Brookdale Community College Foundation



[pic]

Brookdale Community College Foundation

Wilbur Ray Scholarship

Application

|AWARD |ELIGIBILITY |

|$1000 Scholarships to full time incoming Monmouth County high |Monmouth County resident and high school/GED graduates. |

|school graduates to attend |Ethnic Minority Student |

|Brookdale Community College taking 12 or more credits |Completed a Brookdale Community College application and plan to register as a |

|$1000 Scholarships for full time currently enrolled Brookdale |full-time or part-time student. |

|students taking 12 or more credits |Minimum GPA 2.5 |

|$500 Scholarships for part-time incoming Monmouth County High |Evidence of financial need |

|School Graduate taking a minimum of 6 credits |Career interest in law enforcement and/or related field may have preference. |

|$500 Scholarships for currently enrolled part-time Brookdale | |

|Students taking a minimum of 6 credits | |

|Scholarship amount is credited to the student’s account at | |

|Brookdale to be used to cover tuition, fees or books. | |

|INSTRUCTIONS |

|Please type or print clearly |

|Write your name on each attachment |

|Application and related documents must be received by July 31st for the fall semester & January 15th for the spring semester |

|Attach two (2) letters of recommendation. (See Part 7) |

|Brookdale students: submit your last semester transcripts |

|High School students: submit your final senior year high school grade report |

|Send application and related documents to: |

| |

|The Wilbur Ray Scholarship Committee |

|Brookdale Community College Foundation |

|765 Newman Springs Road |

|Lincroft, NJ 07738 |

| |

|*For additional information, email mstathum@brookdalecc.edu |

| |

Check one:

________I am a graduating high school student applying for the $1,000 scholarship

________I am a graduating high school student applying for the $500 scholarship

________I am a currently enrolled full-time Brookdale student applying for the $1000

scholarship

________I am a currently enrolled part-time Brookdale student applying for the $500 scholarship

1. Personal Information:

Name Student ID#

(First) (Middle) (Last)

Address:

Town: State: Zip:

Phone: _____ Email:

Date of Birth: Ethnicity:

Are you an ethnic minority? ( Yes ( No

2. High School Student Information: (if you are a graduating high school student applying for the scholarship complete this section)

High School: _______________________________________ Zip Code: _________________

Guidance Counselor/Class Advisor: _____________________ Telephone: ________________

What is your current Grade Point Average (GPA), or class standing? __________________

*Grades/Transcripts – *Please include your high school transcript with this application

3. Brookdale Community College Student Information (if you are a current Brookdale student applying for a scholarship, complete this section)

Are you currently enrolled for classes at Brookdale Community College?

Yes ____ No ____ For which term? _____________________________

What is your current Grade Point Average (GPA), or class standing? __________________

*Grades/Transcripts – *Please include your Brookdale transcript with this application.

4. Extra-Curricular Activities:

List your extra-curricular activities, whether related to school or community. Include any leadership positions held, awards won, or special recognition achieved.

5. Financial Information:

How do you plan to finance your college education?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Essay:

Please attach a one-page typed essay describing:

a) Your current or anticipated academic program

b) Your career objectives and goals

c) Why you believe you should be selected for this scholarship

d) Your financial need

7. Letters of Recommendation:

Please submit two letters of recommendation:

a) One academic recommendation (guidance counselor, teacher, class advisor, coach, etc.)

b) One community recommendation (clergy, employer, etc. – not related to you)

Certifcation/Signature:

I understand

a. That the Wilbur Ray Scholarship Committee reserves the right to request additional information from any person named herein regarding my eligibility for this scholarship

b. That selections for this scholarship will be final;

c. That, should I be the recipient and then withdraw from my planned academic program, my award will be forfeited.

I hereby certify that the statements herein are true and that I believe I am eligible for this award.

Signature: __________________________________ Date: ____________________

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download