The Los Angeles County Community Development Foundation (CDF) 2015 Housing Authority Resident Scholarship (HARS) APPLICATION

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1 The Los Angeles County Community Development Foundation (CDF) 2015 Housing Authority Resident Scholarship (HARS) APPLICATION The CDF awards scholarships to qualified participants of the Housing Authority of the County of Los Angeles (HACoLA) Public Housing and Section 8 Programs. This is a unique opportunity for current high school seniors and adult students either currently attending or will attend an accredited college, university, or vocational program in Fall Eligibility In order to be considered for this scholarship, applicants must meet the following criteria: Be a participant of the Los Angeles County Section 8 program or be a tenant in housing owned or managed by the Housing Authority of the County of Los Angeles (HACoLA) and in Good Standing. Qualified youth students include: o High school seniors that will attend an accredited college or vocational program in Fall Qualified adult students include: o Students with an educational gap that will attend an accredited college or vocational program in Fall 2015; or o Students currently enrolled and in good standing in an accredited college or vocational program with plans to continue in the Fall Instructions Please fully complete the application by typing or neatly printing using black ink. If additional space is needed, use a separate sheet of paper and attach it to this application. Submit completed application on or before April 30, 2015 by 5 pm including one copy of: a) Completed and signed Application Form. b) Personal Statement (typed, 12 font, 1inch margins and no more than 2 pages). c) List of extracurricular activities as outlined in Section Four of this application (resumes are acceptable). d) Copy of GED certificate or high school diploma (current high school seniors must turn in a current high school transcript). e) Students currently enrolled in college must also supply an unofficial college transcript from the school they are attending. Students may provide transcripts from other colleges if desired. f) Two (2) Recommendation Forms in a sealed and signed envelope from high school or college instructors, counselors, or employers in support of your application. Applications must be hand delivered or mailed (postmarked) by April 30, 2015 by 5pm to: Community Development Foundation - Scholarship Committee P.O. Box 6428 Alhambra, CA Applications may also be hand delivered to one of the following HACoLA offices by April 30, 2015 by 5pm. Carmelitos 1000 Via Wanda Long Beach, CA Nueva Maravilla 4919 Cesar Chavez Ave Los Angeles, CA CDC/HACoLA Headquarters 700 W. Main Street Alhambra, CA Palmdale Section 8 Office 2323 Palmdale Blvd, Suite B Palmdale, CA Harbor Hills Western Ave Lomita, CA South Scattered Central Ave Los Angeles, CA LATE and INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED!

2 Section One: General Information Mr./Ms. (circle one) First Name: MI: Last Name: Home Address: City: ZIP: Participant Type: Section 8 Public Housing: Home Phone: ( ) Cell Phone: ( ) Address: Best Method of Contact: Date of Birth: Social Security No.:XXX-XX- If offered, would you like to have a college retention & career mentor? Can you committ to meeting with a mentor at least four times during the school year? Section Two: Applicant Certification and Release of Information I certify that: All information provided on this application is true and complete to the best of my knowledge. My personal statement is an original work and is not written by any other person except myself. I meet all eligibility requirements as specified in the accompanying instructions. I understand that I may only receive one (1) Housing Authority Resident Scholarship annually. I understand that application materials become the property of the Los Angeles County Community Development Foundation (CDF) and will not be returned. I hereby authorize the CDF to review my application for the purpose of evaluating my application. Applicant Signature: Head of Household Name: (as stated on your Section 8 or Public Housing Contract) Social Security No.: XXX-XX- Applicant s relationship to Head of Household: Parent or Legal Guardian approval is required if applicant is under the age of 18. I certify that I have read this application and give my approval for it to be submitted. Parent/Guardian Signature: Parent/Guardian Name (Print):

3 Section Three: Academic Information Please list all current and previous schools attended from high school onward (attach additional sheet if necessary): School/College School Address Current Student? (Y/N) Units/Credits Earned Degree Earned Graduation Date/ Dates Attended GPA What is your current academic status: High School Student (senior) Undergraduate Student Desired Career or Field of Interest: Section Four: Extracurricular Activities & Community Involvement On a separate sheet of paper or resume list your extracurricular activities (limit to last 5 years), community involvement, and employment, including but not limited to: Honors or awards that you have received; Volunteer activities in which you have participated (including internships and leadership positions held); and Graduate Student Not currently a student but plan to attend college/vocation program in Fall 2015 Institution where you plan to enroll for the academic year (if undecided, list top three choices): Type of accredited institution plan to attend: 4-Year University Community College Vocational Program Have you applied for admission? Have you been accepted? Expected Major: Have you completed the Free Application for Federal Student Aid (FAFSA)? Expected Degree: AA/AS BA/BS MA/MS PhD Other: Recreational activities, hobbies, and/or clubs in which you are involved. Section Five: Personal Statement Answer the following question: Please explain your motivation for pursuing higher education, career goals, and how the scholarship will help you achieve? Be as specific as possible. Personal Statements must be typed, limited to 2 pages, font size 12, with 1 inch margins.

