Mano A Mano Application Form Get Up to $2,000 for College! Apply Today Deadline April 10, 2009! Education is the key to unlock the golden door of freedom. ~ George Washington Carver Apply online @ www.mano-a-mano.org or see your counselor. For more information regarding the Mano A Mano Scholarship contact the Corpus Christi Hispanic Chamber of Commerce at 361-887-7408 or visit www.mano-a-mano.org
Mano a Mano Scholarship Empowerment Fund Business and Education Working Together for a Better Tomorrow Established by: Corpus Christi Hispanic Chamber of Commerce In Partnership with: Del Mar College Texas A&M University - Corpus Christi Texas A&M University - Kingsville Area Independent School Districts The CCHCC Education Foundation is a 501(c)(3) Administered by Coastal Bend Community Foundation Additional Application forms may be obtained from the Corpus Christi Hispanic Chamber office, online at www.mano-a-mano.org, or by calling 361-887-7408. Application Deadline April 10, 2009
Mano a Mano Scholarship Application Form Use blue or black ink, print or type application. Application form must be completely filled out and signed. Full Name: Social Security Number: - - Last First M.I. Permanent address Street/Route or PO City State Zip Local Phone: ( ) Cell: ( ) E-mail address: Mano a Mano Scholarship An Educational Scholarship Endowment Program Administered by the Coastal Bend Community Foundation The Mano A Mano Scholarship program was established by the Corpus Christi Hispanic Chamber of Commerce and Flint Hills Resources to encourage students to complete high school and continue their education through college. Scholarships provided through the Mano A Mano Program will assist local students to achieve college degrees/certificates in technical fields of study relating to local employment which promote the growth of a local workforce, educated in the fields needed to fill job vacancies in the Corpus Christi area. This one year scholarship is available to high school seniors, students who have recently graduated, or hold a GED Certificate from any area high school. Also included are students who are currently attending an accredited post-secondary educational institution in Corpus Christi or Kingsville, Texas. Scholarship awards are given up to $2,000. Recipients must maintain a GPA of 2.5 on a 4.0 scale, be full time students and demonstrate a willingness to seek employment in the Corpus Christi area following graduation. Financial need will be considered. Income verification will be required. Recipients may re-submit applications for subsequent years. Guidelines and Instructions: To be considered for a Mano A Mano Scholarship an applicant must: 1. Be a high school senior attending a high school in the Corpus Christi area. Have graduated or hold a GED Certificate, graduate from a high school in Corpus Christi, or currently be enrolled (or accepted) as a full time student in an accredited educational institution in Corpus Christi or Kingsville, Texas. 2. Maintain a cumulative 2.5 GPA while completing at least 12 credit hours each semester while in college. 3. Demonstrate a willingness to seek employment in the Corpus Christi area following graduation. 4. Submit the following in one envelope: Completed application form. For high school seniors: A copy of your high school transcript through fall semester of your senior year. For college students: Documentation of current enrollment in an accredited college in Corpus Christi/Kingsville and a copy of your college transcript through the Fall Semester. Letter of recommendation in a sealed envelope from current school administrator, counselor or work supervisor. 5. Certify that the applicant is not an employee or family member of an employee the Corpus Chrisiti Hispanic Chamber of Commerce or the Mano a Mano Scholarship Committee. Send the envelope, postmarked on or before April 10, 2009, to: Mano A Mano Scholarship Program, Corpus Christi Hispanic Chamber of Commerce, P.O. Box 5523, Corpus Christi, TX 78465. Additional applications may be obtained from the Corpus Christi Hispanic Chamber of Commerce website at www.mano-a-mano.org, or by calling 361-887-7408.
Name of Applicant Phone: Current Address: Cell Phone: Street/Route/PO City: State: Zip: Birth Date: / / Sex: M F U. S. Citizen: Yes No Ethnicity: American Indian Asian American/Asian African American/Black Puerto Rican Other Latino Caucasian/White Mexican American Other Name of High School: Name of College/University: Address: Street City State Zip Date of Graduation/GED: / / Class Rank: out of Overall GPA: Applying to: Del Mar College Texas A&M - Corpus Christi Texas A&M - Kingsville Current Status: Incoming Freshman Current Student at Transfer Student Classification next semester: Freshman Sophomore Junior Senior If applicant is under age 18 complete the following: Parent or Guardian s name: Phone: Address: Street/Route/PO City State Zip Parent Signature: Date: My signature gives permission to the Corpus Christi Hispanic Chamber of Commerce and the Coastal Bend Community Foundation to publish my child s name and photos in the event my child receives a scholarship. Furthermore, I agree to release and hold harmless the aforementioned parties. List your significant community service, extra-curricular activities. Organizations, Clubs, Athletics Offices Held Major Honors and Awards:
Applicant: Work experiance: Presently: Not Employed Employed Name of Company: Number of hours worked per week: Name of Supervisor: Phone: Previous work experience: In the space below, please tell us what field of study you would like to pursue and why you are committed to studying and working in that field: Check each statement below after you have read it. If awarded a Mano A Mano scholarship you agree to the following requirements. I authorize the Hispanic Chamber of Commerce and the Coastal Bend Community Foundation to publish my name and photos in the event I receive a scholarship. I will maintain satisfactory school attendance; conduct record, and grades as required by the scholarship. I authorize the Financial Aid / Registrar Offices to release grades and/or any other information on the scholarship application to the scholarship administrator donor upon request. I will provide/mail a current copy of class schedule and transcripts to the Mano A Mano scholarship program, Corpus Christi Hispanic Chamber of Commerce, P.O. Box, Corpus Christi, TX. 78465. I Certify that the applicant is not an employee or family member of an employee the Corpus Chrisiti Hispanic Chamber of Commerce or the Mano A Mano Scholarship Committee. I hereby certify that the statements made in the scholarship application are complete, and correct to the best of my knowledge. Student Signature: Date: My signature gives permission for the Corpus Christi Hispanic Chamber of Commerce and The Coastal Bend Community Foundation to use my name and photos in publications. Furthermore, I agree to release and hold harmless the aforementioned parties.
615 N. Upper Broadway, Suite 410, Corpus Christi, texas 78477 www.cchispanicchamber.org