2015 Farmworker Scholarship for College Students

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1 2015 Farmworker Scholarship for College Students Online Application Due April 1, 2015 To be eligible to apply to this scholarship, you must: 1. Be an undergraduate college student who works or has worked as a farmworker* in the United States, OR 2. Has a parent/legal guardian who is or has worked as a farmworker in the United States. 3. Has not previously received the Sea Mar Farm Worker Scholarship. 4. Enrolling in a higher education institute for the academic year. 5. Be a Washington state resident. *For the purpose of awarding this scholarship, Sea Mar's definition of farmworker is someone whose principal employment is in agriculture or dairy labor. It does not include farm, ranch, feedlot, fishery, food- or meat-processing, or any owner or child of an owner of an agricultural or dairy business. I. Personal Data: Tell us about yourself It is often forgotten about the proper usage of grammer and spelling with online applications. You will be evaluated not only on context but spelling and other grammatical usage on the application and essays. Full Name * First Name Last Name Suffix 1

2 Birthdate: * Month Day Year Gender: Male Female * ex: myname@example.com Mobile No. : * - Area Code Phone Number Secondary Phone No. - Area Code Phone Number Home Address : * Street Address Street Address Line 2 City State / Province Postal / Zip Code 2

3 How did you learn of this scholarship? * Academic counselor Teacher Family member Peer thewashboard.org Scholarship office Sea Mar's website Sea Mar social media Other II. College Information: Status at the time of application: * I am considered a college Freshman with no more than 45 credits. I am considered a college Sophomore with no more than 90 credits. I am considered a college Junior with no more than 145 credits. I am considered a college Senior but am not graduating in the academic year. I have graduated high school but not yet enrolled in college*. Name of current college/university: * *If you have graduated high school but not yet enrolled in college, use the high school version of this scholarship. Most recent cumulative GPA * 0.00 Upload a copy of your most recent college transcript * Choose File No file selected Upload only a PDF or JPG version of transcript What is your declared major * If not yet declared, please type undecided 3

4 If undecided, what is your intended major What is your career objective: * 0/300 Do you plan to transfer to another college and complete a 4-year degree? Yes No Will you be or have you been working while attending school? Yes No If so, will you work: Full-time Part-time Work-study Other III. High School Information: High School You Graduated From: * Year of High School Graduation or GED: * Are you a first person in your family to attend college? Yes No IV. Personal Statement: 4

5 To be considered for this scholarship, you are expected to provide answers to the following four (4) questions: Question 1: From the perspective of a member of a farmworker family, how have your personal experiences shaped the student you are today. How has it influenced your current and future academic goals? Question 2: How has your perspective about college changed from a high school student to now a college student? What pieces of advice would you give to students from your high school about college? Question 3: Why do you consider yourself a good candidate for this scholarship and what makes you unique from the rest of the students applying for this scholarship? Question 4: What do you see yourself doing three years from now? Each essay must be a minimum 300 words and max of 500 words. At the moment, this application does not allow for you to save your work and return at a later time. We highly suggest you draft your personal statement on a computer and when ready to submit, copy and paste into this application. Give yourself time to fix any formatting errors before submitting. Essay 1: * Essay 2: * 5

6 Essay 3: * Essay 4: * V. Applicant's E-Signature: By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an confirmation that your application was received. Please print for your records and retain as verification of your application. E-Signature: * 6

7 All applications are to be turned in on Wednesday, April 1 by 6 pm Pacific Time Before submitting, are you sure you: 1. Spelled everything correctly? 2. Uploaded the right file? 3. Answered all essay questions? Any application that does not follow any of the directions or meets the deadline will be automatically disqualified. Submit Form Print Form Sea Mar Community Health Centers is committed to equal opportunity in employment and education. Sea Mar does not discriminate on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class. 7

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