Dinuba Carls Junior Aplication – Fill Out and Use This PDF

The Dinuba Carl's Junior Application form is a comprehensive PDF document designed to assist students in applying for the Carl N. & Margaret Karcher Founders’ 2015 Scholarship Program. This scholarship aims to support students who plan to continue their education in college or vocational school programs. It is important for applicants to follow the step-by-step instructions provided for PDF fill-in-the-blank features or to complete the form manually if preferred. For those looking to further their education with the support of the Carl N. & Margaret Karcher Founders' Scholarship, click the button below to fill out your application form.

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Dinuba Carls Junior Aplication PDF Details

The Dinuba Carl's Junior Application form serves as a comprehensive guide for individuals seeking the Carl N. & Margaret Karcher Founders’ 2015 Scholarship Program, aimed at assisting students who are planning to continue their education in college or vocational school programs. To utilize this PDF fill-in-the-blank scholarship application, applicants are required to have Adobe Reader 6.0 or greater, providing them two options for submission: directly filling in the blanks electronically and saving the progress or printing the blank application to complete it manually with a pen or typewriter. Important sections like the Applicant Appraisal and Transcript Information must be printed and submitted in paper form as they cannot be completed online. The program, managed by Scholarship Management Services, emphasizes inclusivity and offers awards without regard to race, color, creed, religion, sexual orientation, gender, disability, or national origin. This scholarship is open to students under 21 from specified states, providing a non-renewable $1,000 award to selected applicants based on academic records, leadership, community participation, and financial need, among other criteria. Complete submission includes the application, a current complete transcript, and adherence to the February 15, 2015, postmark deadline. Furthermore, the financial section requires detailed parental financial information to evaluate need. Scholarship Management Services strictly reviews all submitted information confidentially with the stipulation that incomplete applications will not be evaluated. The program reserves the right to make changes, including program termination at any time, and emphasizes recipients' responsibility to report any changes regarding their information or school enrollment. Overall, this application process underlines detailed instructions and multiple components essential for consideration in the Carl N. & Margaret Karcher Founders’ Scholarship Program, suggesting meticulous adherence to directions for potential applicants.

Question	Answer
Form Name	Dinuba Carls Junior Aplication
Form Length	7 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 45 sec
Other names	carl's junior application, carl's jr application pdf, printable carls jr application, carl's jr application online

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Instructions for Completing a PDF Fill-in-the-blank Scholarship Application Form

You will need ADOBE Reader 6.0 or greater to open, use and print this PDF fill-in-the-blank form. If you do not have this free software installed on your computer, visit http://get.adobe.com/reader/. Follow the directions to install the latest ADOBE Reader which is a free download.

There are two options to complete the fill-in-the-blank application form:

1. Use the fill-in-the-blank feature to complete the form.

Save a copy of the form to your personal data storage device.

Type in your responses using the TAB key to move between fields.

You may save the file while in progress and return to complete or revise it later.

When finished, print the completed form.

2. Print the blank application and complete it using a pen or typewriter.

Whichever option you use, applicants must print the page(s) of the application containing the Applicant Appraisal and Transcript Information sections and submit to the appropriate individuals for completion (if applicable). These sections cannot be completed electronically.

Mail the completed application form (including the completed Appraisal and Transcript sections, if applicable, and any other required documents) to Scholarship Management Services by the program's application postmark deadline. The mailing address is on the application form.

Carl N. & Margaret Karcher Founders’

2015 Scholarship Program

THE PROGRAM

Carl Karcher Enterprises LLC has established a scholarship program to assist students who plan to continue education in college or vocational school programs. Scholarships are offered each year for full-time study at an accredited institution of the student’s choice.

This scholarship program is administered by Scholarship Management Services®, a division of Scholarship America®. Scholarship Management Services is the nation’s largest designer and manager of scholarship and tuition reimbursement programs for corporations, foundations, associations and individuals. Awards are granted without regard to race, color, creed, religion, sexual orientation, gender, disability or national origin.

