Covington Chamber of Commerce

COVINGTON CHAMBER OF COMMERCE (CCC) SCHOLARSHIP APPLICATION

Before preparing this application, review the eligibility and criteria outlined below. The application must be received by April 1

Submit your application online at: http://kentcf.com/scholarships/applications.html Submit 1 PDF and name the file: CCC. First Initial.Last Name (ex for Ann Smith: CCC.A.Smith)

If needed, please contact [email protected] for technical assistance.

Due Date: April 1st

As part of its commitment to education, the Covington Chamber of Commerce (CCC) Trust will provide a $750 scholarship to a high school graduating student pursuing a business career.

Eligibility: Candidates must be graduating seniors from Kentwood High School, Kentlake High Schoo l, students in private accredited schools or home schools in the Kentwood-Kentlake service area. The fu nds will be forwarded on behalf of the selected students to an accredited public or private two-year/four- year college or vocational-technical institute within the State of Washington in which the student will be enrolled for the coming school year.

Criteria: 1. An overall grade point average greater than 2.0 during Grades 9 – 12. 2. Completion of the “Hire-Me-First” program, or employment by a Covington area business for at least six months during high school enrollment, or involvement in the Covington community, i.e. Chamber office, assisting in school reading programs, mentoring and other programs. (Include as part of letters of recommendation). 3. Evidence of abilities, potential, motivation and desire to succeed. 4. Financial need. 5. United States citizenship or legal alien status.

Students must submit, as attachments, to the following with the completed application form: 1. Copy of high school transcript. 2. Letter (up to 200 words) describing your career plans. 3. Financial plan describing estimated costs for upcoming school year, as well as how you plan on meeting these costs 4. Minimum of two letters of recommendation (one must be from an adult who served in a supervisory role for a community or school activity). These letters should comment on your abilities, potential, motivation, and desire to succeed. CCC SCHOLARSHIP APPLICATION FORM

All information requested below should be printed or typed.

Name:______

Address:______Phone:______Street City Zip Code e-mail address ______

Information regarding vocational-technical school, community college or university that student will attend in forthcoming year: Name of School: ______School Address: ______Street City Zip Code Anticipated major or training program: ______

School and Community Involvement (separate sheets – include subject title): Provide information regarding your participation in school clubs and community organizations. State the name of the group(s), the years involved, for example, vice-president, fundraising, chair, etc. Attach additional sheet if ne cessary.

School Activities: Name of Club/Organization Years Involved Responsibility ______

Community Activities: Name of Club/Organization Years Involved Responsibility ______

School Attendance Information: Provide requested information regarding the schools attended Grades 9 - 12. Home-Based Instruction Students pr ovide copies of your “Declaration of Intent to Provide Home-Based Instruction” for each year, Grades 9 - 12.

Name of School Date of Entrance Period Attended ______

School Attendance (to be completed by school designee)

Number of excused absences:______Number of unexcused absences:______Expected graduation date:______School designee signature:______Date:______

I hereby certify that the information on this application and all information contained in any attachments are true and correct.

Applicant’s signature:______Date:______If I am a winner of this scholarship, I give permission to be interviewed and/or photographed and for the use of my name for Kent Community Foundation use including web site, videos, publications, newspapers and radio/television media.

Name (Please Print):______

Signature:______Date:______

If under 18 years of age: Parent/Guardian Signature (Please Print):______

Signature:______Date:______

The Covington Chamber of Commerce Trust and the Kent Community Foundation do not discri minate on the basis of age, sex, race, creed, color, marital status or national origin.