part i: instructions and description of process · 2015-2016 scholarship application form [ver1...
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2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
PART I: INSTRUCTIONS AND DESCRIPTION OF PROCESS
• All scholarships are intended for use in the 2015-2016 academic year at Los Angeles Mission College (referred to
as LAMC throughout this application), unless otherwise stated.
• All scholarships are one-time awards, disbursed (or applied as a fee waiver, as in the Millie Dein Scholarship)
during the Fall 2015 semester, unless otherwise stated.
• You must have completed at least one semester at LAMC.
• References below to Grade Point Average (GPA) and prior units completed refer to units and grades from
coursework completed in the Los Angeles Community College District (LACCD). Thus, your GPA will be
calculated based on work at LAMC and all other LACCD colleges combined.
• The application form must be typed or printed legibly in black or blue ink. If your application is not legible it will be
returned to you. Returned applications must be corrected and re-submitted by the official deadline for
consideration.
• Attach a 500-word essay. In 500 words or less, explain why you believe you are the best candidate to receive a
scholarship(s). Include personal information, hardships if any, and educational/career goals. Your essay must be
typed (no handwritten essays). Omission of the essay will disqualify your application.
• Have your selected LAMC faculty or staff member(s) complete the Confidential Scholarship Recommendation
form and return the form(s) to the Financial Aid & Scholarships Office by MONDAY, MARCH 9, 2015. All
scholarships listed below require at least ONE Recommendation form be completed, unless otherwise stated.
Omission of the Recommendation form(s) will disqualify your application.
• Be certain you meet all criteria listed for each scholarship for which you apply.
• Return your completed application form, essay and all other attachments to the Financial Aid & Scholarships
Office by the official deadline of MONDAY, MARCH 9, 2015 by 6:45 pm.
Los Angeles Mission College - Financial Aid & Scholarships Office and Foundation Office
Los Angeles Mission College - Financial Aid & Scholarships Office and Foundation Office
20 1 5 - 2016
S CHOLARSHIP APPLICATION
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
2015-2016
SCHOLARSHIP APPLICATION
______________________________________________________________
Last Name First Name Middle Initial Student ID Number
PART II: STUDENT INFORMATION
Educational Information College Major:
Educational Goal: Certificate
Financial Information Are you self supporting? Number of How many hours a week are you employed?
Yes No dependents
References List at least two LAMC Faculty or Staff members to whom you’ll be forwarding the Confidential Recommendation form:
1. 2.
3. 4.
AA/AS BA/BS
Other
Will you attend LAM C in Fall 201 5 ? Full Time Part Time I will not att end
Will you be transferring in Fall 201 5 ? Yes No
If transferring, name of school?
Student ID Number
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
Additional Information List your special awards, college achievements, community involvement, and any other special recognition for which
you have been awarded or cited.
1.
2.
3.
4.
5.
6.
7.
8.
______________________________________________________________
Last Name First Name Middle Initial
PART III: SCHOLARSHIPS FOR 2015-2016 Below is a list of the available scholarships. Please check the scholarships that you wish to apply for. Be certain you meet all criteria
listed for each scholarship. If you do not meet all of the criteria for the scholarship that you are applying for, you will be automatically
disqualified.
Please check the scholarships you wish to apply for:
Graduating/Transfer Student Scholarship (TBD)
3.0 minimum cumulative GPA.
• Must show proof by submitting a copy of the graduation petition.
• If a student is transferring, he/she must have completed 56 transferable units.
• Submit two Confidential Scholarship Recommendation forms from Faculty.
Full Time Student Scholarship (TBD)
3.0 minimum cumulative GPA.
• Must intend to re-enroll at LAMC Fall 2015.
• Completed at least 30 units.
• Enrolled in 12 or more units at the time of application.
• Submit two Confidential Scholarship Recommendation forms from Faculty.
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
Part Time Student Scholarship (TBD)
3.0 minimum cumulative GPA.
• Prior completion of at least 6 units at LAMC.
• Enrolled in 6 to 11.5 units at time of application.
• Submit two Confidential Scholarship Recommendation forms from Faculty.
Carla Bowman Scholarship (2 awards) (TBD)
• LAMC student with the intent of transferring to a university to pursue a degree in Life Sciences.
