Scholarship/Fellowship Application For Full-Time Women Students at the Following Schools: Art Center College of Design, California Institute of Technology, East Los Angeles College, Fuller Theological Seminary (Schools of Psychology & Sociology), Glendale Community College, Occidental College, Pacific Oaks College & Pasadena City College. Minimum Requirements Women Undergraduates must by Sophomores or beyond, enrolled full-time, taking 12 or more units and moving to Junior or Senior status. Women Graduate students must fulfill their school s full-time requirements. A GPA of 3.2 or above and United States citizenship are required. Instructions Complete the entire application. Do not modify the application. Do not combine pages. Also, if an item is not applicable to you or the answer is none, so state. Please note: The award is made in two (2) installments and is paid directly to each student s college or university. 1. Name Last First Middle 2. Local Mailing Address Number and Street City State Zip Code 3. Permanent or Home Mailing Address Number and Street City State Zip Code 4. Telephone ( ) Local Telephone ( ) 5. E-mail (at school) (personal) 6. Birthdate Birthplace If not U.S. born, please attach proof of citizenship 7. Marital Status Number of Dependents Revised Page 1 of 7
A. Academic Information 1. Colleges/Universities now attending 2. Class Standing as of Fall 2018 Sophomore Junior Senior Credential Program Working on Second Bachelor s Degree Graduate Student 3. Current Academic Major 4. Option or Area of Concentration or Credential Objective 5. Career Objective 6. Expected Date of Graduation Degree 7. Have you included the required letter of recommendation with this application? 8. Previous Colleges and Universities Attended (List most recent school first) Date of Attendance (Month/Year) Degree of Certificate & Date Received 9. School(s) to which you will apply for the Academic Year Page 2 of 7
B. Extra-Curricular Involvement Include memberships, offices, and activities from high school, college, community and volunteer organizations. You may provide an additional sheet, if necessary. Activity/Organization H.S. College Community/ Volunteer C. Honors and Awards List special awards, prizes, and recognition List the schools or organizations that granted the award and the date received. Use additional sheets, if necessary. D. Employment History Include job information for your past three jobs. List most recent job first. Name of Firm City, State Dates Employed Your Duties Page 3 of 7
E. Prior Financial Awards List Scholarships you have received in prior years. Scholarships Amount Year Received List Grants you have received in prior years. Grants Amount Year Received List Fellowships you have received in prior years. Fellowships Amount Year Received Page 4 of 7
F. Financial Statement Provide an estimate of income and expenses. You may wish to consult with your school s financial aid advisor. Income Estimate For September 2018 through August 2019 Expense Estimate For September 2018 through August 2019 Student Income From Earnings: Tuition: Student Loan Income: Academic Fees: Scholarship Income Estimate: Living Expenses (Housing, food, transportation, etc.): Grant Income Estimate: Student Loan Debt during the period September 2018 to August 2019: Fellowship Income Estimate: Books & Supplies Contributions from Spouse, Family & Others (List, and if none please explain.): Other Expenses (Specify): TOTAL ESTIMATED INCOME: TOTAL ESTIMATED EXPENSES: Page 5 of 7
G. Personal Essay Please provide an attachment, no more that two pages long, that tells us about yourself. You may address all or some of he following topics: academic/career/life goals, importance of education, reason for your chosen field of study, financial need, achievements, hardships you have overcome, family influences, philosophy of life that guides you, and any other information you would like us to know, such as what your plans are to further your education during summer 2018. Summary of Requirements Submit your completed application and attachments to the College Women s Club of Pasadena Scholarship Foundation, care of Pasadena Community Foundation,. Deadline All documents must be postmarked on or before Wednesday, January 31, 2018. No in-person submissions can be accepted. Please do not delay sending your application. References With your application, include one (1) letter of recommendation, preferably from a teacher or professor at your current school. Official Transcript Ask your current school to mail on official transcript directly to the College Women s Club of Pasadena Scholarship Foundation at. The transcript must include course work, grades, and your GPA from current school(s) and must be postmarked on or before January 31, 2018. Page 6 of 7
For Office Use Only. Students place only your name at the bottom of this page. Date application was postmarked (January 31, 2018 deadline) US Citizenship confirmed Yes No Type of award requested: Undergraduate Scholarship Graduate Fellowship Meets Minimum Requirement Yes No Application is complete: Proof of US Citizenship Letter of Reference Official Transcript Personal Essay Notes Page 7 of 7