Due by May 16, 2016 at 5:00 p.m., No Exceptions
Name: ______Birth Date ___/___/___
First Middle Last
Address: ______
Address Street City Apt/Suite# Zip
Phone: (_____)______E-Mail: ______
Fullerton College ID Number: ______
Anticipated completion of certification or graduation date: ______Cumulative GPA: ______
Units Completed to Date: ______
Your application packet will include:
· A description of your current field of interest or career choice.
· Completion of all questions listed on the Joan & Burnie Cohen Scholarship Form. (Use additional pages, if necessary).
§ Unofficial transcripts for Fullerton College, including Fall 2015 and Spring 2016 Semesters.
o NOTE: Print transcripts showing class completions and grades—Must be provided to receive scholarship monies.
§ Two current letters of recommendation from either your educational advisor, professor, or your employer.
Return completed application information to:
· YWCA of North Orange County, ATTN: Joan & Burnie Cohen Scholarship Fund, 215 E. Commonwealth Avenue, Suite E, Fullerton, CA 92832. E-mail to
Or
· Fullerton College Foundation, P.O. Box 431, Fullerton, CA 92836. E-mail to
Joan & Burnie Cohen Scholarship Fund-Application Form
All questions must be answered to be considered for this scholarship. Please tell us about yourself by responding to the following questions. (Use additional pages, if necessary)
1. What are your educational and career goals?
2. What is your biggest challenge in attending college?
3. In what way(s) do your family, friends, or work, support your decision to attend college?
4. How do you manage your home responsibilities, job, schoolwork, and other family activities?
5. What do you consider your personal strengths?
Joan & Burnie Scholarship Fund- Application Form
6. Describe your campus and/or community involvement.
7. If you receive the Joan & Burnie Cohen Scholarship, please explain in detail how this award money will help you to fund your education. Please include any other information that impacts your financial situation.
8. Please include any other information that is important to know about your application for this scholarship.
9. Have you received financial aid, scholarships, awards or loans in the past two (2) years?
(Check one) ____YES ___ NO
10. If yes, please list all types of Financial Aid, Scholarships, Awards or Loans received for each one.
a. Name
b. Amount Received
c. Date Awarded
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