UCM Valencourt Scholarship Application

UCM – Valencourt Scholarship Application

UCM’s Valencourt Scholarship program encourages minority youth to attain additional training and education, to increase access to higher-paying jobs and less time between jobs by offering up to $2,500 in financial assistance to graduating seniors interested in pursuing a vocational education.

Students may also access additional resources – such as employment preparation and placement - as they move forward in higher education and in seeking employment.

Final selection of UCM Valencourt Scholars will be recommended by a team of volunteers and staff. Awarding scholarships may include judgment in assessing the character, motivation and potential for applicants.

All decisions are final and at the discretion of UCM. UCM reserves the right to ensure Scholars represent the general population of the High Schools represented.

Attn: All applications must be postmarked or emailed by Sunday, May 20, 2016. Please complete all sections of the application.

SECTION 1 – PERSONAL INFORMATION

Name: Date of Birth: Social Security Number:

Address:

Cell Phone: Other Contact Number:

Email address:

Parent[s] Name and Address:

Parent[s] Phone Number and Email Address:

EMERGENCY CONTACT [name, phone, address] if other than parent[s]:

What language did you first learn?

Ethnicity: Gender: Country of Citizenship:

*Students must be US citizens or have appropriate visas that allow them to work in the United States

1 SECTION 2 – ACADEMIC INFORMATION

Name of High School: ______

GPA upon graduation: ______Current GPA if not graduated yet: ______

Have you been accepted into career, training or certificate program? If so, please provide the name/location:

If not, please provide the name of your intended school and when you expect to hear about acceptance:

SECTION 3 – SHORT ESSAYS

IN A SEPARATE DOCUMENT, please answer the following questions. Maximum word count: 300 per question.

A. What trade or course do you plan to pursue and why?

B. How do you feel the Valencourt Scholarship can help prepare you for success?

C. How will you finance the rest of your education expenses?

D. Describe a personal accomplishment. What did you overcome and what strengths and skills did you use?

E. Explain how you have made your community a better place to live. Provide specific examples.

F. Is there any other information that we should know about you?

SECTION 4 –FINANCIAL AID INFORMATION

Choose either Dependent or Independent Student Status * Dependent [living at home during training] Independent [living alone or with roommates]

Household Size in 2015 * Adults____ Youth [under 18] ______

Household Gross Annual Income in 2015*  Attach a copy of evidence of 2015 income [OR attachments with a UCM Universal Intake Form]

Apply for federal financial aid (FASFA): https://fafsa.ed.gov/

2 FASFA Application Confirmation Number: Signed by applicant:

I affirm that everything in this application is true to best of my knowledge. I give UCM permission to verify the accuracy of this information.

Because so many worthy applicants are seeking support, UCM reserves the right to make final selection based on subjective criteria. These include: assessment of how the funds will help the student succeed and how likely the student is to complete coursework.

I certify that what I’ve submitted is true and accurate to the best of my knowledge. I understand that an application is no guarantee of award.

______

Signature of Applicant Date

______

Signature of Parent(s) if under 18 years of age Date

______

Submitting your application

Please submit the following to be considered for UCM’s Valencourt scholarship:

1. Completed application form

2. Two letters of recommendation, from high school teachers and/or work supervisors

3. Proof of graduation from High School [Mt. Vernon or Bryant or West Potomac]

Return applications to: (email and physical address)

To apply by email: submit all required documents (pdf or docx. format) to [email protected]. Please write your name and date in the subject line.

To apply by mail please send all required documents to: Progreso Hispano 4100 Mohawk Lane Alexandria, VA 22309