Wise Up! Scholarship Application Annual Scholarship Deadline: July 6, 2012

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Wise Up! Scholarship Application Annual Scholarship Deadline: July 6, 2012 Since 2001, Wise Up! - a project of CHIRLA - has been the foundation of immigrant youth organizing in Los Angeles and across the state of California. Wise Up! was created when immigrant students began organizing and advocating for the passage of AB 540- a California bill that allows students to pay instate tuition regardless of their legal status. Ten years later, Wise Up! continues to be one of the few high school student-led groups focused on immigrant youth, and has now expanded to over ten high schools in Southern California. Wise Up! strives to work on promoting higher education amongst undocumented and immigrant students, as well as other issues that affect the immigrant community. Due to California s current education budgets cuts and tuition increases, immigrant youth are facing more obstacles to independently finance their education. Through Wise Up! s extraordinary fundraising efforts, CHIRLA will be awarding (2) $500 scholarships for the 2012 school year, to help California s immigrant youth achieve their dreams and aspirations. The Wise Up! Scholarship will be awarded to two immigrant students, regardless of status, who excel in academics and is actively engaged in his/her community in the fight against social injustice. Please see our website to download the application, www.chirla.org. Eligibility Criteria: Must be a high school senior in Los Angeles County Must come from an immigrant family Must demonstrate financial need Must demonstrate participation and/or activism on immigrant rights issues and/or other progressive social justice causes (school or local community) Must enroll in one of the following accredited institutions for fall 2012: o California Community Colleges o California State University System o University of California System o Private Four Year college or university in California o Vocational School in California Must have a minimum 2.0 G.P.A. Must participate in College Retention program- monthly check-ins with Academic Coordinator. Application Materials: Wise Up! Scholarship Application - Please complete application in full. One Written Prompt: 1. Personal Statement (500 words maximum) - Provide an autobiography that includes: Family history-upbringing experiences, financial barriers, obstacles confronted Community involvement-past, present and future Academic goals and future aspirations

Letter of Recommendation - Please submit only one (1) letter of recommendation. The recommender should be a person of responsibility: employer, supervisor, teacher, or community leader (church, non-profit organization, etc ). Letters should be written on official letterhead (when applicable) and sent in a sealed envelope, addressing the following: 1. Relationship to the applicant 2. Length of acquaintance 3. Applicants strengths and weaknesses 4. Examples of applicant s leadership and/or commitment to civic service 5. Assessment of the applicant s overall potential to succeed in college High School Transcripts - Submit most current high school transcripts. You may submit an unofficial or official transcript. Proof of Enrollment - Official proof of enrollment will be needed from your college or university if awarded the scholarship. Application Instructions: 1. Send only application materials listed above. 2. Prompt must be typed with a one-inch margin and double-spaced. Font must be Times New Roman and size 12. 3. Everything must be mailed together in the following order: a. Scholarship Application (In front of all documents) b. Written Prompt c. Letter of Recommendation d. Transcripts 4. Application must be postmarked or delivered in person by July 6 th, 2012 to the address below. 5. Faxed or emailed applications will not be accepted 6. Incomplete applications will not be reviewed. Applications missing any of the required documents are considered incomplete. 7. Awardees will be notified by August 10 th, 2012 and will need to attend the Wise Up! Annual Banquet during the summer (date TBD). Finalist names will be posted on the CHIRLA website and Facebook page. 8. Regret letters will NOT be sent. 9. For more information go to www.chirla.org 10. Please mail your application to the address below: Coalition for Humane Immigrant Rights of Los Angeles Wise Up! Scholarship Attn: Jacqueline Amparo 2533 W 3 rd. Street, Suite 101 Los Angeles, CA 90057

Wise Up! Scholarship Application Annual Scholarship All information will be kept confidential Personal Information: Name: Gender: Ethnicity: Last Middle First Mailing Address: Date of Birth: E-Mail: Main Phone # ( ) - Academic Information: High School of Attendance: Grade Point Average (GPA): School Address: Are you an active member of a Wise Up! CORE or Wise Up! club? If so, describe your participation with the club: College/University planning to attend in Fall 2012: Major: Career Goal: How did you find out about this scholarship? (If a person referred you, please state their name and contact information, if available): Work Experience: Do you work? How many hours a week? What is the nature of your work?

Financial Information: All information is kept confidential. Please, answer to the best of your knowledge Total number of people in your household in 2011: Total household income for 2011: Is anyone else in the household enrolled in college/university? Where? In order to know who has Financial Need - Please include a copy of your and/or your parent s income tax return (if applicable). If you cannot provide a tax return for 2011, please explain below. College cost and expenses: Cost of college per SEMESTER or QUARTER (circle one): Estimated parent/guardian/family contribution: Estimated student contribution (i.e. work): Estimated loans (i.e. private loans): Estimated scholarship money: Please provide any additional comments or explanation for your college cost and expenses: Community Work: If awarded the scholarship, students are required to commit a minimum of 10 hours of community work with CHIRLA (www.chirla.org). Please explain whether you can commit to the hours and what you would be interested in doing and/or learning at CHIRLA:

By signing below, I hereby proclaim that all information in this entire application is factual and true to the best of my knowledge. The Coalition for Humane Immigrant Rights of Los Angeles (CHIRLA) may disqualify this application should any information be incomplete or inaccurate. I give CHIRLA permission to (1) cite sections of my application, without using my full name, to help publicize the Wise Up! Scholarship ; (2) use information in this application, without using my full name, for campaign purposes; and (3) use information in this application, without using my full name, for research purposes. Print Name Applicant's Signature Date