Internal ID: Nisei Student Relocation Commemorative Fund Scholarship Application Academic Year

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1 Dear Schlarship Candidate, Internal ID: Schlarship Applicatin Academic Year Welcme t the applicatin. Please read the fllwing instructins carefully befre submitting yur infrmatin. Please remember t submit the supprting dcuments fllwing the cmpletin f the nline applicatin. It is very imprtant that we receive the supprting dcuments therwise yu will nt qualify fr the award Chicag Area Schlarship Awards Applicatin Missin Statement: The is a nnprfit charitable rganizatin funded in New England that annually awards schlarships t students frm underserved cmmunities pursuing higher educatin. The NSRCF was established in 1980 by secnd generatin Japanese Americans, Nisei, in gratitude t the Natinal Japanese American Student Relcatin Cuncil. The Cuncil made it pssible fr the Nisei t leave the Wrld War II internment camps fr clleges and universities acrss the United States. The NSRCF encurages inter-ethnic cllabratin and prmtes public awareness and understanding f the frced remval and unjust imprisnment f 120,000 persn f Japanese ancestry during Wrld War II. Applicatin Instructins: Thank yu fr yur interests in the schlarship. Please cmplete each sectin f the applicatin. Here is an utline f the sectins: Part 1 - Student Infrmatin Part 2 - Academic Infrmatin Part 3 - Parent/Legal Guardian Infrmatin Part 4 - Extracurricular Activities Part 5 - Vlunteer Activities Part 6 - Candidate Interview & Essay Yu will need t frward a cpy f the fllwing dcuments t the schlarship cmmittee with the cmpleted applicatin: * High Schl Transcript with GPA * Cpy f Acceptance Letter fr yur cllege/university/pst-secndary institutin * Tw Letters f Recmmendatins * Essay If yu have any questins, please feel free t cntact Ruth Martinez: (773) x237 Page 1 f 7

2 Eligibility: Interested applicants wh meet the fllwing criteria are encuraged t apply: Student must be Sutheast Asian Americans, which includes peple frm the fllwing cuntries and ethnic grups: Cambdia Khmer, Cham, Khmer Leu, ther ethnic grups Las Hmng, La, lu Mien r Mien, Khmu, Taidam, ther ethnic grups Vietnam Vietnamese, Khmer Kampuchea Krm, Mntagnards, ther ethnic grups Ethnic Chinese frm ne f these three Sutheast Asian cuntries are als eligible Student must be a resident f Illinis Student must have a minimum cumulative GPA f 2.5 n a scale f 4.0 Student must be a graduating Senir in an accredited high schl. Student must shw prf f acceptance int a cllege/university/technical schl fllwing High Schl graduatin Screening & Selectin Prcess: The Schlarship Cmmittee believes in fairness and transparency. Applicants will be judged n the merit f the fllwing criteria: Cmmunity Service invlvement and achievement Mdel Citizenship Character Academic Achievement The Schlarship Cmmittee will enfrce strict plicies t ensure an unbiased selectin prcess withut prejudice t all applicants. Schlarship Applicatin Dcumentatin: The fllwing dcuments must be sent t the address belw and pstmarked r ed the schlarship cmmittee n r befre March 31, 2016 (Late applicatins will NOT be cnsidered): Cmpleted Schlarship Applicatin with all supprting dcuments (Incmplete applicatins will be disqualified)* A cpy f High Schl transcript (Shwing cumulative GPA) r a cpy f yur mst recent semester transcript (Shwing cumulative GPA) Essay (Minimum 250 wrds) Letter f Recmmendatin (2 letters) Prf f Admissin t Cllege/University (Cpy f acceptance letter) JASC Attentin: Schlarship Cmmittee, Ruth Martinez 4427 N. Clark Street Chicag, IL Page 2 f 7

