Criteria for Selection of a Recipient of

COCC Latino Program Scholarship 2014-2015:

Award criteria specifies that the recipient will:

  1. Be a full-time/part-time in-district student entering or attending Central Oregon Community College.
  1. Demonstrate significant academic and personal motivation.
  1. Have a minimum 2.0 grade point average.
  1. Demonstrate financial need.
  1. Have successfully completed at least 3 credits at COCC or completed coursework in the OLI, AVANZA! Programs or a similar college preparation course.

6. Be a participant in the Latino Program.

Applications for Fall Term are due Tuesday, July 15, 2014. A committee will review applications and select scholarship recipients. Awardees will be notified in early September.

Recipients may receive up to $3400 award based on their enrollment.

Please submit applications to Evelia Sandoval, Latino Program Coordinator by Tuesday, July 15, 2014.

Evelia Sandoval

Latino Program Coordinator

Campus Center Room 114

541-318-3726

COCC Latino Program Scholarship 2014-2015

Name ______Phone number: ______

Address: ______

COCC ID #______Major ______

How many credits are you taking?

Fall ______Winter ______Spring ______

Did you fill out the FAFSA? YES NO If no, why not: ______

Did you apply for a COCC Foundation Scholarship? YES NO

FINANCIAL NEED/PERSONAL BUDGET:

(If married, provide spouse information for ALL items as well.)

Please indicate if you currently receive or have been denied the following resources:

I currently receive the following amount: / I have applied for but was not awarded this support. / I have not applied for this support:
HUD Housing
Food Stamps
Heating/Fuel Assistance

Statement of Monthly Income

Source of Income / Monthly amount
Wages from employment
Unemployment
Social Security/Pension
Veteran’s benefits
Child Support
TANF
Student Financial Aid

Statement of Monthly Expense

Expense / Amount / Expense / Monthly
Payment / Total Remaining
Housing (rent/mortgage) / Credit Card payments (list creditors)
Food
Car/Transportation/Gas
Telephone/Cell Phone
Utilities (water, electricity, gas)
Child/Elder Day Care
Personal expenses (clothing, etc.)

Household/Personal Information:

Area of Study (Major):______

Number in Family/Household: __

Number of Children under the age of 12 in your household: ______

COCC Latino Program Scholarship 2013-2014

The purpose of this narrative is to provide the selection committee with as much information about you as possible in three general areas. Please answer these questions on a separate sheet and staple to this form. There is a word limit of 200 words per question.
  1. Financial Challenges: Please explain any extraordinary financial challenges you are facing that make continuing your education difficult without additional financial assistance.
  1. Goals/Task Commitment: Describe the educational and career goals that you have established for yourself and your efforts to accomplish them. Give an example that would demonstrate your commitment to these goals.
  1. Leadership/Group Contributions: Leadership roles, personal accomplishments and/or dealing with adversity impact our lives in important ways. Describe your experiences and activities and how they have shaped you.
  1. Latino Program Involvement: Please describe how you have been involved with the Latino Program at COCC or in the community.

Please submit:

  • completed application
  • narrative
  • a copy of your unofficial transcript

Submit to Evelia Sandoval, Latino Program Coordinator, by Tuesday, July 15, 2014.

Campus Center Room 116.

541-318-3726

For Committee Use only

Date Awarded ______

Award Amount ______

Fund______