EDUCATIONAL SCHOLARSHIP PROGRAM. Introduction. Eligibility. Award Amounts. Application Submission

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PARALYZED VETERANS OF AMERICA EDUCATIONAL SCHOLARSHIP PROGRAM Introduction The Paralyzed Veterans of America (PVA) primary goal has been to assist its members and their families in improving the quality of their lives This goal has been addressed through a variety of activities, including the establishment of the Educational Scholarship Program This program assists PVA members and their immediate family members by providing scholarship funds to help with a post-secondary education Eligibility Applicant must be either a PVA member, the spouse of a PVA member, or an unmarried child (under 24 years of age) who is dependent (as defined by the IRS) on the member for principal support Applicant must be a citizen of the United States Applicant must be accepted and enrolled as a full-time or part-time student in an accredited US college or university Previous award recipients may apply Award Amounts PVA will award scholarships in the amount of $1,000 to full-time students and $500 to parttime students Scholarship funds are released solely in the name of the university Application Submission All components of the application must be postmarked by June 17, 2017 Late applications will not be accepted, no exceptions In addition, any incomplete applications will not be considered 1 Application - Form 2017-1 (pages 1 14) 2 Personal Statement - The statement should explain why you wish to further your education; short and long-term academic goals; how this will meet your career objectives; and, how will it affect the PVA membership Also describe how and when any unusual family or personal circumstances have affected your achievement in school, work or your participation in other activities

3 Verification of Enrollment - This can be a copy of your class schedule, confirmation of your registration, or other documentation issued by the college or university showing you are enrolled in the 2017-2018 academic year 4 Academic Transcript - An official transcript (one that bears the seal of the school or other certification of authenticity) must be submitted for EACH school listed in the Current/Future Education and Past Education sections - Form 2017-12 This information is not required if you have not attended school in the past 5 years 5 Two letters of recommendation - Form 2017-2 - School Official, from your current or most recently attended school This is not required if you have not attended school in the past 5 years Form 2017-3 Personal Reference, from someone other than an immediate family member To properly identify your letters of recommendation, please have each author attach their letter to the appropriate form Review of Applications The PVA Scholarship Review Committee will select award recipients based on: application completion, personal statement, academic records, letters of recommendation, and extracurricular and community activities Award Announcement Initially, you will be sent an email acknowledging receipt of your application You will be notified by the end of July of the Review Committee s decisions Please do not call the office, as no information will be provided Once notified of an award, all recipients must submit a Scholarship Confirmation Form prior to funds being released In addition, a picture would be appreciated for publicity purposes as outlined in the Release Information section of the application Points of Contact All applications and questions should be directed to: Christi Hillman Paralyzed Veterans of America Attn: Membership Dept 801 18 th Street, NW Washington, DC 20006-3517 800-424-8200 ext 776 or 202-416-7622 (TDD) christih@pvaorg

PARALYZED VETERANS OF AMERICA Educational Scholarship Program 2017 Application Please type or print all information in blue or black ink To ensure your application is reviewed appropriately make sure it is complete, neat, and legible APPLICANT INFORMATION First Name: MI: Last Name: Address: City: State: Zip: Home Phone: Cell Phone: Email: Date of Birth: Month Day Year Applicant s Relationship to Member: Previous PVA Scholarship Award Recipient? No Yes If yes, what year(s)? PVA MEMBER INFORMATION First Name: MI: Last Name: Address: City: State: Zip: Home Phone: Cell Phone: Email: Date of Birth: Month Day Year Member s PVA ID#: Chapter Name: Form 2017-1

CURRENT / FUTURE EDUCATION List the school to which you have been accepted or are enrolled as a student Use official school name, do not use abbreviations School: Address: City: State: Zip: Telephone: Email: Dates Attending: from through Enrollment Status: Full-Time Student Part-Time Student (less then 12 credits) Student Status: New Student Current Student Graduate Level (First year or have not attended in the past five years) Major or Course of Study: Expected Graduation Date: Degree Sought: Bachelor Associate Certificate Other PAST EDUCATION List the secondary school from which you graduated, and all higher education institutions attended Academic transcripts must be submitted for each school listed below Note: Leave this section blank if you have not attended school in the past five years School: Address: City: State: Zip: Dates Attended: GPA: School s Passing Grade: School: Address: City: State: Zip: Dates Attended: GPA: School s Passing Grade: School: Address: City: State: Zip: Dates Attended: GPA: School s Passing Grade: Form 2017-12

EXPERIENCE Extracurricular Activities List school, sports or community extracurricular activities in which you have been involved Activity Dates / Paid or Volunteer Activities Describe work experience and volunteer activities Place Activity Dates / Honors and Awards List all honors and awards you have received Honor/Award Name Date Form 2017-13

APPLICATION CHECKLIST All of the following components must be postmarked no later than June 17, 2017 (there will be no exceptions) Applications missing any of the following sections will not be considered Application Personal Statement Transcript(s) (if applicable) Letters of Recommendation Verification of Enrollment RELEASE Permission is hereby granted to school officials from the above listed schools to release scholastic records and other requested information for consideration in the PVA Educational Scholarship Program, with the exception of the following: I certify that the preceding information is true and correct to the best of my knowledge I understand that all decisions rendered by PVA and the Scholarship Review Committee on the award and administration of scholarships are final If I am selected as a scholarship recipient, I authorize PVA to use photographs, statements, or general information contained in this application for publicity purposes except for the following items: Student Signature: Date: Member Signature: Date: (if student is not a PVA Member) Form 2017-14

PARALYZED VETERANS OF AMERICA Letter of Recommendation School Official Applicant Name: Name: Title: School: The above-named student is an applicant for the Paralyzed Veterans of America Educational Scholarship Program To complete this application, we need a carefully-considered written assessment of his/her character, ability and performance as a student at your school We are particularly interested in the applicant s strengths and weaknesses, non-academic as well as academic achievements and special contributions to the academic community and the community at large This recommendation is a required element of the application and students must submit their packages by June 17, 2017 so please give immediate and serious attention to this request Attach your appraisal letter to this form and return it to the applicant or, if you prefer, return to applicant in a sealed envelope Form 2017-2

PARALYZED VETERANS OF AMERICA Letter of Recommendation Personal Reference Applicant Name: Name: The above-named student is an applicant for the Paralyzed Veterans of America Educational Scholarship Program To complete this application, we need a carefully-considered written assessment of his/her character and ability We are particularly interested in the applicant s strengths, weaknesses, achievements, and any special contributions to the community at large This recommendation is a required element of the application and students must submit their packages by June 17, 2017 so please give immediate and serious attention to this request Attach your appraisal letter to this form and return it to the applicant or, if you prefer, return to applicant in a sealed envelope Form 2017-3