Dorothy Ross Memorial Scholarship Application

Transcription

1 Dorothy Ross Memorial Scholarship Application This scholarship fund was established at the Community Foundation to honor the volunteer work and service that Dorothy Ross contributed to the young people in the San Luis Obispo county Juvenile Services Center. She spent over 12 years volunteering time as a mentor in the Juvenile Hall and firmly believed that all young people had special gifts and something to give back to the world. This program honors Dorothy s legacy and her belief in the young people she cared about so deeply. The goal of this scholarship is to aid young people impacted by crime to further their education. Eligibility: How can applicant receive this scholarship? a) Applicant has spent time in the San Luis Obispo Juvenile Detention Services Center and plans to attend a community college, four-year college/university or certified vocational program. b) Applicant must be a resident of San Luis Obispo County and earned their high school diploma from an area high school or a GED. c) Applicant will be graduating from high school in San Luis Obispo County or an individual who has graduated from high school but no older than 25 years by application deadline. d) Applicant must demonstrate life change and a commitment to higher education. e) Applicant must submit two letters of recommendation What will I receive? The scholarship committee plans to award two (2) $1, awards. Application Deadline - March 09, All materials must be submitted to the Community Foundation office by 5:00 pm on March 9, No fax or materials accepted. Where is The Community Foundation San Luis Obispo County office located? 550 Dana Street, San Luis Obispo, CA Phone Number: (805)

2 Steps to complete the Scholarship Application Step 1: Step 2: Step 3: Step 4: Step 5: Complete the Application Form Complete the Education Background Sign the Certification Form 1) Write a Personal Statement (1-2 typed or neatly written pages). Please keep the following in mind: Your personal statement should address the following eligibility requirements by describing: a) Any life changes you have made since your time at the Juvenile Detention Services Center or any life changes that were inspired by your time in custody there. b) Your motivation for pursuing your academic and career goals. What inspires you to be committed to getting a higher education? The essay will be a reflection of your experiences and your future goals. Grammar, spelling and clarity of goals are important. 2) Respond to the two essay questions. Completion of the Free Application for Federal Student Aid is strongly encouraged and a copy of the Student Aid Report should be submitted with application. Step 6: Step 7: Step 8: Submit an Academic Recommendation. This should be from a recent instructor or professor. Use the enclosed form or ask the instructor to write a letter on the school letterhead. The form and/or letter may be sent directly to The Community Foundation San Luis Obispo County, or may be submitted with the student s application. The recommendation cannot be from a family member. Submit an Employer/Community Member Recommendation (optional). If you are not currently employed, ask a former employer to submit the form. If you have never been employed, think about other activities. - Have you done community service, child care, assisted at your church? - Participated in an organized activity or sport? Ask a supervisor in one of these alternate activities to complete this form or submit a letter if you have never been employed. If this is not possible, then obtain a second Academic Recommendation letter from a recent instructor. The recommendation cannot be from a family member. Submit an Academic Transcripts: High School Records The grade transcript must be included with your application. If currently enrolled in postsecondary education, please submit that record as well. Please remember: Applications must be submitted to the Foundation office by March 10, 2018 by 5 pm (postmarks are not accepted. If possible, please compile all application materials and submit a single application packet. All application materials should be single-sided. Please include your address on your application as applicants may be notified regarding their application status via . Please do not use registered or certified mails as this will delay the processing of your application. We strongly suggest that you keep a copy of your application.

3 DOROTHY ROSS MEMORIAL SCHOLARSHIP APPLICATION APPLICATION DEADLINE March 09, 2018 All materials must be submitted to the Foundation office by 5:00 pm on 3/9/18. No fax or materials accepted. For Office Use Only Date Received: Application/Certification Personal Statements FAFSA SAR Academic Recommendation Letter Employer or Community Member Recommendation Letter (optional) Transcript (if available) READ THE INSTRUCTIONS BEFORE STARTING THIS FORM APPLICATION FORM (Step 1) Name (Last, First, Middle Initial) Birthdate: Gender Male Female Other Marital Status: Single Married Separated Divorced Widowed Permanent Telephone: Cell Phone: Which is the best way to contact you? Who do you live with (parents, guardian, on your own)? Parent/Guardian: Parent/Guardian 2: Parent s Names Street Address City, State, Zip Code Parent s Names Street Address 2 (write same if only 1 address) City, State, Zip Code Nearest relative not living with you: (Do not list a parent living at your permanent address) Name: Relationship to you: Address, City, State, Zip: Approximate Dates at Juvenile Hall:

4 Recommendations: List the names of the 2 people who will be submitting your required recommendation letters. Academic: Employer/Supervisor/Academic: (NOTE: if you are not employed, see Application Instructions sheet for directions this item is still required) How did you hear about the scholarship?

