Copy of the Annual Student Scholarship application



Mail application to: LCLAA’s Scholarship Awards Committee

1712 Wood Trail, Oxford, MI 48371

www.lclaaoaklandcounty.blogspot.com

~ 2010~ SCHOLARSHIP APPLICATION ~ 2010 ~

FOR HISPANIC YOUTH

(Please print or type and read requirements)

STUDENTS NAME ____________________________________________________________________

STUDENT’S ADDRESS ________________________________________________________________

CITY________________________STATE________________COUNTY_________ZIP CODE_______

E-MAIL ADDRESS_____________________________________________________________________

STUDENT’S TELEPHONE ( )_________________SOCIAL SECURITY____________________

NAME AND ADDRESS OF

HIGH SCHOOL ATTENDED ___________________________________________________GPA_____

_____________________________________________________________________________________

EXTRA CURRICULAR ACTIVITIES _____________________________________________________

______________________________________________________________________________________

COMMUNITY INVOLVEMENT _________________________________________________________

COLLEGE OF ACCEPTANCE (ATTACH PROOF OF ACCEPTANCE, (IF AVAILABLE)

STUDENT I.D. # AT COLLEGE IF AVAILABLE___#___________________________

COLLEGE

ADDRESS______________________________________________________________________________________

: __________________________________________________________________

STARTING DATE OF SCHOOL TERM ____________________________________________________

ON A SEPARATE PIECE OF PAPER, PLEASE ATTACH A BRIEF ESSAY DESCRIBING YOURSELF AND YOUR REASONS FOR ATTENDING COLLEGE; ESSAY SHOULD NOT EXCEED 500 WORDS. ALSO BRIEFLY DESCRIBE YOUR HISPANIC DESCENT.

***OPTIONAL***

APPLICANTS MAY SUBMIT A LETTER OF RECOMMENDATION FROM A NON-FAMILY MEMBER. THIS LETTER IS ONLY OPTIONAL AND IS NOT A REQUIREMENT TO RECEIVE CONSIDERATION FOR AN AWARD.

========================DO NOT WRITE BELOW THIS LINE========================

VERIFICATION:_______________________ COLLEGE ACCEPTANCE: _____________________

SIGNED_______________________________ __________________________________

CHAIR, SCHOLARSHIP COMMITTEE TREASURER