Café Reconcile /Delgado Foundation Scholarship

*NOTE: Student must submit FAFSA to Delgado to be considered for this scholarship

Name: First, Middle, Last / Social Security Number
Street Address / Date of birth:
City, State, Zip / Emergency Contact Name
Home Phone: / Emergency Contact Relationship
Cell Phone: / Emergency Contact Phone Number
Can we contact you via text message?
  Yes
  No / Gender:
  Male
  Female / Today’s Date:
______
Employment Status: / Café Reconcile Information:
Are you currently employed?
  Yes
  No / Did you graduate from Café Reconcile?
  Yes
  No
If yes, are you:
  Full time
  Part Time / If yes, when?
Date: ______
If yes, do you have benefits?
  Yes
  No / Voluntary Demographic Data:
Would you be the first person to go to college in your family?
  Yes
  No
Ethnicity:
  Hispanic or Latino
  American Indian or Alaska Native
  Asian
  Black or African American
  Native Hawaiian or Other Pacific Islander
  White
Employer’s name:
Job Title:
Average Hours worked per week:
Hourly Wage:

Café Reconcile /Delgado Foundation Scholarship

*NOTE: Student must submit FAFSA to Delgado to be considered for this scholarship

Legal / Scholarship Information
Have you ever been convicted of a crime? (Note this will NOT exclude you from the scholarship.)
  Yes
  No / How did you hear about the scholarship?
  Delgado
  Café Reconcile
If yes:
  Felony
  Misdemeanor
  Gross Misdemeanor / Have you applied for this scholarship before?
  Yes
  No
Education Information
Are you currently a Full-Time student at Delgado?
  Yes
  No
Please write your program of study below:
Please write your LoLA number in the space below:

Award Amount: $1,000 for 15-16 school year.

Deadline: June 30, 2015

Delgado Foundation/Café Reconcile Scholarship

Short Answer Questions

*NOTE: Student must submit FAFSA to Delgado to be considered for this scholarship

1.)  What was your time at Café Reconcile like? What advice would you give new applicants to the program?

2.)  What do you see for yourself in the next five years? How would this scholarship help you accomplish your goals? Please be specific.