Incomplete applications and those received after the deadline will not be considered. NO EXCEPTIONS

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The AVID-COLLEGE HORIZONS Scholarship A Program of the Sacramento Cal-SOAP Consortium & the Capitol Region AVID Center Administered by the Sacramento Region Community Foundation Purpose and Amount The College Horizons Scholarship is a last dollar grant and is intended to address any unmet need left after a student has received his or her financial aid package. Graduating seniors who are attending a Sacramento County high school and who have participated in the AVID program for a minimum of three (3) years in high school are eligible to apply for this award. Scholarship awards typically range from $500 to $1,500 and are renewable on an annual basis. Students may be eligible to receive a College Horizons scholarship for up to four years. Eligibility To be eligible, an applicant must be: A participant in the AVID program (minimum 3 years in high school) A graduating senior at a Sacramento county high school Admitted and enrolled in a four year college or university with a minimum of 12 units In addition, applicants must be able to demonstrate need by submitting a financial aid award letter from their college. Relatives of AVID or Cal-SOAP staff or board members are not eligible. Selection The selection committee will review each application from eligible candidates. Finalists will be selected based upon how well they meet the scholarship selection criteria, including financial need, academic performance and the letter of recommendation. Award The scholarship will be issued over the course of one academic year. Continuous, full-time enrollment (no fewer than 12 units per quarter/semester) is a requirement. Recipients must provide proof of enrollment and a grade report to the Sacramento Region Community Foundation each semester or quarter in order to receive disbursements. The Sacramento Region Community Foundation will disburse the award directly to the college or university s financial aid office on behalf of the recipient with a letter explaining that the grant is intended to address a funding gap and should not result in a reduction in aid from other sources. How to Apply Submit a complete application package by the specified due date. Use the following application package checklist to make sure your application package is complete: A completed application packet A copy of your personal statement or college admissions essay (no more than 800 words) A resume of your extracurricular activities, community service, and/or work experience 2012-2013 Student Aid Report (SAR) showing the Estimated Family Contribution (EFC) A letter of recommendation from a teacher or counselor A copy of your high school transcript/s A copy of the financial aid award letter or statement from your college or university showing award amount and cost of attendance Please visit www.sacregcf.org to obtain additional information and application materials. For questions, please contact our office at (916) 921-7723 or scholarships@sacregcf.org. Deadline The deadline to apply is June 1, 2012. Please mail the completed application packet to: P.O. Box 269003 Sacramento, CA 95826-9003 Incomplete applications and those received after the deadline will not be considered. NO EXCEPTIONS

APPLICATION PACKET CHECKLIST AND COVER SHEET In order to be considered for a scholarship award, the following supporting documents must be sent to the address below, and postmarked by June 1, 2012. Incomplete applications will not be considered. Complete all sections of this application A copy of your college admissions essay or a personal statement (no more than 800 words) A resume that includes your: School-based extracurricular activities Community service Work experience 2012-2013 Student Aid Report (SAR) showing the Estimated Family Contribution (EFC) (See attached sample.) A letter of recommendation from a teacher or counselor describing your academic potential and motivation. Choose wisely from among those who know you well. A copy of your high school transcript/s A copy of the financial aid award letter or statement from your college or university showing award amount and cost of attendance Prior to submitting your application, please use this checklist to certify your application is complete and ensure that it will be considered. Mailing Address P.O. Box 269003 Sacramento, CA 95826-9003 For Hand Delivery 10474 Mather Blvd. Sacramento, CA 95655 Late or incomplete applications will not be considered. It is the student s responsibility to make sure all elements are postmarked on or before the deadline of June 1, 2012.

Studentʼs Name Address City State Zip: Telephone E-mail of birth Are you currently a foster youth? Yes No Have you ever been a foster youth? Yes No PARENT/GUARDIAN INFORMATION Name Address City State Zip: Home Phone: Work Phone: Cell Phone: Email: ACADEMIC INFORMATION High school What college do you plan to attend in 2012-2013? Type of Institution Private Public Community College Do you plan to work while in college? Yes No

Applicant If selected as a scholarship recipient, I understand I will be required to submit verification of enrollment and my grade point average prior to receiving payment. I understand I will not receive payment until this information has been received and reviewed. I certify that all information submitted is true and complete for consideration as a grant recipient. Photo & Information Release I give to the AVID College Horizons Scholarship Program permission to use, publish, and republish reproductions of my likeness (photographic or otherwise), and essay narratives with or without identification of me by name, for purposes of communicating the work and purpose of the Foundation e.g. annual report, brochures, electronic presentations, newsletters, etc. Name of person photographed or recorded (please print) Phone Number Street Address City State ZIP Consent of Parent or Legal guardian if above individual is a minor (under 18) Name (please print) Relationship

Print Summary Print Summary Sample Student Aid Report (SAR) Page 1 Only (Printed On- line Version) The document below is a COPY of your entered data. This is for your records only. Do NOT mail this page to Federal Student Aid. We will not return this copy to you. To print this page, select Print This Page. To view this page, move your browser s vertical scroll bar upward or downward, or press the Page Up or Page Down key on the right side of your computer keyboard. PRINT THIS PAGE PRINT HELP CLOSE WINDOW THIS IS A COPY OF YOUR 2012-2013 SAR PRINT SUMMARY DO NOT MAIL THIS DOCUMENT OR A COPY OF THIS DOCUMENT TO FEDERAL STUDENT AID. Student ID XXX-XX-1234 EFC: 0 DRN: 6789 Form Approved OMB No. 1845-0008 App. Exp. 12/31/11 Step 1. (Q1 Q32) Student s Last Name Student s First Name, Student s Middle Initial Student s Permanent Mailing Address Student s Permanent City Student s Permanent State, Student s Permanent Zip Code Student s Social Security Number Song Hera 3456 Music Way Anthem CA 95814 XXX-XX-1234 Student s of Birth 07/04/1993 Student s Permanent Home Phone Number 9169876543 Student s Driver s License Number Student s Driver s License State Student s E-Mail Address singasong@fotw.net