Bernard Osher Scholarship Application

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Bernard Osher Scholarship 2018 Application Scholarship application available in the Foundation office, the Financial Aid office or online at www.cypresscollege.edu MINIMUM SCHOLARSHIP REQUIREMENTS This scholarship is based on financial need; there is NO minimum GPA requirement Complete a minimum of 24 units by the end of the spring, 2018 semester Must receive the Board of Governors Fee Waiver for all semesters (fall 2017 & 2018, spring 2018 & 2019) Page 1 of 9

Must be enrolled in a minimum of six units at Cypress College in fall 2018 and spring 2019 semesters. GENERAL INFORMATION Please read these instructions carefully. There have been some changes from past scholarship applications Unlike other Foundation scholarships, the Bernard Osher Scholarship award is made partially based on the date and time that the application is received. Though the application will not be accepted after 5 pm, Thursday, February 15, 2018, it will be accepted any time prior to then. It is strongly recommend-ed that you turn in your application as soon possible. If you wait until the last day for application acceptance, you will almost certainly be too late. DIRECTIONS Please read these instructions carefully. There have been some changes from past scholarship applications Complete application. Additional sheets will be necessary to answer all questions thoroughly please be sure that they are attached. Page 2 of 9

Answer ALL questions fully and legibly. Do not leave any questions unanswered. Sign and date the release on page four. The release must be signed and dated. Attach a copy of all of your unofficial college transcripts. Cypress College transcripts can be printed from MyGateway. Financial Aid Office: Submit application no later than 5 pm, Thursday, February 15, 2018, to the FINANCIAL AID OFFICE. Applications must be hand-delivered and stamped as accepted by the Financial Aid office prior to 5 pm, Thursday, February 15, 2018. Notification: All candidates who include a legible email address on their application will be notified by email by mid-april, 2018. Those who have won scholarships will be invited to participate in our annual ceremony which will be held on May 14, 2018. STUDENT INFORMATION - (PLEASE TYPE OR PRINT) Choose One: Mr. Ms. First Name: Last Name: Address: City: Zip: Student ID: @ email: EDUCATION Page 3 of 9

Cypress College units complete to date: Units in progress: GPA: Units complete from other colleges: Degrees earned: Number of units you expect to enroll in for the fall 2018 semester at Cypress College: * *NOTE: Only students who will be attending Cypress College with a minimum of six units for the fall 2018 semester are eligible for this scholarship. Major: If RN, Psych Tech, Rad Tech, Dental Hygiene or Mort Sci major, have you been officially accepted into the program? Yes No Career Goal: STUDENT FINANCIAL INFORMATION Choose one: Single Married Do you reside with your parent(s)? Yes No (If yes, complete the box below) Are you dependent on them for any expenses? Yes No How many other dependent children live at home? Father's occupation: Monthly Gross Salary $ Mother's occupation: Monthly Gross Salary $ Do you have dependent children? No Yes Ages: Your occupation: Monthly gross salary $ Spouse s occupation: Monthly gross salary $ Do you receive a Board of Governor s fee waiver (BOGG)? ** **Note: Only students who qualify for the BOGG fee waiver are eligible for this scholarship** Page 4 of 9

Current Pell Grand and/or Cal Grant amount received per semester $ List your employment since June of 2017: Employer Job Title Dates (from/to) Hourly Rate On a separate sheet of paper, please submit typed answers to the following questions. Handwritten essays will be disqualified. 1) Please describe your financial situation and the financial hardship that you believe qualifies you for this need-based scholarship. 2) Why do you believe that you should be awarded a scholarship? Please indicate any special or unusual circumstances of which you would like the scholarship committee to be aware. Include such information as extensive personal and family medical problems, reduction in family income, one-parent family, disability, etc. RELEASE I hereby authorize release of all the foregoing scholarship and transcript information to any organization or individual involved in the selection of scholarship recipients. I also give permission to release my name to the donor and to media outlets for publicity purposes. Additionally, I understand that my picture will be taken and may be used in campus publications. Page 5 of 9

Signature of Applicant Date Page 6 of 9

Bernard Osher Scholarship Payment Distribution Information This scholarship has a few rules and requirements that are not found in most other Foundation Scholarships. They are as follows: 1) Osher scholarship is disbursed in two payments one the fall semester after it is awarded, and one the following spring semester. In this case, that means that the first half of the scholarship is awarded approximately the third week of the fall 2018 semester (after the drop-date) and the second payment is disbursed approximately the third week of the spring 2019 semester (after the drop-date). 2) Students must be enrolled in at least six units for each of those two semesters to receive the scholarship payment. Failure to complete at least six units in the fall will disqualify the student for payment in the spring, regardless of the number of units in which they are enrolled for the spring semester. 3) Students may apply for and be awarded the Osher Scholarship prior to completing the 24 units required for qualification. However, if the student has not completed the entire 24 units before the beginning of fall 2018 semester, the scholarship is forfeited. 4) Payment amounts are as follows: a. Students enrolled in 12 or more units each semester will receive a fall payment of $550 and a spring payment of $550 b. Students enrolled in 9 11.75 units will receive $412.50 for each semester c. Students enrolled in 6 8.75 units will receive $275 for each semester d. Students enrolled in fewer than six units will forfeit their scholarship. 5) This scholarship requires that students be making satisfactory educational progress toward their career goals. The scholarship committee has determined this to mean Page 7 of 9

that the student must maintain a minimum GPA of 2.0 throughout the payment period. If the student s grade point average drops below 2.0 after the spring 2018 semester, the entire scholarship is forfeited. If the student s GPA falls below 2.0 after the fall 2018 semester, there will be no spring payment. Page 8 of 9

Bernard Osher Scholarship Check-List: Meet qualifications (24 units complete at all colleges attended by end of spring 2018 semester; qualify for BOGG fee waiver fall 2017, spring 2018, fall 2018 and spring 2019) Enrolling in a minimum of six units at Cypress College fall, 2018 and spring 2019 All questions answered and all answers legible. No questions left blank. Unofficial transcripts attached Essay typed, double-spaced, one-inch margins all around, 12 pt font, no more than three pages. Application signed and dated All pages of the application and all additional sheets stapled together. Do not put into report cover or binder. Page 9 of 9