SCHWARTZ SCHOLARSHIP FUND APPLICATION

In an ever-souring national and world view, it is the hope of the founder of this scholarship fund to help
discover and aid those rare students with the intelligence, wisdom, and vision to markedly improve the
planets futureand to make college more affordable for those who need the help.
Founded in 2012 by independent college counselor Robert Schwartz, the Schwartz Scholarship Fund (SSF)
aims to assist academically-inclined students with a specific vision and goal for the future. Qualified
candidates seek to attend an accredited college or university to further their vision. The maximum annual
family income to qualify for this program is $150,000 in the given tax year of the application (tax forms will
not be required to apply, only an estimate, but updated federal tax information may be requested to verify a
winners official status). All scholarship recipients will possess the following credentials:
Students must be legal residents of California to receive an award. An application, with a 500-word essay, is
required for scholarship entry. Applications are offered through California high schools and online via the
scholarship funds website (http://www.schwartzscholarshipfund.org). Applicants must be enrolled in an
accredited public or private high school (no full-time home-schooling students are eligible) and students must
be in their junior or senior year to be eligible to receive an award. Students must also have a cumulative
grade point average (unweighted) of 3.0 or greater at the time of application submission to qualify for an
award. Factors involved in the award decision include:
Unweighted GPA (9th-11thgrades, including all subjects)
Difficulty of curriculum
500-word essay
Students application information
Financial need (as determined by the SSF Board of Directors)
SAT or ACT scores (recommended, but not required)
Applications will be open September 1st through December 31st of each year. Awards will be announced by
April 1st of the following year. The amount of available scholarships will vary each year, based on the
amount of money available in the SSF General Fund. We award two different scholarship awards each year.
Gold Scholars are the top winners, and will receive a $1000 scholarship award towards their anticipated
college costs. Silver Scholars are the secondary award winners and will receive a $500 scholarship award.
Students must complete the attached application and essay to be considered for these scholarships.
Students are also required to submit unofficial transcripts from all attended academic institutions (high
school and college, where applicable) by the application deadline. We look forward to seeing what applicants
have accomplished thusfar in high school and their vision and goals for the future. Good luck!

SCHWARTZ SCHOLARSHIP FUND APPLICATION

Student Name:_______________________________________________________________
Ngoc My Thi Huynh

Chau Le
Parent Name(s):______________________________________________________________
1346 E San Antonio St Apt 335
Home Address:_______________________________________________________________
San Jose, CA 95116

City/State/Zip:________________________________________________________________

(408) 279-4079
Home Phone #:_______________________________________________________________
(408) 348-2232 (cell)

Alternative Phone # (please specify):______________________________________________

xbaytnh@gmail.com
Student email address:_________________________________________________________
Independence High School
Current High School:___________________________________________________________
12
Current Grade Level (must be a Junior or Senior to qualify):_________________________
AP Physics
Current Classes (include class level: AP, Honors, etc.):______________________________________
AP Calculus BC
_______________________________________

AP Psychology
______________________________________

_______________________________________

______________________________________

_______________________________________

______________________________________

List of in-school extra-curricular activities (Specify grade level(s) for each- list in order of importance):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
List of out-of-school extra-curricular activities (Specify grade level(s) for each- list in order or
importance):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

*Highest single-sitting SAT or ACT score (not required for application submission):
SAT: ___________________________

ACT:__________________________

*Estimated family income for this calendar year (based on earned income of both parents and the
student in question in the current year): $________________________________

Last level of education completed by parents (highlight or circle your answer):

Mother:

Father:

Some High School (or less)

Some High School (or less)

High School Graduate

High School Graduate

Junior College Graduate (AA or AS)

Junior College Graduate (AA or AS)

4-yr College or University Grad. (BA or BS)

4-yr College or University Grad. (BA or BS)

Masters Degree (MA or MS)

Masters Degree (MA or MS)

Professional Degree (Ph.D., MBA, JD, Ed.D)

Professional Degree (Ph.D., MBA, JD, Ed.D)

Two non-familial references (name, telephone #, relationship to the student)

_________________________________________ _________________________________________
I, the undersigned, agree that all information provided in this application is truthful and accurate to the
best of my knowledge and ability. I understand that if awarded a scholarship, parts of my application
may be verified by the Schwartz Scholarship Fund. If any information provided in this application is
found to be inaccurate or fraudulent, the scholarship award will be null and void.
Furthermore, I submit that the 500-word essay was written solely by the undersigned.
________________________________________

_________________________________________

Students Printed Name

Students Signature

_________________________________
Date
*if candidate is awarded a scholarship, the test score(s), transcripts and estimated income will be
validated with official documents prior to paying out an award.

Short Answer Response (optional):

What physical, financial, emotional, or other hardship(s) have you suffered during high school? Your
answer must be written in, and fit in, the following lines.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Essay (required for scholarship eligibility) please submit a separate, typed response, of no more than
500 words:
In Five for Fightings 2006 hit song, World, a poignant question is asked and followed with caution and
an encouragement: What kind of world do you want? Think anything. Lets start at the start, build a
masterpiece. Be careful what you wish forhistory starts now. Please describe your vision and goals
for how you would change the world and how going to college will help you achieve this vision for the
future.

Along with your signed and completed application and typed essay, be sure to include an unofficial copy
of your high school and/or college transcripts (official transcripts will only be requested from award
finalists).
Please mail all required application materials to:
Schwartz Scholarship Fund
P.O. Box 55512
Santa Clarita, CA 91385
Your application, essay, and transcripts must be received by December 31, 2012 to qualify for
consideration. All scholarship winners will be notified either by phone, mail, or email by April 1, 2013.
Good luck!