Deadline: April 30th, 2019

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1 DE MUJER A MUJER SCHOLARSHIP APPLICATION Deadline: April 30th, 2019 Thank you for taking the time to apply for a De Mujer a Mujer, Inc (Woman2Woman) Scholarship. De Mujer a Mujer, Inc. will be providing a $ scholarship to 1 graduating high school Hispanic female senior. It is our pleasure to help reward those Hispanic females with a desire to make a positive impact on our community and the world. We wish you the best of luck in your upcoming college career and would like to encourage you to always stay positive, never give up on your dreams, and be proud of your heritage! SCHOLARSHIP APPLICATION REQUIREMENTS: 1. Applicant must be a graduating female senior (of Hispanic/Latino descent) from a Middle GA Public High School. 2. Applicant must have at least a 3.0 G.P.A. 3. Applicant must have a good attendance record. 4. Applicant must be a full time student. 5. Applicant must have completed at least 12 hours of community or volunteer service in the past year. 6. Applicant should also submit a letter of recommendation from a teacher, administrator or counselor. 7. On a separate sheet of paper, TYPE a 500 WORD ESSAY on why you should be considered for this scholarship. 8. Applicant is required to submit a completed, signed and dated application by April 30, PLEASE PRINT USING BLACK INK. NO APPLICATIONS OR LATE APPLICATIONS WILL BE ACEPTED. The completed application, Essay, letter of recommendation, AND an official Transcript must be mailed as one packet to be considered. The package must be postmarked no later than April 30, NO EXCEPTIONS! MAIL TO: DE MUJER A MUJER, INC. c/o Ana Hernandez, CEO P. O. Box 362 CENTERVILLE, GA 31028

2 SECTION I: IDENTIFICATION Name: Present Address: City: State: Zip Code: Date of Birth: Sex: Telephone: (home) (cell) Guardian s Name: First M.I. Last Guardian s Address: Occupation: SECTION II: SCHOLARSHIP INFORMATION High School: School Address: City: State: Zip Code: HAVE YOU APPLIED FOR COLLEGE ADMISSION? Check: YES or NO College you plan to attend: City/State: Anticipated Major: List all Scholarships applied for and awarded and all financial resources that are available to assist you with your college education: Examples: Pell Grant, Financial Aid, HOPE Scholarship, family church, loans, etc. (Attach an additional sheet if necessary)

3 SECTION III: EXTRA-CURRICULAR ACTIVITY (School/Non-School): List all extra-curricular school, church, or civic activities (attach an additional sheet if necessary) Activity Description-Dates of Activity VOLUNTEER WORK AND COMMUNITY SERVICE (Attach an additional sheet if necessary) Organization. Description of Service or Work Dates and Hours of Service HONORS AND AWARDS (attach an additional sheet if necessary) List awards, and special recognition you have received during high school and include year received.

4 SECTION IV: Essay Instructions On a separate sheet of paper, TYPE a 500 word essay on how being a woman of Hispanic/Latina descent has empowered you to succeed in life. You will be assessed on your ability to communicate your thoughts. Your essay should be double-spaced, 12 point Times New Roman font, one inch margin on all sides, name typed in the upper right-hand corner of each page.

5 SECTION V: SIGNATURES I certify that information provided in this application is true, complete and accurate and that all statements and essay are my own work. Should I receive this award, I hereby give De Mujer a Mujer, Inc. permission to utilize my name, photographs and award amount in publicity materials. Applicant Signature Parent/Guardian Signature Date

6 Application Check List Before sealing your package, please make sure that all items listed below are included: Scholarship Application (PRINTED USING BLACK INK) Essay (Typed) A letter of recommendation (sealed) Letter from the community/volunteer organization confirming your service to Them (sealed) Official High School Transcript (sealed) *Missing any of the above items will result in an incomplete package and will not be considered for this scholarship.

7 INSTRUCTIONS TO BE GIVEN TO REFERENCES Please have your references submit a typed letter of recommendation for you. These letters should be addressed to DE MUJER A MUJER, INC. and include: Name and address of reference Relationship to applicant How long reference has known applicant Information regarding why applicant should receive the scholarship award The Letter should be placed in a Sealed Envelope with their signatures before returning to the applicant.

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