• 3.0 minimum cumulative GPA.
• Must intend to re-enroll at LAMC Fall 2015.
• Completed 30 or more units with a minimum 8 units in Life Sciences.
• Carrying 12 or more units at the time of application.
• Show potential for academic success by providing examples of written works, such as a term paper. Submitted
written examples must be typed.
• Submit two Confidential Scholarship Recommendation forms from Faculty.
David Lee Moss Memorial Scholarship (TBD)
• LAMC student transferring at the end of the Spring 2016 semester to a university to pursue a degree in Social
Sciences.
.
Rosalie Hilger Achievement Scholarship (2 awards; $500 each, to be used for tuition and/or LAMC Bookstore) Earnest Hilger on behalf of the Hilger Family Trust has established these two scholarships in honor of his beloved wife of
45 years, Rosalie Hilger. Rosalie taught and guided students for 24 years as an Adjunct Professor at East Los Angeles
Community College and Los Angeles Mission College’s Child, Family and Consumer Studies Departments. Rosalie was the
Director of the Foster and Kinship Care Programs at Los Angeles Mission College and the regional coordinator for these
programs. To honor Rosalie’s legacy and contributions to Foster Youth these scholarships have been established to assist
students who have successfully met life’s challenges and have demonstrated a positive life path for themselves and their
family.
• Meet one or more of the following:
o Foster Youth (current, emancipated or former)
o Unaccompanied Homeless Youth now adults
o Current or prior participants in Foster & Kinship Care
Education (FKCE Programs)
o Family and Consumer Studies (FCS) student
o Enrolled in Family and Consumer Science/Human Services
curriculum regardless of stated major
o Student coping with emotional and physical scars of childhood they
have overcome
• US Citizen/eligible non-citizen and a resident in the state of California for the last two years
Student ID Number
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
• Enrolled at Los Angeles Mission College (LAMC) (or cross enrolled between LAMC and other LACCD schools) as a full time
student in an AA or AS matriculation outcome taking 12 units* per term, or part time student taking a minimum of 9 units* per
term at Los Angeles Mission College (LAMC) (or cross enrolled between LAMC and other LACCD schools).
• Approved Education Plan, signed off by faculty or approved counselor for each semester the scholarship is in effect.
• Successfully completed a minimum of three (3) credits in the following areas of study at LAMC prior to application o Foster
and Kinship Care Education (FKCE) o Family and Consumer Studies Programs at LAMC o Child Family and Education
Studies Departments at LAMC Meet and maintain satisfactory academic progress in all courses.
• An autobiographical statement demonstrating excellent leadership skills and positive goal oriented lifestyle achievements for
success in meeting life’s challenges. This autobiography should demonstrate a “CAN DO ATTITUDE” and give specific
examples of how you have applied the following self-affirmations in your life:
I CAN
I WILL
I MUST
• A list of extracurricular, leadership and volunteer activities to their community (**Scholarship recipients must provide 15 hours
of approved documented community service to the college or other community organization for the scholarship to remain in
effect**).
• An official school transcript
• Three (3) letters of recommendation
**Note: Course competencies must include course work in Family and Consumer Science / Human Services Curriculum regardless of
stated major.
_____________________________________________________________
Last Name First Name Middle Initial
Doris McClain/Annabelle Godwin Child Development Scholarship ($7,000 to be divided among successful
applicants)
The intent of these scholarships is to honor the contributions of Doris McClain and Annabelle Godwin by encouraging
promising students to make a career commitment both academically and professionally to the Early Childhood Education
field. The aim is to help quality students where modest assistance can aid to achieve their goal of a career and professional
participation in the field. Recipients to be selected by the full time Child Development faculty.
• Completed nine (9) units in Child Development with a 3.0 minimum cumulative GPA.
• Currently enrolled in Child Development courses leading to a Child Development Certificate or a California Child
Development Permit.
• Show evidence of professional involvement outside the college classroom.
• Submit a written statement describing career goals and professional involvement in Child Development. This
information can be included in your general 500-word essay.
• Submit a Confidential Scholarship Recommendation form completed by a Child Development Faculty member.
