2014 GENERAL SCHOLARSHIP APPLICATION

Electronic version

Please carefully read the eligibility requirements in Part I for applying. Scholarships and awards differ in
requirements and are based in large part on information provided by the applicant.
You must read and initial the certification statement at the end of the application form, pledging to attend the
Scholarship Awards Ceremony and reception on Tuesday, May 6, 2014 at 7:00 p.m. in the John C.
Quimby Theater on the Stone Ridge campus. Scholarship Recipients who are in class at the time of the
ceremony are not required to attend but must let the Foundation know by emailing roserb@sunyulster.edu they
will not be at the ceremony. We ask that you provide a thank you letter to scholarship representatives, should
you be a recipient. Failure to complete any of these requirements may result in the loss of scholarship awards.
NOTE CHANGE OF SUBMISSION FOR 2014 APPLICATION: The 2014 application may be completed
electronically and emailed to roserb@sunyulster.edu or may be printed and completed and mailed to
the Ulster Community College Foundation, PO Box 557, Stone Ridge, NY 12484. Application should
be completed as soon as possible, but no later than February 7, 2014, 4:00 p.m.
Applicants are responsible for seeing that their applications are complete. If you have questions you can stop
by the Foundation Office in Clinton Hall, Room 208 or call ( 845) 687 -5293. Award notifications will take
place the second week of April.
INSTRUCTIONS ON FILLING OUT AND SUBMITTING THE ELECTRONIC APPLICATION:
Step 1: Download the 2014 General Scholarship Application "Electronic version" to your computer and save as
(student last name, student first name.pdf). Step 2: Fill in the information in the boxes on the form and then
re-save the document. NOTE: boxes that have a red outline must be completed.
Step 3: email this document as an attachment to roserb@sunyulster.edu. If you have any questions
email roserb@sunyulster.edu or call 687-5293.
Many scholarships require a specific cumulative grade point average for consideration. The committee gives
strong preference to those applicants with a 3.0 or above. However, campus activities and community service
are also very important in determining awards. The Scholarship Committee spends many hours working to make
the best possible decisions. Please take advantage of your opportunity to speak to them through the essay portion
of this appplication.
NOTE: In addition to the General Scholarship Application there are separate applications for special
scholarships that can be printed from the Foundation's webpage. Please check criteria requirements on the
website http://www.sunyulster.edu/foundation/scholarships/applications/ to see if you are eligible.

DEADLINE: FRIDAY, FEBRUARY 7, 2014

Ulster Community College Foundation, Inc., Stone Ridge, NY 12484, (845) 687-5293
Ulster County Community College does not discriminate in education, employment, or any of its businesses
on the basis of sex, sexual orientation, race, color, age, religion, national origin, or disabilities.

2014 GENERAL SCHOLARSHIP APPLICATION Part I

Lia Krempl
54__ - __
4840
Name: _________________________________________
Student ID #: U 0 0 - __
__ __ __
163 Boulevard
krempll40
my.sunyulster.edu
Address: __________________________
E-mail: ______________________@
Kingston
12401
City: ____________________________________
State: NY
__ __ Zip Code: __
__ __ __ __ - __ __ __ __
2014
845
Home School
334
Telephone: (__
__ __ )__
__ __- 9144
__ __ __ __ High School ____________
HS Grad. or GED Yr.* __
__ __ __

Please complete the appropriate information below:

Eligibility:
ENTERING* students must have completed less than 12 credit hours and be formally matriculated into a
program of study at SUNY Ulster by July 31, 2014 to be eligible to receive an award for Fall 2014.
1
1
* If graduating from High School in 2014 please indicate your class ranking. ________
out of ________
students.

RETURNING s tudents must have completed at least 12 credit hours and be formally matriculated into a
program of study at SUNY Ulster by May 31, 2014 to be eligible to receive an award for Fall 2014.
Students graduating and TRANSFERRING to four-year institutions must have completed a total of 60 credit
hours or more, of which 30 credits must have been completed at SUNY Ulster by May 31, 2014.
Number of credit hours ** you expect to be registered for in Fall 2014 (choose one)

12 or more credits

Number of credit hours ** you expect to be registered for in Spring 2015 (choose one)

12 or more credits

** Scholarship awards will be decreased or rescinded if a student registers for fewer credits than stated on this application.
Mathematics
Declared or anticipated major at SUNYUlster : ___________________________________________________
Anticipated date of SUNYUlster graduation: May 20 __
16__ December 20__ __ (if Dec. see *** transferring)
If transferring, which college(s) do you plan to attend in Fall 2014? _______________________________________________
If transferring***, which college(s) do you plan to attend in Spring 2015? _______________________________________
NOTE: Scholarships are NOT available to students transferring to another two-year college.

