COMMUNITY COLLEGE STUDENTS SCHOLARSHIPS AWARDED UP TO $4,000

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COMMUNITY COLLEGE STUDENTS SCHOLARSHIPS AWARDED UP TO $4,000 2015-16 CRITERIA Full-time student currently attending a community college and transferring, as a junior, to a four-year college or university Resident of Contra Costa County, California Financial need Minimum GPA of 3.0 Academic achievements, school activities, community involvement, employment, special circumstances DEADLINE: MARCH 18, 2016 To obtain a Community College application packet, contact your Scholarship Office or log on to diablovalley.assistanceleague.org, click on Teacher Grants and Scholarship Applications, and then select Community College Student Application Packet.

COMMUNITY COLLEGE SCHOLARSHIP APPLICATION GUIDELINES & PROCEDURES Assistance League of Diablo Valley is offering scholarships to full-time students currently attending a Contra Costa County community college who will be transferring, as a junior, to a fouryear college or university. Scholarships will be awarded in two equal payments, half for the first term and half for the second term. All application information is confidential and will not be shared with anyone outside the selection committee. REQUIREMENTS FOR APPLICATION 1. Must be a full-time student currently attending a Contra Costa County community college and transferring to an accredited four-year college or university in Fall 2016. 2. Must be a resident of Contra Costa County 3. Must have a 3.0 GPA or higher 4. Must submit a complete application, containing all required parts. Incomplete applications CANNOT be considered. 5. Must submit application for receipt on or before March 18, 2016. Late applications CANNOT be considered. 6. May not be a chapter member, the relative of a chapter member, nor an employee of Assistance League of Diablo Valley. Mail completed application, including all required documentation, to: Chairman, Community College Scholarships Assistance League of Diablo Valley 2711 Buena Vista Avenue Walnut Creek, CA 94597 - Faxed or e-mailed applications or transcripts will not be accepted. - Please retain copies of all materials submitted. They will not be returned. - Scholarship recipients will be notified on April 18, 2016.

GUIDELINES & PROCEDURES - Page 2 In order to be considered, applications must contain the following: A complete and correctly filled out application form. An official transcript of grades. The transcript must contain the seal of the school and signature of the registrar or other designated school official. Copies displaying the seal and signature will be accepted. A personal statement from the applicant. This statement can include information concerning academic and personal accomplishments, career goals, financial need, family situation and obligations, special circumstances, work experience, school activities, community service, etc. All information will remain confidential. Two letters of recommendation: (1) One from an individual associated with the college (faculty member, advisor, etc.), and (2) One from an individual NOT associated with the college (employer, coach, community member, etc.). Letters of recommendation should be submitted in sealed envelopes with the initials of the signer over the sealed point of the flap and submitted with the application in ONE packet. Criteria for Receiving a Scholarship: Application Evaluators will consider academic accomplishments, financial need, recommendations, community involvement, job and school activities, special considerations, and clarity and quality of personal statement. Personal interviews All semi-finalists will be interviewed by the Scholarships Committee. At that time, applicants must fully disclose all other financial aid, including scholarships, grants, tuition waivers, etc., for which they have applied or received. Nondisclosure could result in forfeiture. Evaluation of all applications and selection of recipients will be done by members of Assistance League of Diablo Valley's Scholarships Committee. Criteria for Retaining the Scholarship: Must maintain a minimum 2.8 GPA during the period of this scholarship. Must maintain full-time student status during the period of this scholarship, completing a minimum of 12 units each term.

2016 COMMUNITY COLLEGE SCHOLARSHIP APPLICATION Deadline: Friday, March 18, 2016 PERSONAL INFORMATION Please print or type. Do not use pencil. Name First Last Male Female Email Phone No. Current Address Number and Street/Apt. No. City, State and Zip Code Current Community College Who will be responsible for your college expenses? If applicable, list any dependents FAMILY INFORMATION - If a Dependent Father's Name Address Number and Street City, State and Zip Code Mother's name Address Number and Street City, State and Zip Code Father's Phone Mother's Phone Father's Employer Mother's Employer Estimated annual family contribution toward education expenses Annual family Income, after taxes If applicable, list the ages of any siblings or other dependents Page 1 of 4

COLLEGE INFORMATION List colleges to which you are applying. Name of College Estimated Annual Tuition Estimated Annual Room & Board I have applied I have been accepted What is your anticipated field of study? What are your occupational goals? FINANCIAL INFORMATION ESTIMATED RESOURCES Did you file a FAFSA (Free Application for Federal Student Aid)? If so, have you received your "Student Aid Report" and what is listed as your "Expected Family Contribution"? Have you been notified that you will receive a Pell Grant? If yes, for how much? Did you submit a Cal Grant GPA Verification form? If yes, have you been notified that you will receive a Cal Grant? If yes, for how much? List any other scholarships and financial aid applied for. Yes or No - Amounts List any other scholarships and financial aid received, with amounts. Will you be employed during college? If so, what are your estimated annual earnings? ESTIMATED ANNUAL EXPENSES Tuition and fees Books and supplies Room and board (Rent, utilities, food) Transportation Clothing Miscellaneous (Cell phone, entertainment, etc.) Amount Page 2 of 4

ADDITIONAL INFORMATION List your school activities, community involvement and employment below. SCHOOL ACTIVITIES Dates of Involvement Average Hours Per Month COMMUNITY INVOLVEMENT Dates of Involvement Average Hours Per Month EMPLOYERS Dates of Employment Average Hours Per Week Page 3 of 4

Where did you learn about this Assistance League scholarship? School Advisor s signature is required as verification that applicant is in good standing and will graduate. Advisor s/faculty Member s Name: Phone: Email: Advisor s signature with official school seal Date: Applicant must sign below. I certify that all information in this application is true and complete. I understand that information contained in my application is confidential and will be read and reviewed only by members of the Assistance League of Diablo Valley Scholarships Committee. Applicant s Signature Date: Page 4 of 4