2013 FAIR LAKES SCHOLARSHIP PROGRAM

Application for Fair Lakes Employees, Residents and/or Dependents

-------------------------------------------------------------------------------Deadline: Scholarship Applications Must Be Received in the Fair Lakes League Office Via Mail or Hand Delivery by 5:00 pm on Monday, June 3, 2013 Fair Lakes League Attn: Sheila Hudson 12500 Fair Lakes Circle, Suite 400 Fairfax, Virginia 22033

-------------------------------------------------------------------------------The Board of Directors of the Fair Lakes League acknowledges the strong support that Fair Lakes residents and employees give to our local community. In recognition of this continued support, the Fair Lakes League will award three (3) $3,500 scholarships to Fair Lakes employees, residents, and/or their dependents. By signing the application form, prospective applicants agree to abide by the guidelines and procedures found on page 2 and to provide the necessary information on the appropriate application form found on pages 3-5. Applications will be reviewed by the Scholarship Committee appointed by the Fair Lakes League. Applicants will be notified by letter of the outcome by June 29, 2013. A reception to honor the recipients and award the scholarships will be held within Fair Lakes.

*IMPORTANT*
1. 2. 3. Applicants submitting an incomplete application packet will not be considered (see Application Procedures on page 2). Handwritten essays will not be considered. The applications should be legibly printed. Those holding the following positions within the Fair Lakes League, as well as their dependents, are ineligible to apply for the Fair Lakes Scholarship: Board of Trustees members, Scholarship Judges, Fair Lakes League Property Manager . Prior recipients of the Fair Lakes Scholarship are not eligible for consideration for the 2013 scholarship offering. Employment and/or resident information will be verified for all finalists.

4. 5.

ELIGIBILITY GUIDELINES Employee Scholarship

Applicant must be a current full or part-time employee of a company located within Fair Lakes. If the company has several locations, the employee must work full or part-time at the companys Fair Lakes office. Proof of employment is required. 2. Applicant must be pursuing an undergraduate degree or graduate degree. 1.

Resident Scholarship
1. Applicant must be a current resident of any Fair Lakes neighborhood that is a League member. Proof of residency is required. Member neighborhoods include: Arbors at Fair Lakes Camden Fair Lakes eaves Fair Lakes Fair Lakes Condominiums Fair Lakes Square Fair Lakes Townhomes Gates of Fair Lakes North Lake Stonecroft Condominiums The Greens at Fair Lakes Waters Edge at Fair Lakes Willow Oaks at Fair Lakes Windsor at Fair Lakes

2. Applicant must be pursuing an undergraduate degree or graduate degree.

Dependent Scholarship
1. Applicant must be a dependent of a full or part-time Fair Lakes employee, or a dependent of a current Fair Lakes resident (see above listing of eligible Fair Lakes neighborhoods). Proof of residency or employment within Fair Lakes of parent/guardian is required. 2. Applicant must be pursuing his/her first undergraduate degree.

ALL APPLICANTS
1. Provide proof of acceptance/enrollment at an accredited institution of higher learning for Fall 2013. 2. Provide proof of employment or residency is required. 3. Have a minimum academic standing of 3.2 cumulative GPA (4.0 scale) or greater (current students).

APPLICATION PROCEDURES
For consideration for the 2013 Fair Lakes Scholarship, applicants must adhere to the following procedures: 1. Applicant must submit: a) A legibly printed application filled in completely. b) A typed essay of no more than 200 words on separate sheet describing your career goals and the individual or life experience which has had the most influence on formulating those goals. c) An official copy of your transcript through the most recent semester or quarter verifying a minimum academic standing of 3.2 cumulative GPA (4.0 scale) or greater (if current student). d) Provide proof of acceptance/enrollment at a college or university for dependents or at a regional educational institution for employees/residents. 2. The application packet must be received by the Fair Lakes League via mail or by hand delivery by 5:00 pm on Monday, June 3, 2013. Late applications will not be accepted. 3. Applications that are incomplete will not be considered. Additional materials may not be submitted once the application is received in the League office.

Judging Procedures
All personal information and employment information will be used for verification purposes only and will not be available to the judges during the application review process. All applications will be judged on the following criteria: academic achievement, volunteer/civic involvement, awards and honors, and essay.