3 Cntact Infrmatin: Questins regarding the schlarship shuld be directed t: Ruth Martinez (773) x237 SCHOLARSHIP APPLICATION Part 1 - Applicant Infrmatin (Please print): NAME: FIRST M.I. LAST GENDER MALE FEMALE DATE OF BIRTH: MONTH DAY YEAR MAILING ADDRESS (MAIL WILL BE SENT TO THIS ADDRESS): STREET CITY STATE ZIP PHONE: ( ) ADDRESS: Part 2 - Academic Infrmatin: High Schl STREET CITY STATE ZIP PHONE: ( ) Year in Schl What is yur current GPA (4.0 scale) What university/cllege/technical schl will yu be attending after high schl graduatin? Page 3 f 7

4 Have yu received yur acceptance letter frm the university/cllege/technical schl yu are planning t attend? Circle Yes r N If yu answered "N" t the abve questin, please let us knw the reasn why yu haven't received yur acceptance letter. Part 3 Parent/Legal Guardian Infrmatin If yu are under the age f 18, please have yur parent/guardian cmplete the fllwing sectin. Parent r Legal Guardian: FIRST LAST Relatinship t Student, please circle: Father Mther Other STREET CITY STATE ZIP PHONE: ( ) Part 4 - Extracurricular Activities: List the rganizatins, sprts teams, clubs and ther affiliatins yu wuld like t share t the cmmittee that highlight yur extracurricular activities. Yu will need t include the dates yu vlunteered and a reference. List as many as yu like. If yu need mre space, please include infrmatin n anther page and submit it alng with the applicatin. Yu will have an pprtunity t list yur vlunteer and leadership activities in the next sectin. Name Organizatin #1 Reference (Supervisr) Cntact Name #1 Name Organizatin #2 Reference (Supervisr) Cntact Name #2 Name Organizatin #3 Page 4 f 7

5 Reference (Supervisr) Cntact Name #3 Name Organizatin #4 Reference (Supervisr) Cntact Name #4 Name Organizatin #5 Reference (Supervisr) Cntact Name #5 Part 5 - Vlunteer Activities: List the rganizatins and ther affiliatins yu wuld like t share t the cmmittee that highlight yur vlunteer and leadership. Yu will need t include the dates yu vlunteered and a reference. If yu need mre space, please include infrmatin n anther page and submit it alng with the applicatin. Name Organizatin #1 Reference (Supervisr) Cntact Name #1 Name Organizatin #2 Reference (Supervisr) Cntact Name #2 Name Organizatin #3 Page 5 f 7

6 Reference (Supervisr) Cntact Name #3 Name Organizatin #4 Reference (Supervisr) Cntact Name #4 Name Organizatin #5 Reference (Supervisr) Cntact Name #5 Part 6 Candidate Interview and Essay: Fr the interview questins, yu may chse t submit yur answers in anther dcument. If yu d chse t submit yur answers in anther dcument, please submit it alng with the required dcuments. Questin #1 Thrugh yur extra-curricular and vlunteer invlvement, what did yu learn abut leadership? Please share sme achievements that highlight yur success. Questin #2 Hw have yu cntributed t yur cmmunity? Describe yur cntributins and achievements. Page 6 f 7

7 Questin #3 What are sme f the challenges yu have vercme? What have yu learned? Essay minimum 250 wrds. Please submit yur essay in a separate dcument and submit it alng with the ther required supprting dcuments. Essay Questin - Please share yur gals and hw this schlarship will help yu reach them? THANK YOU FOR COMPLETING THE APPLICATION! Please frward the supprting dcuments immediately t the schlarship cmmittee. Cmpleted Schlarship Applicatin with all supprting dcuments (Incmplete applicatins will be disqualified) A cpy f High Schl transcript (Shwing cumulative GPA) r a cpy f yur mst recent semester transcript (Shwing cumulative GPA) Essay (Minimum 250 wrds) Letter f Recmmendatin (2 letters) Prf f Admissin t Cllege/University (Cpy f acceptance letter) Mail all dcuments t the schlarship cmmittee: JASC Attentin: Schlarship Cmmittee, Ruth Martinez 4427 N. Clark Street Chicag, IL If yu have any further questins, please cntact Ruth Martinez, r (773) x237 Page 7 f 7

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