ELIGIBILITY

Applicants to the Carl N. & Margaret Karcher Founders’ Scholarship Program must be -

Students, age 21 and under, who reside in Alaska, Arizona, California, Colorado, Hawaii, Idaho, Louisiana, Nevada, New Mexico, Oklahoma, Oregon, Texas, Utah or Washington.

High school seniors or graduates who plan to enroll for the first time in full-time undergraduate study at an accredited two-year or four-year college, university, or vocational-technical school for the entire upcoming academic year.

Employees, affiliates and franchisees of Carl Karcher Enterprises LLC, Scholarship America, affiliated agencies and their immediate families are not eligible to receive a scholarship pursuant to this program.

AWARDS

If selected as a recipient, the student will receive a $1,000 award. Up to sixty (60) awards will be granted each year. Awards will be granted in proportion to the applications processed for students who will be attending each of the above types of schools. Awards are not renewable.

Awards are for undergraduate study only.

APPLICATION

Interested students must complete the current year application and mail it along with a current, complete transcript of high school grades to Scholarship Management Services postmarked no later than February 15, 2015. Grade reports are not acceptable. Only the first 1,000 applications from students in eligible states will be acknowledged and considered for an award.

Applications with prior year dates will not be accepted.

Applicants are responsible for gathering and submitting all necessary information. Instructions for completing the Financial Data section of the application are included. Applications are evaluated on the information supplied; therefore, answer all questions as completely as possible. A résumé does not replace any part of the application. Incomplete applications will not be evaluated. All information received is considered confidential and is reviewed only by Scholarship Management Services.

SELECTION OF RECIPIENTS

Scholarship recipients are selected on the basis of academic record, demonstrated leadership and participation in school and community activities, honors, work experience, statement of goals and aspirations, unusual personal or family circumstances, financial need and an outside appraisal.

Selection of recipients is made by Scholarship Management Services. In no instance does any officer or employee of Carl Karcher Enterprises LLC play a part in the selection. All applicants agree to accept the decision as final.

Only recipients will be notified by June 1, 2015. Not all applicants to the program will be selected as recipients.

PAYMENT OF SCHOLARSHIPS

Scholarship Management Services processes Carl N. & Margaret Karcher Founders’ scholarship payments on behalf of Carl Karcher Enterprises LLC. Payment is made in one installment on August 15, 2015. A check is mailed to each recipient's home address and is made payable to the school for the student.

OBLIGATIONS

Recipients have no obligation to Carl Karcher Enterprises LLC. They are, however, required to notify Scholarship Management Services of any changes in address, school enrollment, or other relevant information and to send a complete transcript when requested.

REVISIONS

Carl Karcher Enterprises LLC reserves the right to review the conditions and procedures of this scholarship program and to make changes at any time including termination of the program.

ADDITIONAL INFORMATION

Questions regarding the scholarship program should be addressed to:

Carl N. & Margaret Karcher Founders’ Scholarship Program

Scholarship Management Services

One Scholarship Way

Saint Peter, MN 56082

Telephone: (507) 931-1682

Administered by

1/15

Instructions for Completing the Financial Section of the Application

The Financial Data section of the application should be completed by the applicant’s parent(s) or guardian. Information should be from a completed tax return or based on estimated information to be filed with the IRS.

1.State of Residence is the state where the parents reside and pay state income tax.

2.Adjusted Gross Income can be found on IRS FORM 1040 and is gross income reduced by specific adjustments allowed by law.

3.Total Federal Tax Paid includes the total amount of federal income tax to be paid as reported on IRS FORM 1040. This is not the amount withheld from employee’s paychecks. (The amount withheld should be adjusted by any refund or additional taxes due.) Do not report state income tax.

4.Total Income of parent(s) should be reported individually. Provide information for both natural parents, when possible. If the student resides with only one parent, financial information must be received from the parent who claims the child as a dependent for tax purposes. If a parent has remarried, the spouse’s information is required if the spouse is a legal guardian of the student, or claims the student as a dependent, or the student is included in the spouse’s benefit plan. If necessary, two Financial Data sections may be submitted by the student. A copy of the Financial Data section may be made in order for one to be completed by each parent.

