Maricopa Community College Version

Transcription

1 THE TEMPE DIABLOS SCHOLARSHIP PROGRAM APPLICATION DEADLINE: SUNDAY, JANUARY 24, 2016 Maricopa Community College Version Tempe Diablos Charities, Inc., is pleased to announce the availability of The Tempe Diablos Scholarship for the academic year. The Tempe Diablos are involved in promoting excellence among Tempe s top high school students and helping young adults in taking steps to improve their opportunities and the communities in which they live. Scholarship Award Amount: New Scholarships - $2,000/year; Continuing Scholarship - $2,000/year Scholarships Awarded Per Year: 20+ This information sheet and attached application is for use by applicants who are applying to a Maricopa County Community College. Applicants who have applied to ASU, or who are applying to ASU, must follow the instructions, and complete the application applicable to them, on the Diablos website at under Scholarships on the Main Menu. To be eligible for the scholarship, an applicant must: Currently be a senior in high school and plan to graduate from a publicly funded accredited high school. Be a resident of Tempe, Arizona. Be admitted as a full-time student (24 credit hours per academic year) at a Maricopa County Community College. Must be classified as an Arizona resident for tuition purposes. Meet one of the following: o Have a minimum 3.0 grade point average o Be ranked in the top 25% of their graduating class o Have an SAT reasoning of 1040 or higher o Have an ACT score of 22 or higher Show extracurricular involvement in their school and/or community; strong leadership abilities and communication skills. Demonstrate the potential to continue with their college career by remaining in good standing with the College and maintain all scholarship criteria. Financial need is not a required but may be considered as determined by the student enclosing with his or her completed application the Academic Budget Form attached to the Tempe Diablo Scholarship Program Application Form for Academic Year. Application Filing deadline January 24, This scholarship may be renewable for 7 consecutive semesters if all criteria are maintained and funding is available. Student must re-apply each year. Members of the Tempe Diablos, their spouses, children and/or dependents are not eligible to apply. Application Procedure (please submit in this order): 1. Complete the Tempe Diablos Scholarship application (2 pages). 2. Attach a typewritten statement (1-2 pages, double spaced) describing: Personal and family background. Education and career goals. How this scholarship will assist in achieving your education and career goals. Any unusual personal expenses or income situations that make it difficult for you and your family to contribute to the cost of your education. 3. Attach a separate sheet listing extracurricular activities, honors, positions of leadership, and volunteer/community service (include years of involvement). 4. Attach a copy of your high school transcript which includes grades from your most recently completed semester, cumulative GPA and class percentile ranking (unofficial copies are acceptable). 5. Attach one (1) letter of recommendation from a professional who can attest to the potential for success in academics and the character of the applicant. 6. This application and all required attachments must be submitted and RECEIVED (not postmarked) by Sunday, January 24, 2016, at the following address: Tempe Diablos Charities, Inc., P.O. Box 13246, Tempe, Arizona Applicant s name should appear on every page. All applications must be submitted single-sided (including required attachments) in the original application format. Transcripts or letters of recommendation must be included with original application. DO NOT STAPLE any portion of your application materials. Following application review, finalists will be notified by February 17, 2016, and will be scheduled to interview on Saturday, February 20, 2016, at ASU s Tempe Campus. Recipients of this scholarship award will be notified via U.S. Mail. Scholarship recipients are required to attend Excellence in Education award reception on May 2nd, 2016 at Tempe Center for the Arts (time TBD). INCOMPLETE, LATE, FAXED, or HAND-DELIVERED APPLICATIONS WILL NOT BE CONSIDERED. For questions regarding this scholarship, please contact the Tempe Diablos at (480) Page 1 of 5

