MEMORANDUM. Partial scholarships for CALIFORNIA-BASED UNDERGRADUATE AND GRADUATE STUDENTS to attend APHA

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1 MEMORANDUM TO: FROM: RE: Latino Caucus for Public Health Members and Friends Latino Caucus for Public Health Board Members Partial scholarships for CALIFORNIA-BASED UNDERGRADUATE AND GRADUATE STUDENTS to attend APHA PLEASE POST AND DISTRIBUTE!! The Latino Caucus for Public Health is offering five (5) scholarships to undergraduate and graduate students currently enrolled in a California university. The scholarships are intended to offset the costs of attending the 143 rd American Public Health Association Annual Meeting and Exposition, which is scheduled for October 31 to November 4, 2015 in Chicago, Illinois. This scholarship opportunity is restricted to undergraduate and graduate students currently enrolled in a California-based university that demonstrate financial need. These scholarships are made possible with the support of The California Endowment. Completed applications must be submitted no later than 5:00 PM (PST) on September 30, 2015 to lcph1973@gmail.com. Incomplete applications will NOT be considered. Only candidates who meet all of the application criteria and submit their applications by on or by the designated deadline date will be considered. Please see attached application for eligibility criteria and required supporting materials. Please share the attached scholarship application form with undergraduate and graduate students who can benefit from this opportunity. We thank you in advance for your partnership.

2 Latino Caucus for Public Health In affiliation with American Public Health Association CALIFORNIA-BASED STUDENT Scholarship Application Form 2015 The mission of the Latino Caucus for Public Health (LCPH) is to advocate for healthcare access and health promotion of the Latino community, both within and outside the American Public Health Association (APHA). Through funds made available by The California Endowment, LCPH will be awarding five (5) scholarships to support both full-time undergraduate and graduate students currently enrolled in a California-based university to attend the 143 rd APHA Annual Meeting and Exposition. This year, LCPH will award the five scholarships to students who have demonstrated a commitment to a career in the public health field and academic excellence. Each scholarship recipient will receive $350 in the form of a check as well as a ticket to the Helen Rodriquez-Trias Breakfast and a ticket to attend the LCPH Annual Awards Dinner. The scholarship is intended to help defray some of the costs of attending the APHA Annual Meeting. Priority will be given to undergraduate or graduate students who are conference presenters and display a commitment to understanding and creating health equity within and across Latino communities. NOTICE TO APPLICANTS: Scholarship funds are limited. Applications will be reviewed by members of the scholarship review subcommittee of the LCPH board. All application information will be kept confidential. Funds will not cover the complete costs to attend the 143 rd APHA Annual Meeting. You, your school, and/or your employer must cover the remainder of the fees and/or other costs associated with attending the APHA Annual Meeting. In your essay, you must show how this scholarship complements existing funds to attend the Annual Meeting. Proof of registration payment must be submitted prior to distribution of funds. Scholarship recipients will be notified and reimbursement instructions will be provided by October 12, Applicants not receiving scholarships will also be notified on this date via . This scholarship is non-transferable. If you are unable to attend for any reason, please let us know as soon as possible so we can provide this scholarship to another person. ELIGIBILITY: To be eligible for a scholarship, a student must meet all of the requirements listed below. Eligibility requirements include: 1) Currently enrolled as a full-time undergraduate or graduate student in a California-based post-secondary educational institution pursing a health education degree (e.g., Health Education, International Health, Community Health, Public Health, School Health Education, etc.). 2) Be a California resident attending a California-based post-secondary educational institution in a public health related field. 3) Be able to demonstrate financial need (a specific essay addressing financial need is required).

3 CALIFORNIA-BASED STUDENT Scholarship Application Form 2015 SELECTION CRITERIA: 1) Be able to demonstrate successfully registration at the 143 rd APHA Annual Meeting. 2) Display potential to contribute to the public health field (methodologically, conceptually, and experientially). 3) Be currently enrolled in a California-based post-secondary educational institution. 4) Be a resident in California. 5) Be able to demonstrate a commitment to serving the Latino Community. APPLICATION INSTRUCTIONS: All application materials (including proof of conference registration) must be submitted to the LCPH by 5:00 PM (PST) on September 30, All application materials must be in PDF or WORD format. completed application to Ana via our at LCPH1973@gmail.com Please make sure to attach supporting documentation along with your completed application. Supporting documentation consist of: - Copy of APHA registration to the 143 rd APHA Annual Meeting, and - Copy of current university ID or proof of current enrollment in a California postsecondary institution pursuing a degree in the public health field. (Examples class registration, student ID, current class schedule, copy of transcript, etc.)

4 Latino Caucus for Public Health In affiliation with American Public Health Association CALIFORNIA-BASED STUDENT Scholarship Application Form 2015 LATINO CAUCUS FOR PUBLIC HEALTH 2015 SCHOLARSHIP APPLICATION FORM CALIFORNIA-BASED STUDENT FORM Application must be submitted by 5:00 PM (PST) on September 30, 2015 via to STUDENT INFORMATION Name: Undergraduate Graduate Street Address: City: State: Zip: Phone: ( ) DEPARTMENT INFORMATION Name of Academic Institution: Department: Degree Sought: Year in School: Name of Faculty Advisor/ Mentor (Optional): Street Address for Academic Institution: City: State: Zip: Phone: ( )

5 CALIFORNIA-BASED STUDENT Scholarship Application Form 2015 ESSAY QUESTIONS PLEASE type your responses. You have a maximum of 500 words for each essay, using 12 FONT, TIMES NEW ROMAN or ARIAL. 1. Educational Goals Briefly describe your public health focus and how attending the 143 rd APHA Annual Meeting supports your education/professional goals. 2. Financial Need Information The scholarships are intended to cover the early bird student registration fee for the 143 rd APHA Annual Meeting as well as the cost of tickets to the Helen Rodriquez-Trias Breakfast and a ticket to attend the LCPH Annual Awards Dinner. How do you plan to pay for the other expenses related to attending this conference? Please detail travel, lodging, etc. and your need for financial support.

6 CALIFORNIA-BASED STUDENT Scholarship Application Form Vision for a Latino-informed policy/program health-related platform In 500 words or less, share your vision for a Latino-informed policy/program health-related platform. What steps are you taking to bring this vision to fruition? 4. Conditions of Award Please take a moment to answer yes or no to the following questions. Only mark one response per question. 1. Should you be awarded a scholarship, do you commit to participating in an informational preconference call in mid-october 2015? 2. Should you be awarded a scholarship, do you commit to volunteering for 3-hours at the Latino Caucus booth at the APHA Expo Center? 3. Should you be awarded a scholarship, do you commit to attending the Helen Rodriquez-Trias Breakfast on Tuesday, November 3, 2015 from 8:00 to 10:00AM? 4. Should you be awarded a scholarship, do you commit to attending the LCPC Annual Awards Dinner on Tuesday, November 3, 2015 from 6:00 to 10:00PM?