2. Criteria for Award: The Selection Committee will make award decisions based on the following selection criteria:

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1 2016 AHEAD in Virginia Disability Student Scholarship Application 1. Eligibility: Enrollment in an accredited Virginia Institution of Higher Education at the time of application Student must be registered with Institution s Disability Services Office No dual-enrolled high school students Enrollment for a minimum of six (6) GPA credit hours for the 2015 Fall semester and six (6) GPA credit hours for the 2016 Spring semester Associate, Undergraduate or Graduate status Minimum 2.5 cumulative GPA (on a 4.0 scale) Verification of disability by a Disability Service Provider at student s institution. The Disability Service Provider must be a current member of AHEAD in Virginia for Students may apply on an annual basis but only be awarded one scholarship in each degree program: associate, undergraduate and graduate degree program. 2. Criteria for Award: The Selection Committee will make award decisions based on the following selection criteria: Leadership and service Academic achievement/well-articulated goals Discuss strategies you have used to compensate for your disability in academic and/or vocational settings.( Students who have overcome obstacles in their life related to health or educational pursues or any circumstance that shows strength of character and potential for achievement should be stated in your application) 3. Submission Requirements: The applicant is responsible for ensuring that all parts (A E) of the application packet are submitted by 4:00 p.m., January 21, All parts of the application packet must be submitted online. Application Packet: A. Student Application Form B. 2 Reference Forms (more will cause the application to be disqualified and no letters) C. Personal Statement D. Verification Form E. Transcripts of all postsecondary grades (unofficial transcripts and transfer transcripts acceptable). Must have 2015 fall semester grades posted and 2016 spring semester classes on transcript. **Incomplete applications or those not meeting the eligibility or submission requirements above will not be considered.** You must follow the instructions for parts A-E. 4. Deadline for receipt of all parts of the application packet: 4:00 p.m. January 21, 2016 All parts of the application packet (A E) must be submitted online. 5. Notification: Scholarship applicants will be notified of their award status after May 12, We anticipate awarding the following to students with disabilities attending a Virginia institution: One (1) $1000 scholarship to a student enrolled in a program leading to an Associate s Degree or less at any 2-year, community, or technical/vocational college in Virginia. One (1) $1000 scholarship to an undergraduate student enrolled in a program leading to a Bachelor s Degree at a private college or university in Virginia. One (1) $1000 scholarship to an undergraduate student enrolled in a program leading to a Bachelor s Degree at a public college or university in Virginia. One (1) $1000 scholarship to a graduate student enrolled at any college or university in Virginia.

2 A. Student Application Form Application Form to be completed and submitted by student Please type information in body of the Fillable PDF Document Save document as PDF file with your name and institution in the file name (example: Application.JohnDoe.VirginiaCollege.pdf ). Submit attachment to: Personal Profile of Student 1. Name: 2. Your current postsecondary institution: 3. Your institution during academic year: 4. Please put in box next to your academic level during academic year: 2-year (Associate s Degree or less) 4-year Undergraduate (Bachelor s Degree) private college/university 4-year Undergraduate (Bachelor s Degree) public college/university Graduate program 5. Permanent Mailing Address (Awards will be mailed directly to the student s home address.) 6. Telephone: 7. address: Academic Profile of Student 8. Major(s) and minor(s): 9. Major(s) and minor(s) for upcoming year (if different from current year): 10. Cumulative Grade Point Average (GPA): 11. Credits enrolled in for the semester: 12. Current number of credits completed: 13. Please submit copy of transcript for each colleges and universities, technical training, and other comparable academic education (unofficial transcripts that are issued free of charge are acceptable see E. Transcripts below): 14. Semester and year of admission to current postsecondary institution: 15. If you expect a change in your academic plan within the next year, please explain:

3 B. Reference Please type information in this document. Save document as PDF file with your name and institution in the file name (this page may be saved as part of the same file for A. Student Application File example: Reference.JohnDoe.VirginiaCollege.pdf ). Use any TWO Reference Pages provided with your application. Do not submit THREE or FOUR references and no letters. You will be disqualified! 1. Please put their full name and name of the institution/work in the subject line. Please Type in Fields 2. Please list the name and contact information of the two persons who are providing the reference forms: A. Name: Title (if any): Name of Institution (if any): Address: Telephone: B. Name: Title (if any): Name of Institution (if any): Address: Telephone:

4 C. Personal Statement Please type information into a new document, then save document as a PDF file with your name and institution in the file name (example: PersonalStatement.JohnDoe.VirginiaCollege.pdf ). Submit PDF attachment to: Respond to the three items below. Limit your response to a maximum of 1000 words combined for the two bullets and one essay. Please DOUBLE-SPACE each line. Please use the format stated on line three please. Requirements for writing your scholarship Personal Statement You are required to follow these tips for the AHEAD in Virginia scholarship. You are required to use a bullet format for bullets one and two and a small double spaced essay for bullet three for the personal statement. 1. First, plan time wisely so your application arrives by the deadline even if your computer crashes on the last day. 2. Ask any clarifying questions on the front-end. Use the Scholarship Chairperson for any questions. Use a writing professor or someone in your institution s writing center for guidance in preparing your personal statement. 3. For this scholarship, start by writing down the posted criteria and guidelines listed below: a. Personal statement questions for this scholarship 1000 words or less double spaced: Give an overview of your academic achievement and goals including aspirations for future academic study or for a specific career. Use bullet format. List your current/past formal and informal leadership/service experience, including employment, community or student activities, and leadership positions. Use bullet format. Discuss strategies you have used to compensate for your disability in academic and/or vocational settings. (Students who have overcome obstacles in their life related to health or educational pursues or any circumstance that shows strength of character and potential for achievement should be stated in your application) Write a small double-spaced essay. 4. Then outline how you would want to organize your statement including all those points you just listed. 5. Write using subheadings with bullet points for Academic Achievements, goals, and Leadership/Service. Write a small double-spaced essay about the strategies you have used to compensate for your disability in academic and/or vocational settings. Please write in clear topical sentences so scholarship reviewers get your key points immediately. 6. Watch the rules. AHEAD will not consider your application if any piece is missing, late, or does not match their stated format. 7. After writing, use spell and grammar check, then ALWAYS use someone else to edit for grammar and clarity of communication. Give your editor a list of the criteria so they have that perspective as they critique your statement. 8. Edit at least a second time for individual voice can the scholarship judges hear an individual speaking? 9. Submit all documents together in advance of the deadline. 10. All parts of the student s application packet must be attachments (PDF file) to:

5 D. Transcripts Transcripts to be submitted by student Please list in chronological order all colleges and universities, technical training that you have attended (type in document below) Submit copy of transcript for each (unofficial transcripts that are issued free of charge are acceptable). Scan or copy/paste transcripts then save as a separate PDF file with your name and institution in the file name (example: Transcript.JohnDoe.VirginiaCollege.pdf ). Submit attachment to:

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