5.Untaxed Income and Benefits include any other income or benefits not included in the adjusted gross income figure. Do not include untaxed contributions to retirement plans.

6.Medical and Dental Expenses include only those expenses not paid by insurance. Do not include premium payments.

7.Total Cash, Checking, Savings, Cash Value of Stocks, etc., include liquid assets that can be used for educational expenses. Do not include IRA, 401k, or other retirement plan funds.

8.Total number of family members living in the household and primarily supported by the reported income may include:

the applicant

the applicant’s parents

other children living in the household

dependent college students living away from home

other people who live in the household and receive more than half of their support from the parent’s reported income

9.Marital status is the current status of the person from whom the financial information is submitted.

10.Of the total number of family members on line 8, number of students attending college includes family members attending a two- or four-year college, university, or vocational-technical school at least half-time. Include the applicant in this number. Do not include parents.

NOTE: Any exceptions to providing financial information as instructed above must be submitted to Scholarship Management Services in writing.

Page 1 of 3

Carl N. & Margaret Karcher Founders’

2015 Scholarship Program

TYPE OR PRINT ALL INFORMATION EXCEPT SIGNATURES	Please submit promptly. Only the first 1,000 applications will be considered.
Completeness and neatness ensure your application will be reviewed properly.		Application postmark deadline February 15, 2015

FOR SCHOLARSHIP MANAGEMENT SERVICES USE ONLY

I.D. #

RIC/CS

GPA

SATCR

SATM

SATW

ACTC

TOTAL

APPLICANT

Last Name

First

Middle Initial

DATA

Permanent Home

Mailing Address

Apartment #

City

ZIP Code

State:

Telephone (

)

Date of Birth: Month

Day

Year

Email Address

Please indicate your status. (For statistical purposes only)

Male

Female

American Indian/Alaska Native

Black/African American

Multi-Racial

White

Asian

Hispanic/Latino

Native Hawaiian/Pacific Islander

PARENT

Last Name

First

Middle Initial

GUARDIAN

Address

INFORMATION

Relationship to Applicant

Day Telephone (

)

HIGH

School Name

High School Graduation Date: Month

Year

SCHOOL

DATA

City

State

Telephone (

)

POST-

Name of postsecondary school you plan to attend. (If unknown, please list in order of preference the schools to which you have applied.)

SECONDARY

Use official school names. Do not use abbreviations.

SCHOOL

DATA

City

State

City

State

4 yr. College or University

2 yr. Community or Junior College

Vocational-Technical School

Other, explain

Year in school next year:

1/Freshman

Other, explain

Major or course of study:

Expected college graduation date: Month

Year

Degree sought:

Bachelor

Associate

Certificate

Other

Student will:

live on campus

live off campus

commute from home

If school choice is a public institution, applicant will pay:

in-state resident tuition

out-of-state tuition

KARCHER PDF FILL-IN 1/15

Scholarship America

Page 2 of 3

Sending a resumé does not replace any part of this application. If space provided in any section is inadequate, you may continue on additional sheets. Attachments must follow the same format. DO NOT repeat information already reported on the application form. Your name, address and name of this scholarship program should be included on all attachments.

WORK EXPERIENCE

Describe your work experience during the past four years. Indicate dates of employment for each job and approximate number of h ours worked each week.

Employer/Position	From - Mo/Yr	To - Mo/Yr	Hours per Week Were you paid for
			your work?
			YES / NO
			YES / NO
			YES / NO
			YES / NO

ACTIVITIES, AWARDS AND HONORS

List all school activities in which you have participated during the past four years (e.g., student government, music, sports, etc.). List all community activities in which you have participated without pay during the past four years (e.g., Boy/Girl Scouts, hospital volunteer, Special Olympics). Note all special awards, honors and offices held.

	No. of	Special Awards,			No. of	Special Awards,
Activity	Years	Special Awards,	Offices Held	Activity	Years	Special Awards,	Offices Held
Activity	Years	Honors	Offices Held	Activity	Years	Honors	Offices Held
	Partic.	Honors			Partic.	Honors
	Partic.				Partic.

