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ESC Scholarship

ESC Scholarship Application

 

ESC  SCHOLARSHIP  APPLICATION

 

NEW VALLEY/WILSON HIGH SCHOOLS

 

Incomplete applications will notbe considered.

 

DUE  DATE:   March 30, 2012

 

PART I:               PERSONAL INFORMATION – Please Print

 

NAME: ________________________________________________________________

                 Last                                                 First                                                      Middle

 

ADDRESS: _____________________________________________________________

                      Number                  Street                                    City                                     Zip

 

                    _____________________                                  _______________________

                            Telephone Number                                                      Teacher/Advisor

 

                      _________________________                                ___________________________

                                      Age                                                                 School Attended

 

                                                                    _________________________         

                                                                     Expected Graduation Date

 

 

 

PART II:         GENERAL INFORMATION

 

1.   What was your previous school before New Valley/Wilson?            ____________

 

2.   How long have you been at New Valley/Wilson?                              ____________

 

3.   Will you live with your parents while attending school?       (  )Yes             (  ) No

 

4.    Will you be working while attending school?                        (  ) Yes                         (  ) No

                  If yes, how many hours per week?      __________

 

5.   Will you be self-supporting?                                  (  ) Yes       (  ) No       (  ) Partly

 

6.   Do you have any dependents?                                                           (  ) Yes             (  ) No

If yes, please explain:   _________________________________________
__________________________________________________________________
__________________________________________________________________

            __________________________________________________________________

            __________________________________________________________________

 

                                                                                                                                    

Page 2

 

       7.  Have you any other source of income?                                  (  ) Yes                        (  ) No

                        If yes, please explain:  _________________________________________
            __________________________________________________________________

            __________________________________________________________________

            __________________________________________________________________

                                                                                                                       

        8.  Are you working now?                                                          (  ) Yes             (  ) No

             If so,   Where? ___________________________________  How Long? _______

 

  1. How did you meet your community service graduation requirement?

_________________________________________________________________

              _________________________________________________________________              _________________________________________________________________

              _________________________________________________________________
              _________________________________________________________________

              _________________________________________________________________

              _________________________________________________________________

              _________________________________________________________________
              _________________________________________________________________

 

       10.  Are you currently enrolled in an educational/training program?  If so, where?

_________________________________________________________________

 

 

PART III:       SCHOOL OR ACCREDITED TRAINING FIELD INFORMATION

 

  1. Where do you plan to attend?

(  )  West Valley Community College

(  )  Mission College

(  )  De Anza College

(  )  Other  ___________________________________________________

 

  1. In what program will you enroll?

(  )  General Education

(  )  Other  ___________________________________________________

 

  1. How long do you plan to be in this program

(  )  2 – 5 years

(  )  Other  ___________________________________________________

 

  1. Will you be a full-time student?  ________________          If no, please explain:

                                                                     YES / NO

      __________________________________________________________________

      __________________________________________________________________

      __________________________________________________________________

      __________________________________________________________________

      __________________________________________________________________

 

                                                                                                                                   

PART IV:    FINANCIAL INFORMATION                                                           Page 3

                                                                                                                  COST

 

1.   What is the cost or fee of the program per year                     $_________________

 

  1. Estimate the cost of books and materials per year:
    • Books                                                                          $_________________
    • Supplies                                                                      $_________________
    • Equipment                                                                  $_________________

                      (if required for vocational program)

  • List any additional expenses involved in

completing this program and describe them               $_________________

           __________________________________________________________________                           
           __________________________________________________________________
           __________________________________________________________________
           __________________________________________________________________

 

                                                                                    TOTAL          $_________________

 

PART V:  GOALS

Below, please write two to three paragraphs describing why you want to further      your education.             (If additional space is needed, use the back of this sheet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART VI:       ATTACHMENTS

 

  1. Attach your teacher/advisor’s recommendation(s).
  2. Attach your resume (Typed)
  3. If applicable, attach information which describe programs offered by a private vocational school or other accredited training facility.
  4. If you are a graduate of either New Valley or Wilson High School and have been attending a Vocational or Community College, attach a copy of your transcripts showing progress to date.

 

                                                                                                                Page 4

(Feel free to duplicate this page for additional recommendations)

 

SCHOLARSHIP RECOMMENDATION OF TEACHER/ADVISOR

 

 

The following named student is submitting an application for a financial scholarship from the Employer-School Council.  To aid the ESC Scholarship Selection Committee, please share your impressions of the student, the student’s degree of perseverance in pursuing and completing further education, and any knowledge you may have regarding his/her goals. 

 

                STUDENT NAME   ____________________________________

 

COMMENTS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

________  I have reviewed this application for completeness.  (Please initial)

 

 

                                                    ____________________________________

                                                                            Teacher/Advisor

**  Please counsel the student on interviewing basics – i.e., attitude, dress, types of               questions, etc. etc.