VIETNAMESE CATHOLIC STUDENT ASSOCIATION SCHOLARSHIP APPLICATION

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1 Dear VCSA Scholarship Candidate, Thank you for your interest in applying for our 2015 VCSA Scholarship. VCSA is a nonprofit organization gathering students from various colleges and universities. Our goal is to help students further their education and to encourage students to give back to their community. We will be offering 3 scholarships, each scholarship is worth $300, to Vietnamese students and Vietnamese nonprofit organizations selected by our VCSA Board. The first scholarship is for an individual who demonstrates strong academic performance along with exceptional community service. The other two scholarships are for organizations that help to make a positive impact in the community. Please read carefully and fill out the application below. A complete application must be submitted by March 25, 2015 by 11:59 pm Pacific Time to in order to qualify for the scholarship. An application is considered complete only if it is accompanied by the following documents, which must be submitted together with this application. VCSA is not responsible for materials lost or misdirected in the mail or by . For Individual Scholarship 1. Proof from the applicant s school certifying that the applicant is a student in good academic standing (recommended 3.0 GPA and above) unoffical transcript 2. An essay of under 500 words addressing the following topics: a. Your involvement in any public service or leadership role within the community b. The importance or value of acquiring a higher education c. Your specific challenge in pursuit of higher education 3. Recommendation letters, no more than two, sent directly to The letters shall be from someone other than a family member who has known you at least one (1) year and has been influential to your success. For Organization Scholarship 1. Proof that the organization is currently active in Orange County, California with a complete list of all the names and positions of the Board Members. 2. An essay of under 500 words address the following topics: a. The organization s mission statement as well as goals and contributions to the community b. The challenges and struggles that the organization is dealing with c. How the scholarship will impact the organization APPLICATION DEADLINE: March 25, 2015

2 Please completed applications or questions regarding the scholarship to In order to receive the scholarship, each winner must be present at the scholarship event at the Vietnamese Catholic Center on Friday, April 17, 2015 at 7:00 pm. Each winner is required to show a current college registration and a governement issued ID. I. PERSONAL INFORMATION Legal name in full (Print/Type) First name Last name M.I Permanent resident Number, Street, and Apartment Number Your mailing address (if different) Number, Street, and Apartment Number Home phone ( ) Cell phone ( ) address Date of birth Date of application MM/DD/YYYY Age To continue applying, please check the box(es) that applied I am applying for VCSA s INDIVIDUAL scholarship (If so, go to part II) I am applying for VCSA s ORGANIZATION scholarship (If so, go to part III)

3 II. INDIVIDUAL SCHOLARSHIP (check one) I am a U.S. citizen International Student Resident alien expecting citizenship by the date of award College now attending Name Street Major/minor (Check one) Class level: Freshman Sophomore Junior Senior Expected graduation date(term/year) Will you be studying in U.S. during the 2015 Spring semester? Yes No (If yes) Where? Current cumulative GPA Name of school, city, and state Number of college credits earned to date Total number of credits required for graduation Other college attended (Include all colleges(attach additional sheet if necessary) School Name City/state From-To (MM/DD/YYYY)

4 Extracurricular activities Group name Position From-To (MM/DD/YYYY) Honored/Awards Title School Year/term

5 III. ORGANIZATION SCHOLARSHIP Name of the organization Current members Place of establishment Office address Year of establishment Street/city/state Mission and purpose Provide a brief description of the organization Staff name/position Advisor( Optional) If chosen as a winner, I will be present in the VCSA Scholarship events at Vietnamese Catholic Center on Friday, April 17, 2015 at 7:00 pm Certification and Waiver of Confidentiality: I hereby certify that the information provided on this application is correct. If I am the recipient of the Scholarship, I understand and agree that my name and the award will be publicly announced and/or published by VCSA. I certify that I am a college student (for individual scholarship) or an authorized staff member from the nonprofit orgnization (for organization scholarship) and that I will supply supporting documentation, if required by VCSA. Signature Date Title Position (organization scholarship)

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