2 TEMPE DIABLOS SCHOLARSHIP PROGRAM ACADEMIC YEAR APPLICATION FORM - Maricopa Community College Version DEADLINE: Applications must be RECEIVED by SUNDAY, JANUARY 24, 2016 Title: Mr. Ms. Mrs. Name: SCHOOL ID#: Last First M.I. If assigned, otherwise Social Security Local Phone: Or Campus Phone Cell Phone: Local Address: Permanent Phone: Street Address City State Zip Address: Permanent Address: Street Address City State Zip You Plan to Attend: Please list ONE School College/Department Major: Number of Credit Hours Planned ( ): Fall: Spring: Anticipated Graduation Date from College: month/year Ethnicity (optional): Asian/ Pacific Islander Black Caucasian Hispanic Native American Other PLEASE INCLUDE WITH YOUR APPLICATION: (APPLICATIONS MUST BE SUBMITTED SINGLE-SIDED, IN THIS ORDER) Personal Statement: Attach a typewritten statement (1 to 2 pages, double-spaced) describing: 1. Personal and family background. 2. Education and career goals. 3. How this scholarship will assist in achieving your education and career goals. 4. Any unusual personal expenses or income situations that make it difficult for you and your family to contribute to the cost of your education. Activities/Honors: Transcripts: Attach a separate sheet listing extracurricular activities, honors, positions of leadership, and volunteer/community service (include years of involvement). Please attach a copy of your high school transcript which includes grades from your most recently completed semester; SAT or ACT scores; and class percentile ranking (unofficial copies are acceptable). Letters of Recommendation: Please attach one (1) letter of recommendation, on letterhead, from a professional who can attest to the potential for success in academics and the character of the applicant. Financial Need: In the case of multiple qualified applicants, having a demonstrated financial need may be the determining factor in awarding this scholarship as determined by the student enclosing with his or her completed application the Academic Budget Form attached to the Tempe Diablo Scholarship Program Application Form for Academic Year. Page 2 of 5

3 HIGH SCHOOL INFORMATION High School Academic Cumulative GPA (non-weighted): Class Percentile Ranking: High School: Name Address City State Zip Number of Members in Your Household (Including Yourself) Who Will Attend Universities and/or Colleges in : What other Scholarships, Grants, Tuition Waivers, etc. have you applied for? * * ALL APPLICANTS * * CONSENT TO RELEASE RECORDS Among other rights afforded to me under Federal Legislation commonly known as The 1974 Family Educational Rights and Privacy Act, as amended, I understand that I have the right to specify the name of each and every individual to whom my records are released. I further understand that I may waive my right to specify the name of each scholarship donor or scholarship committee to whom my records are released. I hereby authorize the Tempe Diablos to receive and review all records concerning me relating to my application. Such records may contain the following: a. My (un)official transcript. b. Letters of recommendation bearing specifically on my application for scholarship. c. My entire application. d. Other documents and information relating to my academic performance. e. Documents and information relating to my financial status. I certify that the information throughout this application is accurate and that misrepresentation of any facts or details could result in ineligibility for any scholarships/awards. Print Name Signature Date This application and all required attachments must be submitted and RECEIVED (not postmarked) by Sunday, January 24, 2016, at the following address: Tempe Diablos Charities, Inc., P.O. Box 13246, Tempe, Arizona Applicant s name should appear on every page. All applications must be submitted single-sided (including required attachments) in the original application format. Transcripts or letters of recommendation must be included with original application. DO NOT STAPLE any portion of your application materials. Following application review, finalists will be notified by February 17, 2016, and will be scheduled to interview on Saturday, February 20, 2016, at ASU s Tempe Campus. Recipients of this scholarship award will be notified via U.S. Mail. Scholarship recipients are required to attend Excellence in Education award reception on May 2nd, 2016 at Tempe Center for the Arts (time TBD). INCOMPLETE, LATE, FAXED, or HAND-DELIVERED APPLICATIONS WILL NOT BE CONSIDERED. For questions regarding this scholarship, please contact the Tempe Diablos at (480) Page 3 of 5

4 ACADEMIC BUDGET FORM Academic Year Expenses and Revenue (please estimate expenses and revenue for the entire academic year) EXPENSES Tuition and Fees: Amount Subtotal In-State Tuition & Fees Out-of-State Tuition Books & Supplies Transportation: Vehicle Maintenance Costs Payments Insurance Bus Fare Room & Board: Dormitory Food Rent Utilities Telephone Personal Expenses: Clothing Laundry Health Insurance Other Insurance Recreational Organizational Dues Other Monthly Costs Define TOTAL EXPENSES Page 4 of 5

5 FINANCIAL RESOURCES Available Income for Academic Year: Bank or Private Education Loans Grants (Pell, SSIG, SEOG, etc.) Personal Earnings (including summer income) Parental Support Scholarships Received: Name: Amount Subtotal Federal Benefits (if any): G.I. Bill Social Security Welfare Other Income Define TOTAL FINANCIAL RESOURCES Describe any unusual personal expenses or income situations that make it difficult for you and your family to contribute to the cost of your education: BALANCE SHEET Total Expenses Less Total Financial Resources Unmet Financial Need Page 5 of 5