2013 Scholarship EMPLOYEE APPLICATION

Application will not be considered if Application Procedures (on page 2) are not followed and/or application is received incomplete.
Applicant Personal Information: Name: ________________________________________________________________________________
(First) (Middle) (Last)

Address: ______________________________________________________________________________ City, State, Zip:________________________________________ Home Phone: ______________________ Work Phone:_____________________ Email: ________________________________________________ Employment Information: Fair Lakes Employer: ____________________________________________________________________ Full Fair Lakes Company Address: __________________________________________________________ How Long Employed at this Company: _________________________
(months/years)

Educational Information: Education Completed: _____ High School _____ Bachelors Degree _____ Masters Degree

Name of Undergraduate/Graduate Institution Now Attending (If Not Currently Attending, Attach Verification Of Acceptance/Enrollment):________________________________________________________________ Number of Undergraduate or Graduate Credits Completed: ______________________________________ Number of Credits Needed To Complete Degree If Currently Enrolled: ______________________________ Expected Degree: _______________________________________________________________________ Planned Field of Study, Major: _____________________________ Minor: __________________________ Cumulative Grade Point Average, if Currently Enrolled (Attach Verification):__________________________ General Information: (Use Separate Sheet If Necessary) Volunteer/Civic Involvement/Offices Held: ____________________________________________________ Awards and Honors: _____________________________________________________________________ Applicant Certification: I certify that the information provided in this application, to the best of my knowledge, is true and correct. ___________________________________
(Signature of Applicant)

___________________
(Date)

2013 Scholarship RESIDENT APPLICATION

Application will not be considered if Application Procedures (on page 2) are not followed and/or application is received incomplete.
Applicant Personal Information: Name: ________________________________________________________________________________
(First) (Middle) (Last)

Address: ______________________________________________________________________________ Fair Lakes Neighborhood: _________________________________________________________________ City, State, Zip: _______________________________________ Home Phone: ______________________ Work Phone: _____________________ Email: ________________________________________________ Employment Information (If Applicable): Fair Lakes Employer: ____________________________________________________________________ Full Fair Lakes Company Address: __________________________________________________________ How Long Employed at this Company: _________________________
(months/years)

Educational Information: Education Completed: _____ High School _____ Bachelors Degree _____ Masters Degree

Name of Undergraduate/Graduate Institution Now Attending (If Not Currently Attending, Attach Verification of Acceptance/Enrollment):________________________________________________________________ Number of Undergraduate or Graduate Credits Completed: _______________________________________ Number of Credits Needed To Complete Degree If Currently Enrolled: ______________________________ Expected Degree: _______________________________________________________________________ Planned Field of Study, Major: _____________________________ Minor: __________________________ Cumulative Grade Point Average, if Currently Enrolled (Attach Verification):__________________________ General Information: (Use Separate Sheet If Necessary) Volunteer/Civic Involvement/Offices Held: ____________________________________________________ Awards and Honors: _____________________________________________________________________ Applicant Certification: I certify that the information provided in this application, to the best of my knowledge, is true and correct. ___________________________________
(Signature of Applicant)

___________________
(Date)

2013 Scholarship DEPENDENT APPLICATION

Application will not be considered if Application Procedures (on page 2) are not followed and/or application is received incomplete.
Applicant Personal Information: Name: ________________________________________________________________________________
(First) (Middle) (Last)

Address: ______________________________________________________________________________ Fair Lakes Neighborhood: _________________________________________________________________ City, State, Zip: _______________________________________ Home Phone: ______________________ Work Phone: _____________________ Email: ________________________________________________ Name of Parent/Spouse Who is a Fair Lakes Employee/Resident: _________________________________ Employment Information (If Applicable): Fair Lakes Employer of Parent/Spouse: ______________________________________________________ Full Fair Lakes Company Address: __________________________________________________________ How Long Employed at this Company: _________________________
(months/years)

Educational Information: Education Completed: _____ High School _____ Bachelors Degree _____ Masters Degree

Name of Undergraduate/Graduate Institution Now Attending (If Not Currently Attending, Attach Verification of Acceptance/Enrollment):__________________________________________________________________ Number of Undergraduate or Graduate Credits Completed: _______________________________________ Number of Credits Needed To Complete Degree If Currently Enrolled: ______________________________ Expected Degree: _______________________________________________________________________ Planned Field of Study, Major: _____________________________ Minor: __________________________ Cumulative Grade Point Average, if Currently Enrolled (Attach Verification):__________________________ General Information: (Use Separate Sheet If Necessary) Volunteer/Civic Involvement/Offices Held/Work Experience: ______________________________________ Awards and Honors: _____________________________________________________________________ Applicant Certification: I certify that the information provided in this application, to the best of my knowledge, is true and correct. ___________________________________ ___________________

(Signature of Applicant)

(Date)