The Gumpert Child Development Scholarship ($7,000 to be divided among successful applicants)
The Gumpert Child Development Scholarship is sponsored by Evelyn and Richard Gumpert to provide financial support for
single parent students committed to pursuing the academic requirements for a career in the field of Child Development.
• Be a single parent currently enrolled at LAMC.
• Be pursuing a Child Development major.
• Be completing or have completed a minimum of 12 Child Development units by the end of Spring 2014 with at
least 6 Child Development units already successfully completed with an cumulative GPA of 2.8 or higher.
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
• Submit an essay explaining career and academic goals, as well as a statement of financial need. This information
can be included in your general 500-word essay.
• Submit two Confidential Scholarship Recommendation forms completed by faculty, one of which must be from a
full time Child Development faculty member.
Associated Student Organization (ASO) Scholarship (2 awards, $240 each award)
The ASO provides awards for two students who have provided service to the college and to the community.
• Must be a paid ASO member.
• 2.0 minimum cumulative GPA.
• This scholarship is available for continuing and transferring students.
Sylmar Woman's Club- Transfer ($500)
One award of $500 is granted annually to an LAMC transfer student. The Sylmar Woman’s Club Scholarship Committee will
select a candidate based on the documentation and a personal interview.
• Resident of Sylmar who attends LAMC.
• United States citizen or eligible non-citizen.
• 3.0 minimum cumulative GPA.
• Enrolled in a transferable academic program.
• Graduating from LAMC in Spring 2016 or Summer 2016 and have applied to a four-year university for admission
in Fall 2016 (Please attach a copy of the Graduation Petition).
• Submit a Confidential Scholarship Recommendation form from a Faculty member, counselor or career advisor.
Student ID Number
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
______________________________________________________________
Last Name First Name Middle Initial
One award of $500 is granted annually to a continuing LAMC student. The Sylmar Woman’s Club Scholarship Committee
will select a candidate based on the documentation and a personal interview.
• Resident of Sylmar who plans to continue at LAMC for Fall 2015.
• United States citizen or eligible non-citizen.
• 3.0 minimum cumulative GPA.
• Completed 30 units by Fall 2015.
• Submit a Confidential Scholarship Recommendation form from a Faculty member, counselor or career advisor.
Julie A. Ruelas Memorial Scholarship in Child Development ($1000)
The intent of this scholarship is to honor the contributions of Professor Julie Ruelas by encouraging promising students to
make a clear commitment both academically and professionally to the Early Childhood Education field and to the community.
The purpose of this scholarship is to provide monetary assistance to students with a sincere commitment to help their
community thrive. Recipients to be chosen by the selection committee.
• Completed twelve (12) units in bilingual (English/Spanish) Child Development courses with a 2.5 minimum
cumulative GPA.
• Currently enrolled in bilingual (English/Spanish) Child Development courses leading to a Child Development
Certificate, California Child Development Permit or AA degree in Child Development.
• Show evidence of community involvement outside the college classroom.
• Submit a written statement describing goals for helping the community. This information can be included in your
general 500-word essay.
• Submit a Confidential Scholarship Recommendation form completed by a Child Development Faculty member.
Millie Dein Scholarship (no monetary award; waives Enrollment Fees only)
Must be enrolled in 12 or more units per semester.
• Demonstrate financial need.
• Must demonstrate good citizenship.
• 2.0 minimum cumulative GPA.
• GPA will be reviewed at the end of Fall semester for Spring award consideration.
• Award can only be applied to current Enrollment Fee charges and cannot be applied to prior semester/year
charges.
• Scholarship is awarded for Fall 2015 and Spring 2016 semesters. Maximum value of waived fees cannot exceed
$500 per semester.
• Recipient cannot receive Millie Dein Scholarship and BOG Fee Waiver simultaneously.
• Recipient must write a “Thank You” letter to the Foundation Board of Directors expressing their gratitude for the
award.
______________________________________________________________
Last Name First Name Middle Initial
Osher Foundation Scholarship (awards up to $1000 per academic year; maximum of $500 per semester)
Must have completed a minimum 24 degree applicable units within the LACCD at the time of initial disbursement.