Have you been accepted to a transfer college?

(please check one):

YES

NO, I have not yet applied.

NO, I have applied & am waiting for a response.
Declared or anticipated major at four-year college:______________________________________________________
Mathematics

Career goal: ____________________________________________________________________________

Teacher
List all SUNYUlster campus activities:

Phi Theta Kappa Member

NO

List all community service activities including the number of hours completed in the last 12 months:

Additional Clubs/Activities not already listed in Campus Activities or Community Service:

I have been involved in Scouting. Where? _______________________________________________________________

How did you find out about scholarships:
Faculty/Staff (name) _____________________ Friend
MySUNYUlster.edu
Other _______________________________
Website Bulletin Board

2014 GENERAL SCHOLARSHIP CHECKLIST Part II

Lia Krempl
4840
54__ - __
Name: _________________________________________________
Student ID #: U 0 0 -__
__ __ __
Over 190 scholarships and awards with varied requirements are available through Ulster Community College Foundation, Inc.
Please complete the appropriate information below to assist us in identifying scholarships for which you may be eligible.

Indicate with a check mark any areas that you plan a career in or have experience in and include a brief
description next to the area you have indicated if additional space is needed, please include in your essay.
Athletics ____________________________________________________________________________________
Nine years of piano lessons
Instrumental Music ___________________________________________________________________________
Recreation Leadership ________________________________________________________________________
Theater _____________________________________________________________________________________
Vocal Music Four
_________________________________________________________________________________
semesters of College Chorus at Suny Ulster
(please indicate an area of specialization you have interest or experience in - you may indicate more than one):

Business Majors:
Accounting
Financial Services
Land Development
Real Estate
Communications Majors:
Audio Visual
Journalism
Media
Public Relations
Criminal Justice Majors:
Police Officer
Attorney
Penal System
NYS Trooper
State/ Local Government
Police Academy
Private Security/Cyber Security
Education Majors:
Childcare
Elementary
Foreign Languages
History
Physical Educ.
Special Educ.
Healthcare Majors:
Physician
Research
CNA
LPN
Cancer
Diabetes
Geriatrics
Pre-Med
Pediatrics
Psychiatric
Liberal Arts/Social Science/Human Service Majors:
Chemical Dependency Counseling
Counseling
Environmental Activism
Human Rights
Literature
Philosophy
Politics/Government
Religion
Science/Engineering/Math Majors:
Biology
Chemistry
Construction
Earth Science
Environmental
Industrial Technology
Physics
Research
I have completed at least one Earth Science (ESC) course with a B or higher.
I have completed at least one Physics (PHY) course with a B or higher.
I have completed at least one Chemistry (CHE) course with a B or higher.

115
The highest math course I have completed with a B or higher is MAT __
__ __ . (example 098 or 203)
I am a member or related to a member of a Fire Department. Fire Dept. Location ____________________________

Fire Fighters Name _______________________________ is my ______________________________ (relationship)

Mid Hudson Valley Federal
I am a member of the ____________________________________
Credit Union.
I am the first member of my family (grandparents, parents, and siblings) to attend college.

I reside in the COUNTY of (choose one) Ulster

I reside in the TOWN of (choose one)

Single

Married

Kingston

____ # of children

_____ # of children currently living in my home

3 # of people in my household (parents, spouse, siblings) planning to attend college during the Fall 2014-Spring 2015 academic year
__
I work while attending school If yes, # hours/week ______ and company (optional) __________________________________
I am a Military Veteran _________________________________________________________ Branch of Military
I am a child or spouse of a present, or former, service-member of the U.S. Army, Navy, Marines, Coast Guard or Air Force.
Both of my parents were born in the United States (Choose one) YES
English is the primary language spoken in my household (Choose one) YES
(The following questions are optional but are required in order to be considered for some scholarships)
My education is paid for with (check all that apply) my income
my parents income
loans
scholarships
employer funded tuition assistance program financial aid
Living Expense:

I rent

I own a home/apartment

Did you apply for financial aid?