GOALS	Make a brief statement or summary of your plans as they relate to your educational and career objectives and long-term goals.
AND
AND
ASPIRATIONS

UNUSUAL	Please describe how and when any unusual family or personal circumstances have affected your achievement in school, work
CIRCUMSTANCES experience, or your participation in school and community activities.

	PARENTS’	Instructions for this section are provided in the guidelines.
	FINANCIAL	The applicant’s parents or guardians must complete this portion of the application. Adjusted gross income and total federal income tax
	DATA
	DATA	amounts should be from parents’ most recently filed tax return. To be considered for an award, this section must be filled out
	(REQUIRED)	completely. If you are a ward of the court, please provide documentation.

1.	State of Residence		.	.	.....
2.	Adjusted Gross Income (FORM 1040)				$
3.	Total Federal Tax Paid (FORM 1040)				. $
	(Not the amount withheld from paychecks)
4.	Total Income of Father			.	. $
	Total Income of Mother			..	$
5. Yearly Untaxed Income and Benefits:
	Please indicate source –
	Social Security	Child Support
	Other ____________________ .				$

6. Medical and Dental Expenses not paid
by insurance (exclude premiums) ..	...$

7.Total Cash, Checking, Savings, and Cash Value of Stocks (exclude retirement plan funds, IRA, 401k) $

8.Total number of family members living in the household

and primarily supported by the reported income #

9. Marital status of parent or guardian:

Married Divorced Separated Widowed Single

10.Of the total number of family members on line 8, number of students attending college at least half-time during the next

school year (include applicant, exclude parents) #

OTHER	Please list the name and annual amount of any grants or scholarships you have been awarded for the coming school year only.
AWARDS	Name of Award:	School to which award will be applied:		Amount:	Check One:
	Name of Award:	School to which award will be applied:		Amount:	Check One:
			$		Granted	Pending
			$		Granted	Pending

KARCHER PDF FILL-IN 1/15

Scholarship America

	Page 3 of 3

APPLICANT	To the Applicant: This section is required and must be completed in the format provided. If incomplete, your application will not be
APPRAISAL	evaluated. The section is to be completed by a high school counselor or advisor, an instructor, or a work supervisor who knows you well.
APPRAISAL
(REQUIRED)	To the Adult Appraiser: You have been asked to provide information in support of this application. Please give immediate and serious

	attention to the following statements. When complete, please return to applicant. If you prefer, photocopy this section and return to applicant
	in a sealed envelope. A letter of recommendation does not replace this section.

The applicant’s choice of a postsecondary educational	extremely	very appropriate	moderately	inappropriate
program is	appropriate		appropriate
The applicant’s achievements reflect his/her ability	extremely well	very well	moderately well	not well

The applicant’s ability to set realistic and attainable goals is	excellent	good	fair	poor

The quality of the applicant’s commitment to school and/or
community is	excellent	good	fair	poor
The applicant is able to seek, find, and use learning resources	extremely well	very well	moderately well	not well

The applicant demonstrates curiosity and initiative	extremely well	very well	moderately well	not well

The applicant demonstrates good problem-solving skills, follows
through, and completes tasks	extremely well	very well	moderately well	not well
The applicant’s respect for self and others is	excellent	good	fair	poor
Comments:

Appraiser’s Name

Title

Telephone (

)

Signature

Organization

Date

TRANSCRIPT

A complete transcript of grades must be sent with this application. Grade reports are not acceptable.

INFORMATION

All applicants must include a high school transcript of grades and have this section completed by the appropriate school official.

(A clear explanation of the school’s grading scale must also be submitted.)

