Recreational Services Employee Recreation Membership Toni McBride Scholarship Application Form I Am Applying For (check one) 50% Off Membership Fee The Toni McBride Wellness Scholarship offers reduced fee scholarships to staff, faculty, and retirees who wish to purchase a 1-year Wellness Recreation Membership. It is named after Toni McBride (1960-2004), the first director of Cornell Wellness. In the spirit of Toni McBride's nurturing and compassionate personality, this scholarship provides assistance to employees and retirees who are not able to afford the full cost of membership. 100% Off Membership Fee The Toni McBride Wellness Scholarship offers reduced fee scholarships to staff, faculty, and retirees who wish to purchase a 1-year Wellness Recreation Membership. It is named after Toni McBride (1960-2004), the first director of Cornell Wellness. In the spirit of Toni McBride's nurturing and compassionate personality, this scholarship provides assistance to employees and retirees who are not able to afford the full cost of membership. Cornell University ID Number: Full Name: Email Address Phone Number Preferred way for us to contact you if needed (check one) Email Phone Status (check one) Benefits Eligible Employee Benefits Eligible Retiree Scholarship Policies By Checking The Box I Acknowledge I Have Read The Scholarship Policies • You must be a benefits-eligible Cornell University employee or retiree to apply for a scholarship. Spouses, partners, or Cornell affiliates are not eligible. Cornell Employees on layoff status are eligible for a scholarship for up to one year. • You must have an annualized income of $45,000 or less to apply for a scholarship. For example, if you work part time, your annualized income would be your current salary if you worked full time. • Approved scholarships, and the 1-year Wellness Recreation Membership, are effective until June 30 of the fiscal year they are processed in. The scholarship and membership will end at that time and can be re-applied for. Signature Sign above Date By signing and dating above, I agree to the Scholarship Policies for the duration of my Wellness Recreation Membership.