MONTEREY COUNTY EMPLOYEES

SCHOLARSHIP FUNDAPPLICATION

This application will be used for scholarships offered throughout the academic year. Scholarship awards are to be applied towards tuition, fees, books, supplies and/or equipment required for the courses at the educational institution. You are responsible for reading the requirements of the scholarship application process and submitting all information on or before the specified deadline.

Spring Semester or Quarter / Deadline by January 18, 2016
Fall Semester or Quarter / Deadline by August 15,2016

PLEASE READ ALL DIRECTIONS CAREFULLY:

The following information must be submitted with the application. It will not be accepted separately.

Submit One (1) original and five (5) copies of the completed application package. Each application package should be submitted in the following order:

  1. Completed and signed application.(Note: application should be typed except for signatures)
  2. Submit two (2) signed letters of recommendation.
  3. Attach a copy of a certified transcript of all high school or college courses taken to date, whichever transcript is most current; (photocopy of official transcripts is acceptable). Note that college freshman (fall and spring applicants) must submit high school documents in addition to any college courses already completed.
  4. Attach a copy of your official current class schedule, if you are attending high school or college.
  5. Attach a copy of the letter of acceptance from the college or university you will attend, or a statement explaining your acceptance.

INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

YOU MUST SIGN YOUR APPLICATION.

RETURN COMPLETED APPLICATION PACKAGE TO:

Monterey County Treasurer-Tax Collector

C/o Monterey County Employees Scholarship Fund

Attn: Joy Willett

168 West Alisal Street, First Floor

Salinas, CA93901

PLEASE TYPE

Applicant Information

Name:______SS#______- ___-______

LastFirst MI

Address:______

Street City State Zip

Home Phone:______Cell Phone: ______

Parent/Spouse Name: ______

Parent/Spouse County Dept. ______Contact #: ______

Parent/Spouse Employment Start Date: ______

School Information

Major:______School to attend ______

College Units Completed ______Units Enrolled______Cumulative GPA:______

Schools Attended Dates of Attendance Diploma/Degree GPA

High School ______

College(s) ______

______

Career Interest:

II. In a briefstatement (300 words or less), please describe your career interest.

III. In a brief statement(300 words or less),please describe your accomplishments, your educational goals (both short-term and long-term), and your proposed academic major.

IV. In a brief statement (300 words or less),please describe how this scholarship will help you reach your goals.

Financial Need

V. In a brief statement (300 words or less), please describe your financial need and list any otherscholarships/grants you are receiving.

Extra Curricular

  1. In a brief statement, (500 words or less), please describe your past and current extracurricular activities, including Community service, and other involvement.

VII. In a brief statement (300 words or less) please add any additional information that you would like the committee to know in considering your application.

I, the undersigned verify that I am the sole author of this application and that all statements herein are true and factual to the best of my knowledge. I have read the criteria for the scholarship for which I am applying and believe I am eligible.

In addition, I understand and agree that my photo, name and school information may be used for publication/fundraising or associated activities.

______

Signature of Applicant Date

Applicant Status

YES

I am a spouse/domestic partner of a regular County employee______

Number of years of County employment for spouse/domestic partner ______

Employee’s Name: ______Department: ______

Phone Number: ______Address: ______

YES

Child/Dependent of regular County employee______

Number of years of regular County employee’s County employment ______

Employee’s Name: ______Department: ______

Phone Number: ______Address: ______

Parental/Spouse Signature

I, the undersigned verify that the author of this application is my IRS dependent (child/spouse (circle one)).

______

Signature of Parent/Spouse Date

1

RevMay 2016