Illinois Dream Fund Scholarship

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1 We are witnessing a period of extraordinary growth within the undocumented immigrant community. The world is constantly changing, and with change, comes great challenges and opportunities. Regardless of what lies ahead, we are certain of one thing; access to education for undocumented immigrants, is essential for the growth of Illinois and this nation. Tomorrow s leaders will need to be great thinkers, possess wisdom, and a deep understanding of the world. they must have a profound sensitivity to people s needs and motivations. The Illinois Dream Fund Scholarship seeks to create access to financial resources to further this growth and development for the leaders of tomorrow. With the generous offerings of private donors and in-kind donations, the Illinois Dream Fund Scholarship provides scholarships to undocumented students. Applicants must be incoming freshmen, current undergraduates and transfer students that possess at least a 2.5 GPA (on a 4 point scale).!!! DEADLINE DATE: February 1, 2013 (applications must be typed)

2 Scholarship awards will be paid directly to the school and not the student. 2 year institutions: Tuition up to $2, year institutions: Tuition up to $6,000 (toward first Bachelors degree). Applicants will be notified of the results via by Friday, April 26, To be eligible to apply for the Illinois Dream Fund Scholarship, an Undocumented student must meet the following criteria: High school or college minimum GPA of 2.5 (on a 4 point scale); Have resided with his or her parent(s) or guardian(s) while attending high school in Illinois; Have graduated from a high school or received the equivalent of a high school diploma (GED) in Illinois; after attending an Illinois high school for at least three years. Application Checklist! Completed Application with student signature! High School Transcript! College Transcript(s) (if applicable)! Parent Income Tax Return(s) signed & dated! Student Income Tax return signed & dated (if applicable)! Essay(s)! 2 Letters of Recommendation from non-family members who are/were! your teacher, professor, counselor, school administrator or! academic advisor. DEADLINE DATE: February 1, 2013 (applications must be typed)

3 Personal Information!!! First Name!! Middle!! Last Name Applicant!!!!!!!!!! Street Address!!!!!!!!! City!!!!! State Zip Phone (! )!!!!!!!!! Alternative telephone ( ) !!!!!!!!!!! Place of Birth (Country of origin)!! Date of Birth / / Academic Information Name of high school attended: Dates of attendance: to Graduation date/anticipated date: Address: City: State: Illinois!Zip: Grade Point Average: on a scale. Honors, Awards or Special Recognitions

4 College or University Attending/Planning To Attend Institution Name:!!!!!!!! Major (Field of Study): Minor(s): City!!!!! State!! Zip Dates of Attendance to Honors, Awards or Special Recognitions Extracurricular Activities/Interests/Organizational Roles(s)

5 Financial Information Please submit your parent(s)/guardian(s) and student 2011income tax returns signed and dated. What is your 2011annual household income?!!!!!!!!! $ What is your estimated educational expenses?!!!!!!!!! $!!!! What amount is covered toward your academic expenses! through the following:!!! Scholarships and/or!!! other awards!!! $!!!!!!! Institutional aid!! $!!!!!!! Student loans!!! $!!!!!!! Parent(s)/family!!! $!!!!!!! Contributions!!! Other resources!! $!!!! Please provide a copy of your award letter for the academic year

6 Community Service Information Describe any community service activities Dates!! Organization/Activity! Role/Position/Title!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Essay Please describe below how being the recipient of the Illinois Dream Fund Scholarship would help you achieve your educational and career goals. The scholarship committee is particularly interested in how your education will advance your personal growth and the growth of your community. Please limit your response to fewer than 500 words. Other Information (Essay) Briefly describe any additional special circumstances the Illinois Dream Fund Scholarship committee should consider when reviewing your application. Keep your response to 500 words or less.

7 All questions in this application must be fully answered, and supporting documents supplied, in order for this application to be completed and eligible for consideration. All information provided will be treated confidential and will be used solely by the Illinois Dream Fund Board for the purpose of evaluating scholarship applicants. If requested by the Illinois Dream Fund, the applicant agrees to provide further verification of any information contained in their application, or of compliance with all scholarship criterion. The identity of scholarship recipients will remain confidential unless the recipient specifically permits the Illinois Dream Fund to publicly disclose that the recipient received an Illinois Dream Fund Scholarship. Applicant s Certification I hereby certify that: 1. I am not related to any board member of the Illinois Dream Fund (either Tanya Cabrera, Clare Munana, Rigoberto Padilla, Ron Perlman, Clara Rubinstein or Moises Zavala). 2. I meet the eligibility requirements as specified in this application. 3. To the best of my knowledge and belief, all information contained in this application is true and correct as of the date hereof. 4. I acknowledge that I have carefully read the entire application, including the paragraph above, and agree to the requirements of this application. Print Name:!!!!!!!!!! Signature:!!!!!!!!!!! Date:!!!!!!!!!!! Please return the completed application with supporting documents. The package must be deposited in U.S. Mail on or before February 1, 2013, to: Illinois Dream Fund Scholarship, c/o Jesse H. Ruiz, Drinker Biddle & Reath LLP, 191 N. Wacker Drive, Suite 3700, Chicago, Illinois Remember to include the fully completed scholarship application including your Essay(s), signed & dated tax return(s), transcripts and two letters of recommendation. Do not fax or your application.

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