Associated Students and 49Er Shops Scholarship

RUTH ROSE PLUNKETT AWARD APPLICATION – FALL 2008

Two $500 scholarships are available. Applications due by 4:00 p.m. on Thursday, November 6, 2008.

The benefactors of the scholarship program seek to honor the memory of Ruth Rose Plunkett. Ruth Rose Plunkett was a foster-care mother who provided a home to sixty-three children from the Los Angeles Foster Care System throughout her life. The primary benefactor for this scholarship has been Dr. Ruth Aura Ross. Dr. Ross was one of the few children of the sixty-three children to graduate from high school. Most of the others entered into work-study. Dr. Ross earned her Ph.D. at the University of Southern California and served the California State University, Long Beach community as a faculty member in Public Policy and Administration for twenty years. Eligibility Requirements: 1. Must have spent time in the Los Angeles foster care system or received welfare from Los Angeles County at some point in life. 2. Must have a minimum cumulative 2.5 GPA (current CSULB students) or a minimum cumulative 2.8 GPA (incoming freshman or transfer student). 3. Must be an entering or a current undergraduate student. 4. Must be a full-time student enrolled in at least 12 units. 5. Financial need will be considered.

Please complete the application in Microsoft Word, print, sign it and deliver to the Center for Scholarship Information (located in the 2nd floor courtyard of University Student Union, Room 238).

Student ID Number: Gender: Male Female Transgender First Name Last Name Address: City: State: Zip: Home Phone: Cell Phone: E-mail: Date of Birth: Major: Minor: Cumulative GPA: Number of units (Fall 2008): Expected Graduation Date (include month & year):

I affirm the information provided on this application is true and accurate. I understand I may be disqualified if I provide false or misleading information on my application. I understand that my signature allows the administrators to access information such as academic records and use my essay/picture for public purposes. I hereby authorize CSULB and the Center for Scholarship Information to release any and all of the personal information provided on my scholarship application and any attached documentation such as resume, transcript and personal statements to any member or organization involved in the selection of scholarship recipients. I understand that once released the information may no longer be under the control of the University and I release CSU and its employees and agents from any claims, damages or liability which I may have in connection with this scholarship. I have read this release before signing, I understand its contents, meaning and impact, and I freely accept the terms.

Signature Date For questions, please contact the Coordinator of University Scholarships at [email protected]. Note: We reserve the right to disqualify applications that are incomplete or exceed the maximum number of words. Postmarks will NOT be accepted. No exceptions RUTH ROSE PLUNKETT AWARD APPLICATION – FALL 2008

Official Employment, Volunteer/Community Activities Form Use: Student ID #:

Employment Experiences Dates Worked Please include only experiences within the last three years

Volunteer/Community Activities (on-and off-campus) Hours Worked Please include only activities within the last three years

Application Checklist Please attach the following documents to this application using a paper clip: Application Form Employment, Volunteer and Community Activities Form Personal Statement Copy of 2008-2009 Financial Aid Award Summary from MyCSULB

For Office Use Only

GPA: ______Verified by: ______

For questions, please contact the Coordinator of University Scholarships at [email protected]. Note: We reserve the right to disqualify applications that are incomplete or exceed the maximum number of words. Postmarks will NOT be accepted. No exceptions RUTH ROSE PLUNKETT AWARD APPLICATION – FALL 2008

Personal Statement Instructions

When you turn in the application packet, please include a personal statement that discusses the following items:

1. Your background in the Los Angeles foster care system and/or in the Los Angeles County welfare system

2. Any unusual experiences you had within a foster care system or in a welfare influences environment

Please follow the following directions when writing the personal statement:

1. Must be no longer than one page,

2. Must be double-spaced,

3. Must use 12 pt font,

4. Must use Times New Roman.

5. For confidentiality reasons, please do not put your name on your personal statement. Type your Student ID number and the scholarship name in the upper left corner.

For questions, please contact the Coordinator of University Scholarships at [email protected]. Note: We reserve the right to disqualify applications that are incomplete or exceed the maximum number of words. Postmarks will NOT be accepted. No exceptions