Yes

No

I live with a family member

Are you eligible for financial aid? Yes

No

Pursuing my education has been a special challenge because:(i.e. Language, Disability, Financial Need), _______________________

2014 GENERAL SCHOLARSHIP APPLICATION Part III

Lia Krempl
4840
54__ - __
Name: _________________________________________________
Student ID #: U 0 0 -__
__ __ __
ESSAY:
Please tell the Scholarship Selection Committee why you wish to be considered for a scholarship by answering
the following questions. This is your opportunity to share your accomplishments and goals with the Committee.
Several scholarships require community service or community involvement please include that information in
your answers. Please answer each question with 4-6 sentences.
1) Explain why you chose your major.

I started taking math at SUNY Ulster, and I found out that I love it. There's math involved in almost
everything and it's amazing to see. I also want to be apart of either teaching people about it, or using it to
better my world. I am excited to be involved in something so essential in our society.

2) What are your career goals?

I haven't decided what I want to do with my Mathematics degree once I get it. Whatever I decide I want to
do, I want to enjoy doing it. I also want to be a help to my community. I hope to encourage others who are
struggling in math and to help them understand it in the exciting way that I see it in.

3) Briefly describe the volunteer work you have done in the past three years, and what you learned.
During the past three years I have help out with a group called Kid Zone, MOPS and Wednesday night
Spaghetti dinner at First Baptist in Kingston. I have learned how to entertain kids while teaching them
about God and useful life lessons. I have also learned how to jump in and help where it's needed, whether
or not I want to. Another thing I've learned is perseverance, whether it's just to hold out until the last plate
is served or pushing on through the year, especially when it gets hard.

4) Briefly describe how you are paying for college and why a scholarship would be helpful to you.

I have a seasonal job with Forsyth Nature Center in Kingston. I need that job to pay for my school bills. A
scholarship would be helpful to me, because my parents are unable to pay for my education, so it's all on
me. If I have a scholarship I won't have to work as much during the semester which would mean that I can
focus on my studies. If I have a scholarship, I hope to not go into debt.

2014 GENERAL SCHOLARSHIP APPLICATION Part IV

Lia Krempl
4840
54__ - __
Name: _________________________________________________
Student ID #: U 0 0 -__
__ __ __
Have you previously received a scholarship from the Ulster Community College Foundation, Inc.?
If yes, please list the scholarship(s) you were awarded and the year(s) awarded:

YES

NO

_______________________________________________________________ Year __ __ __ __
_______________________________________________________________ Year __ __ __ __
_______________________________________________________________ Year __ __ __ __
Upon submission of this application, I hereby authorize the Scholarship Committee to review copies of my high
school and college transcripts for purposes of academic evaluation. type your first and last initials here __
LK__ __
LK__ __
I hereby state that all information given is accurate, complete and true. type your initials here __

I agree to abide by the Ulster Community College Foundation, Inc. Scholarship policies, and any policies of the
scholarship I may receive. type your initials here __
LK__ __
I agree that if I withdraw from the College, or if I fail to meet the eligibility requirements of the scholarship, I
will owe to the College all or a portion of any scholarship awarded, according to the refund policy of the
College. type your initials here __
LK__ __
I understand that any scholarship monies awarded may be credited against the balance of any outstanding bills
to the College or money due the Foundation Emergency Loan Fund. type your initials here __
LK__ __
Should I be awarded a scholarship by the Committee, I agree to be present at the Scholarship Awards Ceremony
LK__ __
and Reception. type your initials here __
I agree to write a thank you letter to my scholarship sponsor(s).

LK__ __
type your initials here __

I understand that if I fail to attend College during 2014-2015, or fail to register for and complete the
LK__ __
number of credits anticipated, my award will be rescinded or decreased. type your initials here __
I understand that scholarship awards may only be paid to a college or university directly to reduce tuition, fees,
or book expenses. type your initials here __
LK__ __

LK__ __
I understand scholarship payments are disbursed over two semesters. type your initials here __
I understand scholarships may NOT be applied to past due bills or to Summer 2014 or Winter*net classes. type
your initials here __
LK__ __
I understand scholarships will be considered in awarding Financial Aid, and may be applied to reduce the
LK__ __
amount of loans that students incur. type your initials here __
I understand that it is Foundation policy not to pay a scholarship award directly to the recipient except in
extraordinary circumstances. type your initials here __
LK__ __
The Ulster Community College Foundation, Inc. has my permission to use information and quotes from my
application and/or essay when communicating with scholarship representatives and in other Foundation
LK__ __
and SUNY Ulster materials. type your initials here __
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25
2014
Todays Date: ____/____/_____
Don't forget to save to your computer as last name, first name.pdf and email as attachment to roserb@sunyulster.edu.