MEMORANDUM
To: VSEA Scholarship Applicants
From: James Candon II, VSEA Awards/Scholarship Committee Chair
Date: March 3, 2008
Re: 2008 VSEA Scholarship Awards
The VSEA Awards/Scholarship Committee is currently soliciting applications from students seeking financial assistance in the pursuit of post-secondary educational goals.
The Committee will announce the recipients of the awards at the June Council Meeting. The guidelines are as follows:
Applications will be considered from persons entering or engaged in:
* Educational or vocational degree or licensed programs
* Course(s) to further skill development
* Self-improvement courses
Those persons eligible for scholarship consideration are as follows:
* VSEA members
* VSEA members’ dependents
* VSEA members’ spouses/domestic partners
The Scholarship Committee will base its decision for awards to eligible applicants on the following criteria:
* Career goals
* Financial need
* Abilities and initiative
* Life experiences
* Class standing (recent graduates)
(over)
Requirements for VSEA Scholarship Applicants
· The VSEA Scholarship Application must be completed in full, with the appropriate accompanying materials, including:
· High school/college transcripts or other information (i.e., resume, personal statement) that provide an overview of the applicant’s academic/work record or ability.
· Two written letters of reference must accompany the application. (These letters should reflect the student’s level of achievement, rather than provide a testimonial to the student’s good character.)
· Copies of W2 tax forms to show income.
· All Scholarship Application materials must be received at VSEA headquarters by 4:30 PM, Friday, May 16, 2008.
· The Scholarship Award money available for 2008 Scholarships is $3,000.00 and shall be divided into several scholarship prizes as determined by the Awards/ Scholarship Committee.
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DEADLINE: Completed applications and all accompanying data must be received at VSEA Headquarters no later than 4:30 PM, Friday, May 16th, 2008
VSEA Awards/Scholarship Committee C/o VSEA Headquarters
155 State Street, P.O. Box 518
Montpelier, Vermont
05601-0518
Please direct any questions, however, concerning the scholarship awards / application process to me, Chair of the VSEA Awards/Scholarship Committee:
James Candon II
VSEA Awards/Scholarship Committee
Work Phone: 802-747-4608 Personal E-mail: jcandon@doc.state.vt.us
2008 VSEA Scholarship Application
Return to: VSEA Awards/Scholarship Committee
c/o VSEA Headquarters
155 State Street, P.O. Box 518
Montpelier, Vermont
05601-0518
Deadline: Must be received at VSEA Headquarters by 4:30 PM 5/16/08
General Information
PLEASE PRINT THROUGHOUT
1. Full Name: __________________________________ D.O.B.____________
2. Mailing Address: ________________________________________________
Legal Address: _________________________________________________
Phone # (day) ___________________ (evening) _______________________
3. Applying as a (check one)
q VSEA member
q VSEA member’s spouse/domestic partner
q VSEA member’s dependent
4. If applying as the spouse/domestic partner or dependent of a VSEA member,
please provide the following information:
Full Name of VSEA Member _____________________________________
Position/Job Title______________________________________________
Dept & Work Location__________________________________________
5. If you are applying as a dependent, and both your parents/guardians are
Employed, you must complete the next line:
____________________ _______________________ ____________________
Name of Parent/Guardian Position Title Employer & Work Location
(not listed in question #4)
(over)
Employment History
Note: You may use additional sheets if necessary and may attach a resume if you choose.
Are you currently employed? (circle your response) Yes No
Are you eligible for VSEA membership? (circle your response) Yes No
Employer / Work Location Position/Job Title Dates of Employment
_
_
Educational Background
High School/College/Post-College/Other:
Name of School Town/State Date of Graduation/Degree
Include a copy of grades from the last two years of education.
School Activities
Community Activities
(continued)
References
Include two written letters of reference, preferably one from a teacher and one from an employer. If you have not had a job you can substitute another teacher. If you have been out of school for more than five years you can use two employers or a fellow employee. These letters should reflect the student’s level of achievement, rather than provide a testimonial to the student’s good character.
Please include a Brief Essay on your Career / Employment Goals, either written below or as accompanying item.
(over)
Educational Pursuits
What degree or course work are you pursuing?
_________________________________________________________________
List all schools to which you have applied; state if you have been accepted:
School/Location Status of Acceptance
____________________________________ ( ) yes ( ) pending
____________________________________ ( ) yes ( ) pending
____________________________________ ( ) yes ( ) pending
____________________________________ ( ) yes ( ) pending
____________________________________ ( ) yes ( ) pending
What courses do you plan to take? _____________________________________
_________________________________________________________________
What is the length of this course(s) or degree program? (i.e., weeks, months, years).___________________________________________________________
(continued)
Financial Information
You may attach additional pages, if necessary, to fully explain any information
requested in this section.
1. What is the adjusted gross income for the household from all sources? (use previous year’s tax form) $_____________. Also, if your household is receiving child support payments, please list total dollars received in child support during previous year. $ .
Note: Please include your parents’ W-2 form(s) from the previous year if you are a dependent. If you declared taxes and you are not living with your parents, please submit your own W-2 form.
2. What is the number of persons included in this household? # _
3. Is there anyone in your family (other than self) who is attending college? # _
4. What are the school costs for the following (if exact costs not known, please
estimate):
* cost of course or of semester’s tuition: $_____________________
* transportation $_____________________
* meals $_____________________
* books $_____________________
* child care $_____________________
* housing ( ) own home ( ) school housing $_____________________
( ) off campus ( ) will live with friends/relative
* other school expenses you will incur (please explain) _________________
_________________________________________________________________
_________________________________________________________________
5. Explain in your own words why you are seeking financial assistance. Provide any income or expense information that you believe will be useful to the committee in determining financial need. If you have any unusual financial expenses (medical, household, etc.) that impact your financial situation, please feel free to explain.
_________________________________________________________________
_________________________________________________________________
6. List all other financial aid sources applied for in this educational pursuit (including loan programs, tuition assistance, etc.) and indicate the status of each (i.e., denied, approved amount, pending, etc.: _________________________________________________________________
_________________________________________________________________
Declarations
Declaration to be completed by DEPENDENTS and to be signed by their VSEA member parent/guardian:
“I hereby attest to the fact that I, , am responsible for the
(print name - VSEA member)
Financial/educational support of .”
(dependent - applicant)
Signature /Date
Declarations to be completed by the Applicant:
“I hereby attest to the fact that I, , meet the eligibility requirement to apply.”
Signature /Date
“I hereby attest that the scholarship money I receive from the VSEA, Inc. will be used to assist in the payment of my educational expenses.”
Signature /Date
“I hereby grant permission to the VSEA Awards/Scholarship Committee and the VSEA staff to review the information provided on this application form.”
Signature /Date
Important Reminder
Provided below is a checklist of the items that should be sent along with this Scholarship Application. Please take a minute to review and check off the items in the list to ensure you have prepared your application properly for consideration.
o VSEA Scholarship Application
o High School/College Transcripts
o Brief Essay on Educational / Career Goals (if written on separate sheet)
o Two Written Letters of Reference
o W-2s from Parents/Guardians (if you were a dependent in previous year), or from yourself
o Other Information - i.e., resume, personal statement
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