• Must be enrolled at least half time (6 or more units) during all terms in which the award remains active in the
2015-2016 academic year
• Must have received and be receiving the California Community College Board of Governor’s (BOG) Fee Waiver.
Sylmar Woman’s Club - Continuing ($500)
Student ID Number
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
• Student must be meeting all satisfactory academic progress requirements, as defined for all federal aid programs
within the LACCD, at time of application.
• Awards will be adjusted based on enrollment status and determined as follows: o Full Time (12 units) = up to
$500 per semester
o Three-quarter time (9-11.5 units per term) = up to $375 per semester o
Half time (6-8.8 units per term) = up to $250 per semester
• Must demonstrate financial need and have unmet financial need after all other aid is considered.
• Student must write a “Thank You Letter” to the Osher Foundation:
The Foundation for California Community Colleges
Attn: Resource Development
1102 Q. Street Suite 3500
Sacramento, CA 95811
• Students on academic probation will lose their eligibility for any future disbursement(s).
Mayor Tom Bradley Scholarship- Osher Challenge (awards up to $1000 per academic year; maximum of $500
per semester)
• Submit a 500 word essay discussing: “What is your impression of Mayor Tom Bradley?”
• Must have completed a minimum 24 degree applicable units within the LACCD at the time of initial disbursement.
• Must be enrolled at least half time (6 or more units) during all terms in which the award remains active in the
2015-2016 academic year
• Must have received and be receiving the California Community College Board of Governor’s (BOG) Fee Waiver.
• Student must be meeting all satisfactory academic progress requirements, as defined for all federal aid programs
within the LACCD, at time of application.
• Awards will be adjusted based on enrollment status and determined as follows: o Full Time (12 units) = up to
$500 per semester
o Three-quarter time (9-11.5 units per term) = up to $375 per semester o
Half time (6-8.8 units per term) = up to $250 per semester
• Must demonstrate financial need and have unmet financial need after all other aid is considered.
• Student must write a “Thank You Letter” to the Osher Foundation:
The Foundation for California Community Colleges
Attn: Resource Development
1102 Q. Street Suite 3500
Sacramento, CA 95811
• Students on academic probation will lose their eligibility for any future disbursement(s).
_____________________________________________________________
Last Name First Name Middle Initial
President’s Circle Scholarship- Osher Challenge (awards up to $1000 per academic year; maximum of $500
per semester)
• Must have completed a minimum of 24 degree applicable units within the LACCD at the time of initial
disbursement.
• Must be enrolled at least half time (6 or more units) during all terms in which the award remains active in the
2015-2016 academic year
• Must have received and be receiving the California Community College Board of Governor’s (BOG) Fee Waiver.
• Student must be meeting all satisfactory academic progress requirements, as defined for all federal aid programs
within the LACCD, at time of application.
• Awards will be adjusted based on enrollment status and determined as follows: o Full Time (12 units) = up to
$500 per semester
Student ID Number
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
o Three-quarter time (9-11.5 units per term) = up to $375 per semester o
Half time (6-8.8 units per term) = up to $250 per semester
• Must demonstrate financial need and have unmet financial need after all other aid is considered. Student
must write a “Thank You Letter” to the Osher Foundation:
The Foundation for California Community Colleges
Attn: Resource Development
1102 Q. Street Suite 3500
Sacramento, CA 95811
• Students on academic probation will lose their eligibility for any future disbursement(s).
Spanish American Institute Scholarship (TBD)
The SAI Scholarship is made available to provide financial assistance to deserving Latino students or students who support or advocate for Latino students.
• Candidates must complete a one-page, typed self-profile essay on background, interests, goals, and need for
award, and indicate how he/she identifies with the Latino culture or the ways he/she supports or advocates for
those of Latino descent.
• 3.0 minimum cumulative GPA
• Completes Foundation application process
• Full-Time Student (12 units per semester)
• Resident of Southern California between San Diego and San Luis Obispo
• A willingness to interact with SAI and grant permission to publish award's ceremony photos on SAI website
Gerald P. Scheib Scholarship for the Visual Arts (TBD)
Attend school in LACCD.
• Intend to pursue a career in the fine arts.
• Have a cumulative GPA of 2.0 and a GPA of 3.0 or higher in art classes.