		Cumulative Grade Point Average
Applicant ranks _______
Applicant ranks _______		Weighted: __________/4.0 scale
		Weighted: __________/4.0 scale
in a class of __________		Unweighted: ________/4.0 scale


School Official’s
Signature			Date
School Official’s
Address: Street			City

	SAT				ACT

Critical	Math	Writing	English	Math	Reading	Science	Composite
Reading	Math	Writing	English	Math	Reading	Science	Composite

Title			Telephone (		)
	State			ZIP Code

APPLICATION The student is responsible for submitting all materials to Scholarship Management Services on time. Incomplete applications will not be

CHECKLIST evaluated. This application becomes complete and valid only when all of the following materials have been received:

	Student Application with completed Applicant Appraisal	All materials, including transcript, must be addressed to:
	Student Application with completed Applicant Appraisal
	Current Complete Transcript(s) of Grades (including grading scale)	Carl N. & Margaret Karcher Founders’ Scholarship Program
		Scholarship Management Services
		Scholarship Management Services
	Postmark deadline February 15, 2015	One Scholarship Way
	Postmark deadline February 15, 2015	Saint Peter, MN 56082
		Saint Peter, MN 56082

CERTIFICATION Scholarship Management Services has the sole responsibility for selecting recipients based on criteria as set forth in the program’s description. This application becomes the property of Scholarship Management Services. (It is recommended you keep a copy for your files.)

I acknowledge decisions are final. I certify I meet eligibility requirements of the program as described in the guidelines and the information provided is complete and accurate to the best of my knowledge. If requested, I will provide proof of information, including an official transcript of grades and a copy of my U.S. Income Tax Return. Falsification of information may result in termination of any award granted.

Applicant’s Signature				Date
Parent/Guardian’s Signature				Date

KARCHER PDF FILL-IN 1/15	Copyright © 2015	Scholarship America	All Rights Reserved

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Inside the field POST SECONDARY SCHOOL DATA, Name of postsecondary school you, City, City, State, State, cid yr College or University, cid yr Community or Junior College, cid VocationalTechnical School, cid Other explain, Year in school next year cid, Major or course of study, Expected college graduation date, Year, and Degree sought cid Bachelor enter the data that the application requests you to do.

carl's jr application POST SECONDARY SCHOOL DATA, Name of postsecondary school you, City, City, State, State, cid yr College or University, cid yr Community or Junior College, cid VocationalTechnical School, cid Other explain, Year in school next year cid, Major or course of study, Expected college graduation date, Year, and Degree sought cid Bachelor blanks to complete

The system will demand you to write specific fundamental info to conveniently submit the part EmployerPosition, From MoYr, To MoYr, Hours per Week Were you paid for, your work, YES NO, YES NO, YES NO, YES NO, ACTIVITIES AWARDS AND HONORS, GOALS AND ASPIRATIONS, List all school activities in, Special Awards Honors, Special Awards Honors, and No of Years Partic.

carl's jr application EmployerPosition, From MoYr, To MoYr, Hours per Week Were you paid for, your work, YES NO, YES NO, YES NO, YES NO, ACTIVITIES AWARDS AND HONORS, GOALS AND ASPIRATIONS, List all school activities in, Special Awards Honors, Special Awards Honors, and No of Years Partic blanks to insert

Take the time to record the rights and responsibilities of the parties inside the PARENTS FINANCIAL DATA REQUIRED, Instructions for this section are, State of Residence, Adjusted Gross Income FORM, Total Federal Tax Paid FORM Not, Total Income of Father, Total Income of Mother, Yearly Untaxed Income and, Medical and Dental Expenses not, Total Cash Checking Savings and, Stocks exclude retirement plan, Total number of family members, Marital status of parent or, cid Married cid Divorced cid, and Of the total number of family space.

carl's jr application PARENTS FINANCIAL DATA REQUIRED, Instructions for this section are, State of Residence, Adjusted Gross Income FORM, Total Federal Tax Paid FORM Not, Total Income of Father, Total Income of Mother, Yearly Untaxed Income and, Medical and Dental Expenses not, Total Cash Checking Savings and, Stocks exclude retirement plan, Total number of family members, Marital status of parent or, cid Married cid Divorced cid, and Of the total number of family fields to insert

Review the sections APPLICATION CHECKLIST, The student is responsible for, cid Student Application with, cid Current Complete Transcripts, Postmark deadline February, All materials including transcript, Carl N Margaret Karcher Founders, CERTIFICATION, Scholarship Management Services, I acknowledge decisions are final, Applicants Signature, ParentGuardians Signature, Date, Date, and KARCHER PDF FILLIN and next complete them.

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