4 The Los Angeles County Community Development Foundation (CDF) 2015 Housing Authority Resident Scholarship RECOMMENDATION FORM (Applicant: provide this form to each person making a recommendation on your behalf) The CDF awards scholarships to qualified participants of the Housing Authority of the County of Los Angeles (HACoLA) Public Housing and Section 8 Programs. This is a unique opportunity for students of all ages that will attend an accredited institution in Fall Instructions to Recommender: A Housing Authority Resident Scholarship (HARS) applicant has requested that you provide a recommendation that evaluates their capabilities. Please complete this form (type or print using black ink) and return it to the student signed in a sealed envelope with your signature written across the seal. The CDF appreciates your assistance. For further information about the CDF and its HARS program, please visit us at or call us at (626) Family and friends of applicants are highly discouraged from providing recommendations Section One: General Information of Recommender First Name: Last Name: Professional Title: Are you a: Teacher Counselor Employer Other: Institution/Company Name: Address: City: ZIP: Phone: ( ) Address: Section Two: Relationship How long have you known the applicant? Less than 1 year 1-2 years 3 or more years How well do you know the applicant? Casually Fairly Well Very Well In what context do you know the applicant?

5 Section Three: Evaluation Please rate the applicant on each attribute (1=below average, 2=average, 3=above average, and 4=excellent): Work Habits (challenges self, manages time well, and utilizes support networks in academic or other settings) Leadership (ability to motivate others) Unable to Comment Motivation and Long-Term Goal Setting (sets realistic goals, develops strategies for completing goals, and pursues goals) Self-Awareness (understands personal strengths and weaknesses, works to improve upon weaknesses, and uses strengths to maximize results) Please use the space below (attach separate sheet if necessary) to provide supporting evidence of applicant capabilities. Use the attributes listed above as a guide. Section Four: Recommender Certification I certify that all information provided in this recommendation is true and complete to the best of my knowledge. I hereby authorize the CDF to review my recommendation of the above named applicant for the purpose of evaluating their Housing Authority Resident Scholarship application. Recommender Signature:

6 The Los Angeles County Community Development Foundation (CDF) 2015 Housing Authority Resident Scholarship RECOMMENDATION FORM (Applicant: provide this form to each person making a recommendation on your behalf) The CDF awards scholarships to qualified participants of the Housing Authority of the County of Los Angeles (HACoLA) Public Housing and Section 8 Programs. This is a unique opportunity for students of all ages that will attend an accredited institution in Fall Instructions to Recommender: A Housing Authority Resident Scholarship (HARS) applicant has requested that you provide a recommendation that evaluates their capabilities. Please complete this form (type or print using black ink) and return it to the student signed in a sealed envelope with your signature written across the seal. The CDF appreciates your assistance. For further information about the CDF and its HARS program, please visit us at or call us at (626) Family and friends of applicants are highly discouraged from providing recommendations. Section One: General Information of Recommender First Name: Professional Title: Last Name: Are you a: Teacher Counselor Employer Other: Institution/Company Name: Address: City: ZIP: Phone: ( ) Address: Section Two: Relationship How long have you known the applicant? Less than 1 year 1-2 years 3 or more years How well do you know the applicant? Casually Fairly Well Very Well In what context do you know the applicant?

7 Section Three: Evaluation Please rate the applicant on each attribute (1=below average, 2=average, 3=above average, and 4=excellent): Work Habits (challenges self, manages time well, and utilizes support networks in academic or other settings) Leadership (ability to motivate others) Unable to Comment Motivation and Long-Term Goal Setting (sets realistic goals, develops strategies for completing goals, and pursues goals) Self-Awareness (understands personal strengths and weaknesses, works to improve upon weaknesses, and uses strengths to maximize results) Please use the space below (attach separate sheet if necessary) to provide supporting evidence of applicant capabilities. Use the attributes listed above as a guide. Section Four: Recommender Certification I certify that all information provided in this recommendation is true and complete to the best of my knowledge. I hereby authorize the CDF to review my recommendation of the above named applicant for the purpose of evaluating their Housing Authority Resident Scholarship application. Recommender Signature:

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