GFWC CONTEMPORARY WOMEN OF NORTH COUNTY $ Community College Scholarship For Palomar College or Mira Costa College

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GFWC CONTEMPORARY WOMEN OF NORTH COUNTY $2000.00 Community College Scholarship For Palomar College or Mira Costa College P.O. Box 359 San Marcos CA 92079-0359 (760) 443-3191 GFWC Contemporary Women of North County is a non-profit organization that supports community service efforts in the San Diego North County area. We focus on many issues involving women and children, education, conservation, public affairs, and the arts. Our scholarship is offered to a currently enrolled female planning to continue at Palomar College or Mira Costa College who demonstrates an interest in career, community, and self-improvement through volunteerism. Our scholarship is to be used for tuition, textbooks, and/or supplies required by the professor for a class. Eligibility Requirements 1. Palomar or Mira Costa College female student, currently enrolled 2. Minimum 3.0 GPA 3. Demonstrates financial need 4. Volunteers in the community 5. Proof of enrollment at Palomar College or Mira Costa Community College and copy of transcript Application Process The Contemporary Women of North County Scholarship Committee will screen and evaluate all completed applications. Recipients from Palomar or Mira Costa College will be chosen and notified that they have been awarded a $2000.00 scholarship which will be deposited at the community college in the student s name after proof of enrollment and current community service AND transcript is received from the recipient. Application receipt deadline is yearly by April 15th. There will be no exceptions. Current CWONC Scholarship

Application receipt deadline is yearly by April 15th. Application forms, including the required essay, will not be processed if received after this date. Please make your application legible, complete and accurate. A. General Information 1. Name: Last First Middle Initial 2. Permanent Address City Zip 3. Permanent Telephone ( ) 4. Birth Date: Month Day Year 5. E-Mail Address 6. Education: Palomar College Mira Costa College 7. GPA 8. Planned Major, Certificate or Area of Study B. Citizenship (Proof may be required.) Please check appropriate number.) 1. U.S. citizen, by birth or naturalization (Naturalization date / / ). 2. Not a U.S. citizen, hold permanent resident visa, date issued / /. 3. Not a U.S. citizen, amnesty recipient, date issued / /. 4. Not a U.S. citizen, but a refugee, parolee or asylee, date issued / /. 5. Not a U.S. citizen, hold student visa (F-1, M-1, J-1 or J-2). 6. Other, not a U.S. citizen, hold other visa or visa type unknown. C:\Users\mharms\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\EWHER9XO\Scholarship Application College.doc (5726) -2-

C. Student's Financial Profile 1. Annual total income $.00 2. Student Employment: Type of employment Full or part-time 3. Were you claimed as a dependent on last year s parent/guardian tax return? Yes No If yes, provide parent/guardian total income: 4. How will you meet expenses not covered by scholarships, loans, or financial aid? 5. If there is anything significant about your financial circumstance that is not reflected in your prior responses (e.g., high uninsured medical expenses, changed income in the past year), please comment below. Be specific. C:\Users\mharms\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\EWHER9XO\Scholarship Application College.doc (5726) -3-

Student's Personal Essay (Maximum 2 pages) Please describe: Your career goals and your participation in volunteer work and school activities. Also include answers to the following questions: 1. What does it mean to be a productive and caring citizen in your community? 2. Give an example of a difficult or challenging time that has influenced you for the better. 3. Describe an accomplishment in your life that you earned due to hard work. 4. What does it mean to be a leader? 5. Include examples of current community service. Attach your essay to the application form. College Transcript Please include a copy of your unofficial college transcript. I certify that all of the information provided in this application is true and complete to the best of my knowledge. I hereby authorize permission to release my name and photographs of awards ceremony to local press agencies. Student s Signature Date COMPLETED APPLICATION PACKET MUST INCLUDE: 1. Application: General information, citizenship, financial profile 2. Personal essay 3. Transcript: A copy of your unofficial college transcript SEND YOUR COMPLETED APPLICATION TO: GFWC Contemporary Women of North County, P.O. BOX 359, San Marcos CA 92079-0359. Must be received yearly by April 15th. C:\Users\mharms\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\EWHER9XO\Scholarship Application College.doc (5726) -4-

Application Checklist THIS APPLICATION BECOMES COMPLETE AND VALID ONLY WHEN YOU HAVE SUBMITTED: Application: General information, citizenship, financial profile Personal essay Transcript: A copy of your unofficial college transcript C:\Users\mharms\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\EWHER9XO\Scholarship Application College.doc (5726) -5-