5 EDUCATION BACKGROUND SHEET (Step 2) List all current and past junior high schools, high schools and colleges: (whether a degree was received or not) School Dates of Attendance Degree (Yes or No) Have you received any other scholarship from The Community Foundation San Luis Obispo County? If yes, when? How long have you lived in San Luis Obispo County? Colleges/Vocational Schools to which you have applied, or will apply, in order of preference: Expected Date of College/Vocational School Graduation: (if you are undecided, please write undecided do not leave blank) Proposed Major: Proposed Career: What plans have you made to pay for your college education?

6 CERTIFICATION FORM (3) CERTIFICATION YOU MUST READ AND SIGN BELOW: (Application is not valid without signature) I certify that all information submitted in the application materials is true and correct. I agree to provide all statements or documents requested, and I understand that failure to provide these documents will result in termination of my application. I agree that The Community Foundation San Luis Obispo County may forward my name and information from my application to individuals or groups that may be considering me for financial assistance, and for media and public relations purposes. Date: Applicant s Signature:

7 Essay Questions (Step 4) 1. Please share about a person you admire and why you admire that person.

8 2. Please share about a time when you harmed someone. What were you thinking or feeling at that time, and what did you do/could you have done to right the wrong done? What did you learn from that experience?

9 FINANCIAL STATEMENT (Step 5) Please complete your Free Application for Federal Student Aid (FAFSA) and submit a copy of your Student Aid Report (SAR). (Enclose a hard copy with this application) NOTE: FAFSA can be found at and will be available for completion on October 1, Also complete the following information. SIGNATURES ARE REQUIRED to complete the financial statement page. Parent s Occupation and Employer: Parent s Occupation and Employer: Student Signature Mother/Stepmother/Parent s Signature* Father/Stepfather/Parent s Signature* Spouse s Signature** *Dependent students only **Independent students if applicable Submit a copy of the FIRST TWO PAGES OF YOUR PARENT S 2016 FEDERAL TAX RETURN. This must be submitted as soon as possible, but no later than April 15, If not possible please contact Angela Hollander at angela@cfsloco.org or x 14.

10 ACADEMIC RECOMMENDATION (Step 6) FOR INSTRUCTOR DEADLINE: March 10, 2018 (postmarked is not acceptable) Please place in a sealed envelope and return to applicant or mail to: The Community Foundation San Luis Obispo County 550 Dana Street, San Luis Obispo, CA Phone (805) Fax (805) Name of Applicant: Print Clearly To the Instructor: Thank you for acting as a reference for the above named applicant. Please take the time necessary to complete this form so that the applicant and the Selection Committee will have the benefit of your appraisal. Note: a parent or relative may not be used as a reference. In what context have you known the applicant? How long have you known the applicant? Comments: Explain why you are recommending the applicant. Use a separate sheet if you wish. What has been the applicant s greatest strength? In what areas does the applicant need improvement? Overall Rating (check one) Highly Recommended Recommended Recommended w/ Reservation Your signature: Date: Your Name and Title (print) Your Institution Phone: DEADLINE: March 09, 2018 (postmark are not acceptable)

11 EMPLOYER/COMMUNITY MEMBER RECOMMENDATION (Step 7) FOR EMPLOYER/COMMUNITY SERVICE SUPERVISOR DEADLINE: March 10, 2018 (postmarked is not acceptable) Please place in a sealed envelope and return to applicant or mail to: The Community Foundation San Luis Obispo County 550 Dana Street, San Luis Obispo, CA Phone (805) Fax (805) If student has never held a job or volunteered, please disregard this section of the application Name of Applicant: Print Clearly To the Employer or Supervisor: Thank you for acting as a reference for the above-named applicant. Please take the time necessary to complete this form so that the applicant and the Selection Committee will have the benefit of your appraisal. Note: a parent or relative may not be used as a reference. When was the applicant supervised by you? In what capacity? What was your relationship to the applicant? (Check all that apply) Employer Manager Supervisor/Coach Other: Comments: Explain why you are recommending the applicant. Use a separate sheet if you wish. What has been the applicant s greatest strength? In what areas does the applicant need improvement? WORK HABITS: Superior Very Good Good Average Below Average Your Signature: Date: Your Name and Title (print) Company Name: Phone:

12 HIGH SCHOOL TRANSCRIPT REQUEST FORM San Luis Obispo County Community Foundation Applicant Name: To all applicants: Complete this form and give it to your high school registrar s office. High school transcripts are required for all applicants, regardless of your age or grade level. Note for high school seniors: Transcript must include all courses from your 10 th and 11 th grade years plus any SAT scores. After you submit this form to your high school registrar s office, the registrar will mail your transcript to the San Luis Obispo County Community Foundation. If your high school has not recorded your SAT scores on your transcript, then submit to the SLO County Community Foundation a copy of the SAT score report you received at home or online. TO THE REGISTRAR: Please mail the high school transcript for this student, complete with any and/or all SAT scores, to: The Community Foundation San Luis Obispo County 550 Dana Street San Luis Obispo, CA Thank you for your promptness in responding to this request. Student Name: Current grade: OR Year graduated: Birthdate: OR withdrew: