SAEOPP PRE-COLLEGE SCHOLARSHIP APPLICATION

DEADLINE: NOVEMBER 20, 2009

PART I: GENERAL INFORMATION

First Name:
Middle Initial:
Last Name:
E-Mail Address
Permanent/Home Address:
Address 2:
City:
State:
Zip Code:
Telephone Number:
Cell Phone Number:
Social Security #:
Date of Birth:
Gender:

Female Male

Project :
Date Entered Project:
High School Attended/Attending:
Graduation Date:
Address:
City:
State:
Zip Code:
College/University you attend/will attend in the fall:
College City:
College State:
College Zip Code:
High School GPA:
GED Average:

ACT and/or SAT Scores:

(reading and math score only)
Exam Date:
College Major/Expected Major:
Career Goal

PART II: TRIO PROJECT / SPONSOR INFORMATION
Name of Director for TRIO project in which you participate(d)
Phone Number of Director:
Director E-mail:
Fax Number:
Sponsor's Name:
Position/Title:
Sponsor E-mail
Sponsor's Institution/Agency:
City:
State:
Zip Code:
Phone Number:
Name of Additional Recommendation:
Address of Additional Recommendation:
City:
State
Zipcode

The sponsor must complete the Sponsor Recommendation form.

The other recommender must complete the Non-Sponsor Recommendation form.

NOTE:*The individual who sponsors the applicant for the Scholarship must be a current financial member of both SAEOPP and their respective state association. Membership status of the sponsor will be verified by SAEOPP. The sponsor must complete an online Letter of Recommendation.

 

PART III HONORS and AWARDS RECEIVED

List the academic or non-academic honors and awards you have received. Your responses cannot exceed the space provided.

Name of Award/Honor
Issued By
Date Received

PART IV LEADERSHIP/VOLUNTEER SERVICE INVOLVEMENT/EXTRACURRICULAR ACTIVITIES

List leadership roles held, service projects, volunteer committees or programs or other activities you have participated in, while attending high school or college. Your response cannot exceed the space provided.

Name of Activity/Service
Activities Coordinated With
Dates of Activity

PART V ESSAY

In the space below, you must submit an essay entitled,

"How My Involvement in  (Name of TRIO Program) Has Assisted Me in Preparation for College Success and Success in Life"

Include a statement on "why and how this award will help you achieve your academic goals." Your essay must be typewritten, and it must be between 350-450 words. The essay cannot exceed the space provided on this page, and you must sign and date where indicated.

 

PART VI APPLICATION AND PROJECT CERTIFICATION

 By my signature which appears below, I certify that the statements contained in this application are true and complete to the best of my knowledge. I certify that the essay submitted herein is original and is not under obligation to, or currently being reviewed for consideration by any other entity or individual. Further, I provide authorization to SAEOPP to reprint this essay in SAEOPP publications and to use in public relations activities. I, also certify that the student making application for this scholarship is a participant in the project which I direct and that he or she is otherwise eligible to compete for this award.

Full Name:

E-mail Address:

Date: