COPE – SHIFT SCHOLARSHIP APPLICATION
This scholarship was established by COPE (Community Outreach Partners for Empowerment) to invest in our future by providing scholarship support to students from the 64130 zip code area seeking educational advancement through a college or university degree.
PERSONAL DATA
Name:
(Last)(Middle)(First)
Current Address:
(Street) (City)(State)(Zip)
Permanent Address:
(Street) (City)(State)(Zip)
Phone: Date of Birth:
Male ___ Female ___Ethnicity/Race: ______
Marital Status: Single ___ Married ___ Divorced ___ Widowed ___
Hobbys/Interests: ______
______
ACADEMIC DATA
High School Information
Name of High School: Phone# ______Year of Graduation
Cumulative Grade Point Average: Class Rank: # _____ out of _____
College/University Information
Name of College or University: ______
(Please attach acceptance letter only if not currently enrolled in law school)
Undergraduate Major/Degree: ______Year/s Completed _____
Cumulative Grade Point Average:
LawSchool Information
Name of LawSchool you will be attending or currently enrolled in:
______Year in law school _____
(Please attach acceptance letter)
Cumulative Grade Point Average: Class Rank: # _____ out of _____
Why do you want to attend this school?
What area of law do you intend to study?
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COMMUNITY INVOLVEMENT
List any organizations in which you have been a member or jobs in which you have been employed. Organizations may include academic, athletic, civic, religious or social groups.
Jobs may also include volunteer work or internships. Please attach additional pages if needed.
ActivityNo. of YearsPositions or Offices Held
List any awards, honors or recognition received:
Which of the above experiences (participation in a particular activity, leadership position or honor received) has been most meaningful to you?
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FINANCIAL DATA
Anticipated College/Coursework Expenses: Estimated Family Contribution:
Tuition & Fees$ Applicant’s Contribution:
(from income and assets)$
Room & Board$
Other (e.g. relatives; please specify)
Books & Supplies$ $
Other (please list)$
Total Education-related Expenses:$ Total Applicant/Other Contributions $ ______
Have you applied for other forms of financial aid at this time? ___ yes___ no
Have you received other forms of financial aid at this time? ___ yes___ no
If yes, please indicate the type, amount and source:
Source(s):
Scholarships$
Grants$
Loans$
Workstudy $
Other$
(Please forward a copy of any current or future financial aid received from any source)
Do you plan to work while pursuing this education?
If there are special financial circumstances which will affect your education, please describe:
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PERSONAL STATEMENT
Please write and attach to this application a personal statement of 250 words or less. Your personal statement should describe in detail your current professional or academic status, why you decided to attend law school, the area of law you plan to practice, and how this education will assist you in attaining these goals. Include volunteer experiences that have helped shape you and your career decisions. Include any leadership roles in which you have served and/or any special service awards or recognitions you have received that has contributed to your personal development.
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Applications are due no later than Saturday, June 30, 2012.
I hereby confirm that all information provided on this application is correct and I understand that any false information automatically disqualifies me from eligibility.
I authorize release of my academic records to any member of the
COPE-SHIFT Scholarship Committee.
(Signature of Applicant)(Date)
*Have school send transcript to the address below.
*Have professional reference mail their letter directly to the address below.
*Attach college letter of acceptance and current enrollment record.
Return to:
Community Outreach Partners for Empowerment
5732 Prospect Avenue
Kansas City, Missouri64130
Applicants must contact the COPE-SHIFT Scholarship Committee by phone at (816) 444-5057 and e-mail to confirm application has been completed and sent.
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