,

CAFE's

SaúlGallegos

DREAMer’sScholarship

POSTMARKDEADLINE:March31,2017

$800AWARD

TheCommunityfortheAdvancementofFamilyEducation(CAFE)proudly awardsitsAnnualSaulGallegosScholarshipstostudentsdemonstratingcommunityservice,academicperformance,andleadership.

ELIGIBILITYREQUIREMENTS:

•Eligibility is limited to families with a combined annual income of less than $30,000.

•ApplicantmusthaveaminimumcumulativeGPAof2.5ona4.0scale

•Applicantmustbeagraduatingseniorfromthefollowingschooldistricts:Wenatchee,EastWenatchee,Cashmere,Cascade,Entiat,ChelanorManson.

•ApplicantmustbeenrolledinanaccreditedCollegeorUniversityFULL-TIMEbeginninginthefallofthe2017-2018academicyear.

Uponofficialcertificationofyourenrollment,the$750willbesentdirectlytotheschool'sfinancial

aidofficeanddispersed,astheschool requires.

INSTRUCTIONS

Makesurethatyourapplicationpacketiscompleteandlegible.Didyouanswerallthequestions?Didyouprintneatlyusingblackordarkblueink ortypeforlegibility?Didyoufollowtheprovidedinstructions?

Fullnameiswrittenoneachdocumentsubmitted

 Applicationissigned

Thepersonalessaymustbetypedandsubmittedby5pmonorbeforethescholarshipdeadline.Late

applicationswillnotbeaccepted.

Submit By Mail:

Removeallstaplesfromallmaterialsyousend(paperclipsokay)

Submitalldocumentsonwhite81/2 X11inchpaper (exceptforofficialtranscriptsorrecommendationson

letterhead)

 Mailallitemsunfolded,inoneenvelope

ApplicationmustbepostmarkedbyMarch31,2017.MAILTO:

CAFÉ - Attn:SaulGallegosScholarshipSelectionCommittee,802S.MissionSt., Wenatchee,WA98801

SubmitByEmail:

 Completedapplicationsandpersonalessays,andscannedofficialtranscriptsandlettersofrecommendation -canbesubmittedviaemailtoSaulGallegosScholarshipApplication().

Thescholarshipisawardedbasedonthefollowingcriteria(65-pointscale):

•Financial Need / 15Points / •Demonstratedextra-curricular / 5Points
•AcademicPerformance / 15Points / andschoolrelatedexperience
•Personalessayand
Letters of Recommendation / 15Points / •CommunityService / 15Points

CAFE'SSAULGALLEGOS

DREAMer’sSCHOLARSHIPS

2016-2017APPLICATION

PEASETYPEORPRINT. COMPLETEALLSECTIONS.

Name:------

First

M_lLast

Date://20

MailingAddress:

AddressCityStateZip

Telephone:()_E-Mail:------

Dateof Birth:(MM/YYYY)· /

BirthPlace:(City/State)_

Gender: FemaleMale

Dideitherofyourparentseverattendcollege?YesNo

CumulativeHighSchoolGPA:(aminimum2.5GPAona4.0scaleisrequiredtoapply)

HighSchoolattending:

Principal'sName:_

School District: ------HighSchoolTelephone:()_

Collegeyouplantoattendinfull2017:

City:StateZipPlannedMajor:_

Namesofincludedreferencesandprofessionalrelationship:

1.

2.

3.

4.

5.

FA.MILYFINANCIALSTATEMENT

Theselectioncommitteecanevaluatefinancialneedfor youreducationonly ifitknows howyouaresupported.

Fillin.allblanks.Ifnoincomereceivedwritezero.

Ifyouhavenotyetappliedforfinancialaid,wesuggestthatyouapplyimmediately.SomestatesorcollegeshavedeadlinesasearlyasJanuaryeveryyearandyoumayberequiredtofilloutformsinadditiontotheFAFSAform.Contactyourschooladvisororcollegefortheapplicationandformoreinformation.Youcanalsovisitthewebsite:

2016Annual*FamilyIncome:

NumberofChildrenyourparent(s)arecurrentlysupportingatleast50%

(includingyourself)

Father's Occupation:

Father'sGrossIncome$---

Mother's Occupation:

Mother's Gross income$

**Ifnooccupation/grossincome,pleaseexplain:

Parentsare:MarriedDivorced

*SocialSecurityorDisability

Separated

$_

*TANForPublicAssistance$_

Approximatecostofcollege/universityfirstyearFinancialhelpfromparentsforfirstyearcost Financialhelpfromothersources(first yearcost)(i.e.federalscholarships/FAFSA/etc.)

Will you be applying for Federal Scholarships/

FAFSA?

$_

$_

$_

 Yes No

Haveyoubeengainfullyemployedwhileinschool?Ifso,listemployers:

Name/BusinessAddressDates of Employment

  1. From:

( ) - To:

  1. From:

( ) - To:

  1. From:

( ) - To:

COMMUNITYSERVICEANDLEADERSHIP

Insize 12 font(double-spaced),pleasetypeyourresponsetothefollowing:

1. Listmajorschoolrelatedactivities,achievements,andawardsyouhavereceived.

2. Listclubsandorganizationsoutsideofschoolthatyouhaveparticipatedinorvolunteeredfor.

3. PersonalEssay:Inyourown words,pleaseaddressthefollowing:

Whathas been your greatest obstacle, how did you overcome it, and how can you apply that knowledge to enhance diversity in our community?

Certification:StudentandParentMUSTreadandsign belowtobe

eligibleforconsideration.

•Ifselected, Iwillusethisawardtowardcollegeexpensesandwillnotifymyfinancialaidofficeoftheaward.

•IcertifythatIintendto enrollasafull-timecollegestudentforthe2016-2017academicyearatanaccredited postsecondaryinstitution.Iunderstandthatifmyplanstoenrollchange,itwillresultin lossofthescholarship.

•IgivemyhighschoolconsenttoreleasetoCAFEallinformationpertainingtothisapplicationpackageincludingGPA,enrollment,financialandcontactinformation.

•Icertifythatalltheinformationprovidediscompleteandaccuratetothebestofmyknowledge.

•IauthorizeCAFEtoshareorpublishmyapplicationinformationforthepurposeofrecruitment,publicrelations,orpossibleemployment.

•Iamawarethatthescholarshipcheckwillbepayabletotheaccreditedpostsecondaryinstitution.

•Iunderstandthattheapplication materialsbecomethepropertyofCAFE'SSaulGallegosScholarshipCommitteeandcannotbereturned.

•Iunderstandthatincompleteandlateapplicationmaterialswillresultinineligibility andexceptionscannotbe made.

•IcertifythatIhavereadthisapplicationandcertificationand acceptall conditions.

Student'sSignature:Date://20

Parent/LegalGuardianSignature:Date://20

*By signing my name, I, the parent of the applicant, understand the importance of community engagement and youth education, and therefore agree to attend two (2) CAFE meetings and the Salli Gallegos Annual Gala Dinner ifmy student is awarded the scholarship.

**If submitting by email: please print, sign, scan and include this signed sheet.

Howdidyouoriginallylearnaboutthisscholarship?(Pleasecheckone)

 FamilyMember

 Friend

 CareerCenter

 Counselor (Name:)

Teacher (Name:)

Other (Specify:)