Form 1040, 1040A, 1040EZ, a tax return from Puerto Rico or a foreign income tax return. If you did not keep a copy of your tax return, request a copy from your tax preparer or request an Internal Revenue Service form that lists tax account information. Please note: Your social security number may appear on these forms. That information is not required by EF Explore America. Please black out your social security number for privacy. Check here if you are attaching a signed copy of your tax return. Check here if a signed tax return(s) will be submitted to EF Explore America Explorer Scholarship by / / (date). Check here if you will not file and are not required to file a 2013 U.S. Income Tax Return. Funds received for child support and other untaxed income. Sources of untaxed income 2013 Amount a. Child Support $ b. Workman’s Compensation $ c. Untaxed Pensions $ d. $ e. $ If you did not file and are not required to file a 2013 Federal income tax return, list below your employer(s) and any income received in 2013 (use the W-2 form or other earnings statements if available). Sources 2013 Amount $ $ $ Please include any other information relevant to your financial situation (e.g. unexpected job loss, unforeseen medical expenses, a parent or guardian attending an institution of higher education) The person signing this form certifies that all the information reported on it is complete and correct. Signature of parent or guardian of traveler Date Student name Tour number Explore America Departure date EXPLORER SCHOLARSHIP ESSAY Instructions: Your essay is an important part of your Explorer Scholarship application. Every year we have many students who demonstrate need and the essay is what sets them apart. Please write an essay of no more than 250 words that answers the question below. Write your essay in the space provided and include it with your Explorer Scholarship Worksheet. “Why do you want to go on this EF Explore America trip?” Student name Tour number Explore America Departure date TERMS AND CONDITIONS No purchase necessary. The Explorer Scholarship Winners will be notified by EF Explore America by phone, program is open to students traveling with EF Explore email or standard mail. The odds of winning will depend on America at the middle school, junior high school or senior the number of eligible entries received. high school level living in the United States. Employees (and their immediate families and household members) of The Explorer Scholarship will automatically be applied to EF Explore America, Inc. and its affiliates are not eligible. the winner’s EF Explore America account. Winners may decline a prize in writing within 75 days of tour departure. To be deemed eligible for the Explorer Scholarship, Alternate potential winners may be selected at the sole students agree to fill out a post-tour survey that discretion of EF Explore America management. Winners will be emailed to them. To apply, students must and all travelers must execute EF Explore America’s complete the financial aid application and submit an Release and Agreement, Booking Conditions, etc. EF original essay answering the given essay prompt. Please Explore America makes no warranties with respect to see pg.2 for application deadlines. Applicants may use the prize. the official entry form or submit all information to Explorer Scholarship, EF Explore America, 8 Education Street, The Explorer Scholarship is void where prohibited or Cambridge, MA 02141, or submit by fax to 617.619.1805, restricted by law and is subject to all Federal, State, and Attention: EF Explore America, Explorer Scholarship. Local laws and regulations. All taxes on prizes are solely the responsibility of the winners. EF Explore America, Inc., its affiliates, agents and others working for them or on their behalf, will have the right to EF Explore America is not responsible for any lost or photograph winners and entry constitutes permission to misdirected entries. Prizes are non-transferable. use their name, picture, likeness, school’s name, city and state of residence(s), survey response and essay The Explorer Scholarship is sponsored by EF Explore submission in advertising for no additional compensation. America, Inc. 8 Education Street, Cambridge, MA 02141-1883. EF Explore America, Inc. reserves the right One application per person. The Explorer Scholarship program is ongoing. Applications are accepted on a rolling basis. Winners will be selected by EF Explore America based upon a grading rubric applied to the entrant’s essay and financial need application. All decisions are final and at the sole discretion of EF Explore America management. Due to volume of submissions received, EF Explore America is unable to inform entrants of receipt of essay. to amend or cancel the scholarship program at any time.
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