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These Students Each Received a $1500 - $2500 Scholarship Read Carefully and Apply Early Plan to be a 2019 Scholarship Awardee 2019 Scholarship Application in 2018 - from the Ventura County Retired Teachers Association Scholarship Foundation

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Page 1: 2019 Scholarship Application $1500 - $2500 Scholarship · Please list them here. 1. Name Phone Title 2. Name Phone Title 3. Name Phone Title ( As a courtesy, provide them with a stamped,

These Students Each Received a $1500 - $2500 Scholarship

Read Carefully and Apply Early

Plan to be a 2019 Scholarship Awardee

2019 Scholarship Application

in 2018 - from the

Ventura County Retired Teachers Association

Scholarship Foundation

Page 2: 2019 Scholarship Application $1500 - $2500 Scholarship · Please list them here. 1. Name Phone Title 2. Name Phone Title 3. Name Phone Title ( As a courtesy, provide them with a stamped,

SCHOLARSHIP APPLICATIONVentura County Retired Teachers Association Scholarship Foundation

This scholarship is for Ventura County College Students who have been accepted with a status of “Junior” or higher in an accredited college/ university in California and intend to pursue a career in

public education.

PART I PERSONAL DATANAME:____________________________________________

EMAIL ADDRESS: __________________________________________________________

STREET ADRESS : ___________________________________________________________

CITY/STATE/ZIP : ______________________________PHONE:______________________

BIRTH DATE : _____/___ /_____ MARITAL STATUS (optional)___________________

NUMBER AND AGE OF DEPENDENTS : ______________________________________

PART II EDUCATION High School_________________________________Year graduated____________________________ College now attending _______________________________________________________School you plan to attend in the fall ___________________________________________

Briefly describe educational achievements, awards and recognitions that you have received: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Briefly describe your extracurricular activities and/or your community service: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Page 1 of 3

Page 3: 2019 Scholarship Application $1500 - $2500 Scholarship · Please list them here. 1. Name Phone Title 2. Name Phone Title 3. Name Phone Title ( As a courtesy, provide them with a stamped,

PART III FINANCIAL INFORMATION�

Indicate your source(s) of financial support by percent. The total should equal 100%.

Self__________________ Parents__________________ Other______________________________________�

Number of dependents and the percent of support you provide.

___________________________________________________________________________________________�

Estimated expenses for next year.

Tuition________________ Fees_______________ Books _________________Supplies_________________

Other_____________________________________________________________________________________

Other Financial Assistance (Scholarships, Fellowships and Grants applied for and/or received�

Name of Organization Date of Application Amount of Award

1.____________________________ ______ /_____ /______ ______________________

2.____________________________ ______ /_____ /______ ______________________

3.____________________________ ______ /_____ /______ ______________________

PART IV WORK EXPERIENCE (occupational, military, volunteer)

Employer/ Organization ____________________________ Supervisor __________________________

City / State / Zip_____________________________________ Phone# _____________________________

Hours per week__________ From___ /___ /___ To___ /___ /___

Duties/Responsibilities_____________________________________________________________________

__________________________________________________________________________________________

Employer/ Organization ____________________________ Supervisor __________________________

City / State / Zip_____________________________________ Phone# _____________________________

Hours per week__________ From___ /___ /___ To___ /___ /___

Duties/Responsibilities_____________________________________________________________________

__________________________________________________________________________________________

Page 2 of 3

Page 4: 2019 Scholarship Application $1500 - $2500 Scholarship · Please list them here. 1. Name Phone Title 2. Name Phone Title 3. Name Phone Title ( As a courtesy, provide them with a stamped,

PART IV continued

Employer/ Organization ____________________________ Supervisor __________________________

City / State / Zip_____________________________________ Phone# _____________________________

Hours per week__________ From___ /___ /___ To___ /___ /___

Duties/Responsibilities______________________________________________________________________

_________________________________________________________________________________________

PART V ESSAY: EDUCATIONAL and VOCATIONAL GOALS�Please write an essay about yourself. Be certain to answer the following questions:��

1. Why have you chosen to enter the education profession?��2. What is your educational goal?��3. What steps do you intend to take to achieve your goal?��4. What have you accomplished already to achieve your goal?��5. Why do you need/deserve this scholarship?

PART VI REFERENCES �Request three letters of recommendation from teachers, counselors, employers,

� clergy, etc. Please list them here. �1. Name ����� Phone ��� Title�����

2. Name ����� Phone ��� Title�����

3. Name ����� Phone ��� Title����

( As a courtesy, provide them with a stamped, addressed envelope.)

PART VII TRANSCRIPTS�Please submit or have sent an official copy of your college transcript(s).

PLEASE NOTE: Only complete applications will be considered.�1. Application Form (3 pages) and Personal Essay�2. Official College Transcripts�3. Letters of recommendation sent directly by writers

Ventura County Retired Teachers Association Scholarship Foundation�P.O. Box 1766�Camarillo, CA 93011-1766

If you have any questions concerning this application, please contact:

Beverly Pearson or C. Richard Meuse or Nell Bailey or Norma VanRiper (805) 482-6758 (805) 983-2357 (805) 642-4381 (805) 485-0305

Page 3 of 3

Recipients of scholarships will be notified by May 1, 2019.

All the above must be sent by April 15, 2019 to:

Materials postmarked after April 15, 2019 will not be considered.


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