EXPLORER SCHOLARSHIP APPLICATION Explore America

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.