VIETNAMESE AMERICAN BAR ASSOCIATION OF GEORGIA (VABA-GA) SCHOLARSHIP APPLICATION Thank you for taking time to apply for a VABA-GA Scholarship. To ensure we have all the information needed for evaluation, please complete this application in full and follow all instructions. Once completed, please submit your application and all required documentation to VABA-GA as follows: By Mail: By Email: VABA-GA Attn: Attorney Jenny Nguyen 5430 Jimmy Carter Blvd, Suite 202 Norcross, GA 30093 jenny@nspclaw.com ELIGIBILITY The applicant must satisfy all of the criteria below: (1) Applicant must be a permanent resident or citizen of the United States; and (2) Applicant must be of Vietnamese descent (father and/or mother has to be Vietnamese); and (3) Applicant must meet one of the requirements below: (a) Applicant is a Georgia resident* who is attending/will be attending college or law school in Georgia; or (b) Applicant is a Georgia resident* who is attending/will be attending college or law school out of state; or (c) Applicant is not a Georgia resident* but is attending/will be attending college or law school in Georgia. *In order to prove Georgia residency, an applicant must provide proof to establish a primary or permanent Georgia home at least six (6) months prior to the scholarship application deadline. Page 1 of 5
AWARD One scholarship is awarded in the amount of $5,000 for a student attending /will be attending law school. One scholarship is awarded in the amount of $1,000 for a student attending/will be attending college (for any major). DEADLINE The deadline to apply is June 30, 2016. All applications must be postmarked by June 30, 2016. REQUIREMENTS (1) Completed scholarship application (2) Most recent transcript (must be a certified copy from the school) (3) Proof of enrollment or acceptance letter from an accredited law school or college/university (4) Proof of U.S. legal permanent residency (e.g. green card) or U.S. citizenship (e.g. U.S. birth certificate, U.S. passport, or certificate of naturalization) (5) Official test scores (ACT, SAT, or LSAT) (6) Resume (1-page only) (7) Copy of driver s license (8) Copy of birth certificate (in cases where it is difficult to ascertain whether or not the applicant is Vietnamese) (9) Short essay as to why you should be awarded the scholarship (maximum length: 1 page, 1-inch margins, double-spaced, 12 font Times New Roman Resume (1-page only) (10) Letters of recommendation (Optional) Page 2 of 5
1. Applicant s Full Name: 2. Applicant s Contact Information: STREET ADDRESS STREET ADDRESS (SECOND LINE) CITY STATE ZIP CODE PHONE E-MAIL ADDRESS 3. Applicant s Father Full Name: 4. Applicant s Mother Full Name: 5. Date to graduate (or graduated) from high school: 6. Date to enter (entered) college: 7. Name of college(s) (currently attending or applying to): 8. Number of years of college completed (if any): 9. Are you a resident of the State of Georgia? Yes / No 10. If you are not a resident of Georgia, are you currently attending (or will you be attending) an accredited college/university or law school? Yes / No 11. Are you a legal permanent resident or citizen of the United States? Yes / No 12. Provide any test scores, such as your official SAT, ACT, LSAT. (Please send us a copy of your official scores as soon as you have them.) Page 3 of 5
Test Score Date 13. List your extracurricular activities and/or community involvements (include any descriptions or details): 14. List award(s) received (include any descriptions or details): 15. I have signed and submitted the attached Assignment of Rights & Consent to Publish Scholarship Information : Yes / No Page 4 of 5
ASSIGNMENT OF RIGHTS & CONSENT TO PUBLISH SCHOLARSHIP INFORMATION KNOW ALL PERSONS BY THESE PRESENTS: THAT I,, do hereby give the Vietnamese American Bar Association of Georgia (VABA-GA) full rights to publish my name, where I live (city and state only; actual addresses and phone numbers will not be disclosed), college I am (will be) attending, any photographs that I have provided, and college update information. I understand that by execution of this Agreement, I am relinquishing my rights to any future compensation for reproduction, publication or use of the above information by VABA-GA in its print or electronic correspondence, or on its website. I hereby specifically waive my right to review or approve THE MODIFICATION of the above information. (Modifications may be made to accommodate size or content restrictions. Modifications will not be made to distort or falsify any information provided.) I understand that this Agreement in no way obligates VAGA-GA to publish or use the abovedescribed information. EXECUTED this date of. By: (Print Name) (Signature) Sworn to and subscribed before me this day of, 20. Notary Public Page 5 of 5