Application Instructions

*Please answer every question. We recommed and find it advantageous if you download the application instructions to help with accurately completing all the requested information. You do not have to supply the additional documents (transcripts, tax form, etc) until they are requested. Thank you for applying for the Jeanine Horowitz Academic Scholarship!

Multiple choice questions must be answered by filling in the appropriate online application; no tangible forms of the application will be considered. It is your responsibility to requested and obtain the necessary documents and they must be submitted together upon request. Attachments and requested documents and/or application materials transmitted by facsimile will not be considered.

It is important that you provide all the information requested and that all of your answers are accurate. The Jeanine Horowitz Foundation will verify your answers before you are selected, and you may be disqualified if the information you provide is incorrect.

1. An application must be completed online by the Applicant prior to the posted deadline. 2. A dated re-admittance letter from a four year accredited university must be submitted upon request. 3. Federal income tax must be submitted upon request. 4. A FAFSA application must be completed by the federal government deadline, and SAR must be submitted upon request. 5. A copy of the housing rental lease must be submitted upon request. 6. An official university transcript must be submitted upon request.

NOTE: We strongly urge you to read the instructions and complete the online application and to sign your application electronically. You may do so at the http://www.jeaninehorowitzfoundation.com/form.html . Filing the form online is easy and will reduce the possibility of data entry errors. It also will expedite your nomination’s processing. The web-based Application has features that will guide you in filling out the information correctly and completely. If you decide to submit a web-based application, you are encouraged to read these instructions and review your application for accuracy prior to submission. You may wish to write out your answers on paper before completing your online application. Please do not mail in an application once you submit it electronically. Before submitting the application, please view the application to ensure that you have answered each question accurately. Please note that completion of all fields is required and providing any inaccurate information may cause your application to be disqualified.

Enter your prefix (Mr., Ms., Miss, Mrs.) and your full legal name. Spell out your entire last, first, and middle names. If your name ends with a suffix, such as Jr., 2nd, or III, etc., enter the suffix in the space designated. Do not spell it out.

Enter your Social Security Number. Ensure that your Admission and Registrar offices have your correct Social Security Number. If the Admission and/or Registrar offices do not have the same Social Security Number, the packet will be rendered incomplete. 123-45-5678

Use numbers for the month, day, and year. For months and dates represented by a single digit, place a zero before the digit, e.g., (06/09/1986 for June 9, 1986).

Enter a phone number, including area code, where you may be reached or where a message may be left for you. If you have several phone numbers, provide the number where you are most likely to be reached.

Enter your e-mail address that you most often access.

Enter your preferred mailing address. This is the address where you will receive information from JHF. If you have an apartment number, please enter it in the space provided. If you have a P.O. Box number and the post office does not deliver mail to your preferred mailing address, enter the P.O. Box number in the space provided for "NO. & STREET". If you live outside the United States, enter the country of residence in the space provided.

(African American, Asian Pacific Islander American, American Indian/Alaska Native, or Hispanic American). While you may identify with more than one of the categories listed, you must select only one for your application to be processed. (American Indian/Alaska Natives will be asked to provide proof of tribal enrollment or certificate of descent from a state or federally recognized tribe if selected as a JHF candidate.)

Enter your cumulative Grade Point Average (GPA) on a scale of 4.0 (un-weighted scale). If your educational institution does not use the 4.0 scale in calculating GPAs, asks a qualified counselor to assist you in converting your GPA. Correctly entering your cumulative GPA on a scale of 4.0 is critical for the processing of your application. JHF will not be able to process your application if you enter a GPA on a scale other than 4.0. Do not provide your major g.p.a. and this could jeopardize your applications authenticity and processing.

To complete the following section, you first must determine whether you are considered a dependent or an independent student for purposes of Federal Pell Grant eligibility. NOTE: To receive a Jeanine Horowitz Academic Scholarship, you must be eligible for a Federal Pell Grant. Federal Pell Grants typically are awarded to students demonstrating the most need. Your eligibility for a Federal Pell Grant can be determined only by filing a Free Application for Federal Student Aid (FAFSA). You should file a 2008-2009 FAFSA as soon as possible and no later than February 1, 2008. To get an idea of whether you are likely to qualify for a Federal Pell Grant, consult your high school guidance counselor or college financial aid office, or visit www.fafsa.ed.gov. Most students entering college directly after high school are considered dependent students and the same rule apply for returning students. Therefore, if you are dependent, you must report financial information for yourself and your spouse on the application. To determine whether you are considered a dependent or an independent student, answer the following questions:

If you answered "yes" to at least one of the questions listed above, you are independent. If you answered "no" to all of the questions, you are dependent.

Enter up to eight honors and awards that you have received since the beginning of the 10th grade. If you have received more than eight such awards, list the eight you believe best demonstrate your qualifications to be a Jeanine Horowitz Academic Scholar. For each honor/award you list, enter the date you received the honor/award. List no more than eight honors and awards, and use only the space provided on the application. If you do not have any honors and or awards, fill in "n/a."

Enter the name of the organization(s) and description(s) of your activities for unpaid volunteer work and community service in the space provided (i.e. filing, providing meals to elderly, etc.). If you were involved with more than one organization or more than one activity during one time period, list them on the same line. If you do not have information to list, please fill in the oval labeled no and indicate reason.

Enter the total number of hours you worked for pay for each time period listed. Be certain to combine the Number of Hours for all paid employment in each time period. For example, if you received payment for 50 hours of work in July 2007 from Employer A and for 50 hours in August 2007 from Employer B, you would enter 100 in the blocks provided for Number of Hours for July 2007-Aug. 2007. Enter the name of the employer, position held in the space provided (i.e. receptionist, executive assistant, etc.). If you worked for more than one employer during one time period, list them on the same line. Fill in "n/a" and proceed to the next question.

If you have leadership roles to list, fill in the oval labeled "yes" and proceed to enter up to six instances since high school in which you believe you played a leadership role. If you have more than five items to list, list the five that you would most like JHF to consider in reviewing your nomination. Do not list more than six. For each, be sure to enter the name of the organization or group, the position title or role you played, and the dates of your involvement. Think creatively and carefully about past or current activities that demonstrate your ability to facilitate or influence decisions made or actions taken by a group. Consider only those instances in which you contributed more than others did to influence these decisions or actions. In judging leadership potential, JHF will emphasize quality over quantity. If you do not have any Leadership Activities to list, then fill in "n/a" and indicate the reason.

Why do you think this happened? How did you respond? Did the situation improve as a result of your response? Explain why you thought the situation was unfair, why you thought your way of responding would make a difference, and whether it in fact did.

Please select an experience different from the one you discussed in the previous question, even if this experience also involved leadership. What did you accomplish? How did this experience influence your goals? Be sure you explain how your involvement in these activities made a difference to others.

How? If you have gained expertise in a nonacademic skill (e.g., woodworking, sewing, automotive repair, etc.), explain how you became interested in and mastered that skill.

Please do not reiterate information you already have provided. This is your opportunity to state something about yourself that was not asked previously.

Select the button to indicate your authorization to release your name to organizations seeking interns, as well as permit the administrator of the Jeanine Horowitz Foundation or administrative approved organizations to consider your nomination for other scholarship programs. Please understand that you are still responsible for applying to all scholarship programs for which you are interested.

Read the statement, and, if true, sign and date the online application. If you are submitting and agreeing to the online application, sign it by typing in the space provided for your signature, your name or another symbol that you execute or adopt with the intent to sign the application. Requested documentations must be received within 10 business days when request by the JHF.