Fullerton College
Computer Science Department
Scholarship Application
Donald Lebsack Memorial Scholarship
Qualifications: For one or more graduating and transferring student(s) currently enrolled in at least 8 units with a minimum 3.00 GPA in all course work completed (with a 3.25 GPA in Computer Science Courses), and a minimum of two C.S. courses and 24 minimum units overall completed at Fullerton College.
Susan H. Nack Scholarship for Women
Qualifications: For one or more graduating or transferring female student(s) currently enrolled in at least 9 units with a minimum 3.25 GPA in all course work completed. Applicants must have completed CSCI 133 and either CSCI 223 or CSCI 241 at Fullerton College.
Selection Process: Members of the Computer Science Division will select the winner(s) of these awarda. Applications should be submitted to the Mathematics Division by March 1st.
APPLICATION
Applying for (check one or both):
Donald Lebsack Memorial Scholarship ______
Susan H. Nack Scholarship for Women:______
GENERAL INFORMATION:
STUDENT NAME (Last, First, MI): ______
STUDENT ID #: ______
ADDRESS :
No. & Street ______City ______
State______ZIP______PHONE ( ) ______
EMAIL:______
SOCIAL SECURITY #______MAJOR: ______
Units completed at F.C.: _____; GPA: ______; Other Colleges: units; _____ GPA ______
Units completed in Computer Science at F.C.______GPA (in Computer Science)______
Units currently enrolled in ______
When will you graduate/transfer from Fullerton College?______
Did you apply for graduation? No ____ Yes ____;
Date of graduation (if applicable): ______
What college do you plan to transfer to? ______
(Please feel free to answer the questions below on additional pages and attach them to this application.)
COMMUNITY SERVICE: List all college and community services in which you have or are currently participating.
ACTIVITIES: List all scholarships/honorary awards received for academic or community work (indicate nature and dates received).
ADDITIONAL INFORMATION: This section must be at least one page in length, and must be in question and answer format.
1. Explain your reasons for applying for this scholarship.
2. What are your educational goals and career goals?
3. Please provide us with any additional information you feel would provide us better insight to award the most appropriate scholarship.
I authorize the Fullerton College Foundation to use any part of this information including information from my essay in a newsletter. Yes ____ No _____
I authorize the Fullerton College Foundation to release this information to other organizations. Yes ______No ______
To the best of my knowledge, the information on this application is true and complete.
Signature______Date______