The Jack Arpajian Armenian Scholarship Foundation

Jack Arpajian was born on June 20, 1931 in Cleveland, Ohio. He was active in the Armenian community throughout his life and had a great love of his heritage. Jack Graduated from Kent State University with a degree in business administration. He became a very successful entrepreneur and upon his death in 1993, willed most of his estate for the purpose of providing a college education to students of Armenian descent who are high achievers, active in the Armenian community and have financial need.

Scholarship Information

The Jack Arpajian Armenian Educational Foundation was established to assist qualified Armenian students in funding a 4 year undergraduate degree at an accredited college or university within the United States. Scholarships are awarded in the amount of $3,000 per semester per recipient and continue for a maximum of 4 consecutive years, as long as the applicant continues to meet the scholarship qualifications.

Qualifications

To be eligible for the scholarship the applicant must meet the following criteria:

*Be at least one quarter Armenian descent *Have a grade point average of at least 3.0

*Prove financial need *Be a full-time student, as defined by his or her college

In order to remain eligible, recipients must meet the above

qualifications throughout their undergraduate career.

For additional Information or an application please contact:

Laurie Connelly, Executive Director The Jack Arpajian Armenian Educational Foundation

1803 Greenlea Cove Southlake, TX 76092 410-303-7809

Scholarship Application

The Jack Arpajian Armenian Educational Foundation

In order to be considered you must complete every question of the application, even if you include a resume.

Name: Date:

Address:

Home Phone: Cell Phone:

Email Address:

Social Security Number: Date of Birth M/F

Marital Status: Single / Married

Church Affiliation:

Address:

Phone Number:

Please attach a recent photo

Education

High School

Name of School:

Date of Graduation: Cumulative Grade Point Average:

Rank in Class: SAT:

Extra Curricular Activities in which you participated:

What were your contributions and your position with regard to these activities?

Honors or Awards:

Community Service

Name of 4 year accredited college you plan to attend:

Intended Major:

Address:

Telephone:

Anticipated Date of Graduation:

College (if applicable)

Name of School:

Address:

Telephone: Major:

Cumulative Grade Point Average to Date:

Rank in Class:

Current Year: FR SO JR SR

Extra Curricular Activities in which you participated:

What were your contributions and your position with regard to these activities?

Honors or Awards:

Community Service:

Additional Requirements:

Official High School Transcript

Official College Transcript (if applicable)

Copies of tax returns (1040) for previous 3ert years for applicants and parents .

If married, include 1040 of spouse as well.

Proof of Armenian Heritage

Submit 3 letters of proof (such as from a priest or other Armenian community

leader etc.) Please include address, phone numbers and relationship.

Letters of Reference

Submit 3 letters of recommendation from teachers, guidance counselors, etc.

Please include address, phone numbers and relationship.

Financial Information

Have you applied for other scholarship aid?

Have you been approved for other scholarship aid?

If so please describe scholarship and state amount of aid promised:

Have you ever applied for this fund?

Have you ever applied for financial aid?

If yes please provide copy of application, explain:

If no, please explain:

Father’s Name:

Address:

Phone: Occupation:

Employer: Employer Phone:

Employer Address:

Mother’s Name:

Address:

Phone: Occupation:

Employer: Employer Phone:

Employer Address:

Gross annual income of parents: $

Gross annual income of applicant: $

Names of siblings:

1. Age 2. Age

3. Age 4. Age

How much are parents contributing to fund education of siblings currently

enrolled in college? $

Applicant’s Employment

What has your most recent employment been? Summer / part-time / full-time

Employer’s Name:

Address:

Phone: Title:

Dates of employment: to

Your College Funding Plan

Source of Funds:

Self:

Student Loan: Source:

Grants: Source:

Parents:

ROTC:

Other:

TOTAL:

Applicant’s Cost Estimates:

Tuition:

Room:

Board :

Books:

Personal:

Other:

TOTAL:

Personal Financial Statements

Jack Arpajian Armenian Educational Foundation Inc.

1803 Greenlea Cove Southlake, TX 76092

410-303-7809

Student Name: Parent’s Names Date:

LEAVE NOTHING BLANK – EVEN IF THE ANSWER IS ZERO

Income

Annual Income: Last Year Projected this year Estimated-

next year

Salary/wages Parent #1: $ $ $

Salary/wages Parent #2: $ $ $

Salary/wages Student: $ $ $

Social security benefits: $ $ $

Business income: $ $ $

Investment income: $ $ $

Dividend income: $ $ $

All other income not listed above: $ $ $

Total income $ $ $

Assets, Debts and Net Worth

List ALL Household Assets

Obligations

Cash on hand $____________ Mortgages, balance due $____________

Bank accounts (checking and

savings) $____________ Other loans (bank, credit union) $____________

Credit Union accounts $____________ Installment debts, balance due $____________

Savings & loan accounts $____________ Credit cards, balance due $____________

Any other savings accounts $____________ Charge accounts, owed $____________

House, market value $____________ Other debts, total owed $____________

Other real estate or land, value $____________ Insurance premiums due $____________

Household furnishings, value $____________ Taxes owed $____________

Automobile(s), blue book value $____________ Other current bills $____________

Life insurance, cash value $____________

Stocks and bonds, today's value $____________ Total Debts: $____________

Profit-sharing or retirement plans $____________

U.S. Savings Bonds $____________

Money owed to you $____________

Other assets or investments $____________

Total Assets: $____________ Net Worth (assets minus debts) $____________

I certify that the information on this form is accurate and complete.

Parent Signature Date

Essay Questions: (Please attach on separate piece of paper)

1. What goals have you set for yourself, both during and after college?

2. What has your Armenian heritage meant to you, and how have you

contributed to the Armenian Community?

I hereby make application to the Jack Arpajian Armenian Educational Scholarship

Foundation, Inc. and hereby state that all the above information is true to the best

of my knowledge and that if selected, I will comply with the bylaws, rules and

regulations of the foundation.

Cut off dates: 6/30, for fall semester, 12/1, for spring semester.

Signature of Applicant: Date:

Please mail application to:

The Jack Arpajian Armenian Educational Foundation, Inc.

1803 Greenlea Cove

Southlake, TX 76092

Please email questions to connelly6728@gmail.com or call 410-303-7809