Scholarship Application

Scholarship Criteria

Purpose: The Scholarship Program provides groups and individuals
the chance to experience the educational opportunities offered
at the J.Ira & Nicki Harris Family Hostel in downtown Chicago.
The program targets groups and individuals from Chicago and Illinois
who are of limited means.

Groups

  • Group must originate from Chicago or Illinois.
  • Group must have a financial need that, without the scholarship,
    would prevent them from staying at the hostel.
  • Groups must have 10 or more participants.
  • Groups including persons 17 years old or younger must have
    at least one adult chaperone for every 10 minors.

Individuals

  • Individuals must be 18 years old or older.
  • Individuals must be enrolled in a university or other institute
    of higher education.
  • Individuals must be residents of Illinois or enrolled in an
    Illinois university or other Illinois institute of higher education.
  • Individuals must have a financial need that, without the scholarship,
    would prevent them from staying at the hostel.

Decisions: Scholarships will be awarded at the
discretion of hostel staff based on availability at the hostel
and the merit of the application.

Deadline: You may submit an application at any
time. We recommend that you submit your application more than
two (2) months prior to the date of the requested overnight stay.



APPLICANT INFORMATION – FORM

name of Individual or Group:
Age Level: 12 and under      
13 – 17      
18 and over

(Check all that are appropriate)
College/University Affiliation:
(Individuals only)

Contact Person:
(Group only)

Number in Group:  
M       F
Street Address:

City:

State:
Zip:

Phone:

Email:

DATE REQUESTED: 1st Choice:  

2nd Choice:

RACIAL/ETHNIC BACKGROUND (Optional)

The following information is requested only for HI Chicago to measure progress toward serving all multi-racial and multi-ethnic groups. For individuals, indicate category with a check. For groups, indicate number in each category that applies.

    White      
    		American Indian/Alaskan Native
    Black Asian or Pacific Islander      
    Spanish/Hispanic Multi racial (please indicate)

PURPOSE OF VISIT:



STATEMENT OF FINANCIAL NEED

Please describe circumstances indicating nature
of financial hardship


           

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Or you can print
and mail application to:

Scholarship Program

Hostelling International – Chicago

24 E. Congress Parkway

Chicago, IL 60605

PLEASE TYPE OR PRINT CLEARLY