The Briarcliff Congregational Church Special Opportunity Fund Grant Application The Special Opportunity Fund was funded and established by Alice Melady. Its purpose is to assist members of the BCC community achieve their educational and vocational aspirations. To apply for a grant, please complete this application. Name: ______________________________________________________________ Phone:____________________Email:_____________________________________ Address:_____________________________________________________________ Relationship to BCC:___________________________________________________ BCC participation (committees or activities): Relevant other volunteer or civic activities: Name of the institution or educational program for which you seek funding: How will this educational experience enhance or impact your life: Please explain the financial need for this grant: Financial expenses associated with the institution/program: Tuition:_______________________ Fees:_________________________________ Room and board:______________________________________________________ Books/supplies:_______________________________________________________ Other:_______________________________________________________________ Anticipated sources of funding for one year: Applicant:_______________________ Family:______________________________ Work study/financial aid________________________________________________ Loans_______________________________________________________________ Scholarships__________________________________________________________ Amount of grant requested:______________________________________________ To whom should check be addressed?______________________________________ To which address should the check be sent?_________________________________ Signature of applicant______________________________Dated________________ * The Committee encourages the applicant to submit a personal statement along with the application form to help us fully evaluate the circumstances of this request and the opportunity it provides the applicant. ** This application will be reviewed solely by the three members of the Special Opportunity Fund Committee. All applications and records of applications will be confidentially maintained. *** Please submit applications to the church office or via email to a committee member by the following review dates: December 31st and May 31st. Applications will be considered on an emergency basis. Applications must be submitted by the applicant, not a third party. The Committee will determine the amount of the grant and notify the applicant within a month of receiving the application. The grant award may be different than the amount requested based on the availability of funds at the time the request is made. Please contact a member of the Committee with questions or for assistance. Current Special Opportunity Fund Committee members: Jelane Caspar: 914-923-1665 caspar@att.com Rachel Leihbacher: 914-941-7342 leihbacher@aol.com Gary Sledge: 914-969-0661 gseditor@optonline.net