Marilla W. and Harold A. Lund Scholarship

Street address or P.O. number

City: State: Zip code:

Phone: Cell: E-mail:

Street address or P.O. number

City: State: Zip code:

Phone:

Subject Score

Anticipated major: Degree program:

Are you a first-generation college student? _____ Yes _____ No
Please complete the following section in the space provided. Please print clearly.
Please tell us why you have decided to attend the college of your choice and how your accomplishments there will affect your future plans. (attach an extra sheet if needed)


















Do you work during the school year?

____ Yes (# of hours location ) No

Summer Employment History

Letter of Recommendation: A signed letter of recommendation from a current faculty member or employer addressing your eligibility for the Lund Scholarship. The letter must be current (dated after September 1, 2012), on official letterhead, contain your first and last name, and be signed by the writer, who must identify his/her relationship to you (not a family member). E-mail letters are not acceptable.

Please submit the information requested below printed on one side only (not front and back).

 This completed application form

 Personal statement

 Letter of recommendation as outlined above

 Resume

 Your complete Federal Student Aid Report (SAR), which must include your expected family contribution (EFC) and your family’s adjusted gross income (AG). Do not send the FAFSA.

 A copy of your college financial aid offer.
It is the responsibility of the applicant to ensure that all of the required items are submitted on or before the application deadline. Incomplete applications or those postmarked after May 15 will not be processed. All information received from applicants will be held in confidence.
I certify that I am a legal resident of Washington County, Maine, and that all information on this form is true and complete to the best of my knowledge. I give my permission for any person listed on this application to be contacted for more information. I understand that I may be asked to provide proof of information stated on this form, including a copy of my parents’ and/or my prior year’s U.S. Income Tax return. In addition, I hereby authorize the college I will attend in the 20­­­___ - ____ school year to release information on financial aid awarded to me by the college and other sources to the Maine Community Foundation.
Signature of Applicant: Date:
Signature of Parent:

All applications and required information sent separately must be postmarked by May 15 and sent to:

Marilla W. and Harold A. Lund Scholarship Fund

Maine Community Foundation

245 Main Street

Ellsworth, ME 04605

phone: (207) 667-9735 ~ toll free 877-700-6800

Family Information

Parents’ current marital status:  single  married  separated  divorced  widowed

Who is responsible for your support?  mother  father  both  other

Who do you live with?  mother  father  both  other

Number in household, including parents:

Total number of family members who will be

attending college during the next academic year:


If you have not received your financial aid award letter for next year, please enter the amounts from your current year of study, or amounts you anticipate are reasonably true for next year

Funds available for your NEXT year of college
Family Contribution	$
Personal Savings/Earnings	$
Grants and Scholarships awarded by your college or the government	$
Outside scholarships (from organizations, foundations, high school, etc.)	$
WorkStudy	$
Stafford and /or Perkins Loans	$
Other loans for school	$
TOTAL available funds for next year (add all)	$
Outstanding loans for education to date: No. Total $__________

Please submit a copy of your college financial aid offer with this application.

Please complete the cost of attendance at your first choice college below. This information is available on the college’s website and from the financial aid office. Please provide current-year numbers.