• Provide samples of original work.
• Be available for an interview.
• Submit an essay of 300 words or less, answering the following: Why pursue art? What does it represent for your
future? Describe an event in your life that inspired your passion in art. Describe a person in your life that inspired
your passion in art. How can your art affect the world around you?
______________________________________________________________
Last Name First Name Middle Initial
PART IV: DISCLOSURES AND STUDENT CERTIFICATION
• Your Mailing Address, Email Address, and personal demographic information available in your college admissions
record will be utilized and supplied, as needed, to the selection committee(s) of any scholarship(s) you have
indicated for which you are applying.
• Your financial aid information, including information from a Free Application for Federal Student Aid (FAFSA),
Board of Governors (BOG) fee waiver application, or other related documents or forms supplied to the Financial
Aid & Scholarships Office, may be supplied to selection committee(s) of any scholarship(s) requiring such
information.
• Missing information, documents, forms, or illegible information may disqualify your application from consideration.
Student ID Number
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
• Changes or corrections to criteria in the scholarship listings due to internal errors, spelling mistakes, grammatical
interpretations, or otherwise will not negate the intent of the donor and the understanding of the Financial Aid &
Scholarships Office and Foundation Office in selecting, awarding, and disbursing scholarships to applicants.
• Scholarship disbursements may be made in the form of fee waivers or cash awards, as noted above or as
determined by the Financial Aid & Scholarships Office and/or Foundation Office. Cash awards may be disbursed,
at the discretion and determination of the Financial Aid & Scholarship Office, through the district Higher One
disbursement system (the MyLACCDcard program). Additional details about the MyLACCDcard program are
available at the Financial Aid & Scholarships Office.
• Awards may be rescinded if all qualifications are not met.
• Definitions of all terms in this application are determined by the Financial Aid & Scholarships Office and
Foundation Office. Applicants with questions regarding the meaning of any word, phrase, sentence, or otherwise
should contact the scholarship coordinator in the Financial Aid & Scholarships Office.
CERTIFICATION
I certify that I have met the criteria for each scholarship that I selected/checked above. I consent to the release of my
grades and/or other pertinent information for verification and press release purposes.
____________________________________ _______________________
Student’s Signature Date
_______________________________________________ _______________________
Street Address Phone Number
________________________________________________
City State Zip
FOR FINANCIAL AID OFFICE USE ONLY
GPA _______ Enrolled Spr’15 Y N App complete? Y N
Units Completed _______ Transfer Stdt Y N Essay received? Y N
BOG? Y N Recommendations? Y N
STAFF ________ Number of Rec forms _______
DATE ________ Other attachments? Y N
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
Los Angeles Mission College - Financial Aid & Scholarships Office and Foundation Office
2015-2016
CONFIDENTIAL SCHOLARSHIP RECOMMENDATION
______________________________________________________________
Last Name First Name Middle Initial Student ID Number
PART I: EXPLANATION OF FORM AND USE Student Applicant: You must submit at least ONE completed Confidential Scholarship
Recommendation form for consideration for any of the scholarships offered through the Financial Aid
& Scholarships Office and Foundation Office. Make copies of this page BEFORE you submit the form
to the Faculty and/or State member(s) you have selected to complete the form.
PART II: REQUEST FOR RECOMMENDATION To the Faculty or Staff member completing this form: The above student is applying for scholarship(s) and has given
your name as reference. We would appreciate your evaluation of this student by checking the appropriate columns
below. Leave blank those items of which you have no knowledge. Feel free to attach additional pages if necessary.
PLEASE return this form to the Financial Aid Office on campus by THURSDAY, MARCH 12, 2015.
EXCELLENT VERY GOOD SATISFACTORY NOT SATISFACTORY
Shows initiative
Dependability
Attendance
Integrity & Strength of
Character
Motivation & Ambition
How long have you known the student applicant?
In what capacity?
Please write a brief recommendation: (Feel free to attach additional pages if necessary.)
2015-2016 Scholarship Application Form [VER1 20131216] [DOC]
Print Name Title
Signature Date
Please return to the FINANCIAL AID OFFICE by Thursday, March 12, 2015.