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PARALYZED VETERANS OF AMERICA CAL-DIEGO CHAPTER EDUCATIONAL SCHOLARSHIP PROGRAM!! Introduction The Paralyzed Veterans of America, Cal-Diego chapter s (PVA, Cal-Diego) mission is to improve the quality of life of Veterans of the United States Armed Services and others who have a spinal cord injury or disease The organization has further adopted the establishment of an Education Scholarship Program In this way, PVA, Cal-Diego can further assist its members, family members and beneficiaries with aiding in the funding of secondary education Eligibility Applicant must be either a PVA, Cal-Diego member, the spouse of a PVA, Cal-Diego member, or an unmarried child (under 24 years of age) who is dependent (as defined by the IRS) on the member for principal support or someone sponsored by a PVA, Cal-Diego member Applicant must be a citizen of the United States Applicant must be accepted or enrolled as a full-time or part-time student in an accredited US college or university Past award recipients may apply, but after receiving two consecutive awards, the Board of Directors may choose to gift others who have not been funded Award Amounts PVA, Cal-Diego will award up to a total of $3,00000 in scholarship funding to students Scholarship funds are released solely in the name of the educational institution Under no circumstances will payment be made to the students Any payment will go directly to the Financial Aid Office of the college or university Application Submission All components of the application must be received by 30 June 2017 Late applications will not be accepted, no exceptions In addition, any incomplete applications will not be considered The components of the applications should be clipped, not stapled or bound 1 Application - (4 pages) 2 Personal Statement - Please explain why you wish to further your education short and longterm academic goals, how this will meet your career objectives, and how will it affect the Cal- Diego 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 registration, or other documentation issued by the college or university

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 Past Education section 5 Two letters of recommendation - School Official from your current or most recently attended school Personal Reference from someone other than an immediate family member To properly identify your letters of recommendation, please have each author attach his/her letter to the appropriate form 6 Incomplete and insufficient applications will not be considered Review of Applications The Cal-Diego PVA Board of Directors will select award recipients based on: application completion, personal statement, academic records, letters of recommendation, and extracurricular and community activities Award Announcement You will be notified after the July 13, 2017 Board of Directors meeting regarding the Scholarship award decision Please do not call the office, someone will contact you Point of Contact All applications and questions should be directed to: Peter Ballantyne Cal-Diego Paralyzed Veterans Association 3350 La Jolla Village Drive Suite 1A-118 San Diego, CA 92161 858-450-1443 pballantyne@caldiegopvaorg

!! Paralyzed Veterans of America Cal-Diego Chapter Educational Scholarship Program 2017-18 Application 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 Cal-Diego PVA Scholarship Award Recipient? No Yes If yes, what year(s)? CAL-DIEGO 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 Cal-Diego PVA ID#:

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 Beginning with the present, list all secondary and post-secondary institutions and trade schools you have attended (Note: Leave this section blank if you have not attended school in the past five years) Attach a separate sheet if more space is required Academic transcripts must be submitted for each school 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:

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

APPLICATION CHECKLIST All of the following components are due no later than 30 June 2017 There will be no exceptions Applications missing any of the following sections will not be considered Application Personal Statement Transcript(s) 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 Cal-Diego 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 all decisions rendered by the Cal-Diego PVA Board of Directors pertaining to the award and administration of scholarships are final If I am selected as a scholarship recipient, I authorize Cal-Diego 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 Cal-Diego PVA Member)

Paralyzed Veterans of America Cal-Diego Chapter!! Letter of Recommendation School Official Applicant Name: Name: Title: School: The above-named student is an applicant for the Paralyzed Veterans of America, Cal-Diego Chapter Education Scholarship Program To complete this application, the Board of Directors needs 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 30 June 2016, so please give immediate and serious attention to this request Attach your appraisal letter to this form and return it to the applicant or directly to Cal-Diego PVA All applications and questions should be directed to: Peter Ballantyne Paralyzed Veterans of America, Cal-Diego Chapter 3350 La Jolla Village Drive Suite 1A-118 San Diego, CA 92161 858-450-1443 pballantyne@caldiegopvaorg

Paralyzed Veterans of America Cal-Diego Chapter!! Letter of Recommendation Personal Reference Applicant Name: Name: The above-named student is an applicant for the Paralyzed Veterans of America, Cal-Diego Chapter 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 30 June 2016, so please give immediate and serious attention to this request Attach your appraisal letter to this form and return it to the applicant or directly to Cal-Diego PVA All applications and questions should be directed to: Peter Ballantyne Paralyzed Veterans of America, Cal-Diego Chapter 3350 La Jolla Village Drive Suite 1A-118 San Diego, CA 92161 858-450-1443 pballantyne@caldiegopvaorg