Pan de Vida Foundation Scholarship Program:
“A Sign of Hope in the Community”
1. DEADLINE for scholarship applications isApril 30th of each calendar year at 4:00 p.m. (No exceptions).
2. Refer to criteria below for eligibility requirements. Refer to application process below for a list of the supporting documents needed (i.e., reference forms, evidence of GPA, etc.) Incomplete applications will not be considered.
3. Type or print legibly. Illegible applications will not be considered. You may also download a copy of the application online:
4. You will be notified in the month of May if your application is chosen as the winner.
5. If you have any questions about the application process, please email Pan de Vida Foundation at:
Purpose:Pan de Vida Foundation was founded to meet the basic human needs of the communities of Queen Creek and San Tan Valley.
Award Components:Each year Pan de Vida Foundation will select four[4] recipients, each of whom will receive a $500 scholarship that rewards students engaged in community service, have a 2.0 gpa or higher, and are currently enrolled in a high school located in the Queen Creek and San Tan Valley area.
Award Impact:The one time assistance payout of $1000, Pan de Vida hopes to boost the confidence of students from low income families who need a jump start to their education after high school.
Award Criteria:
1. Applicant must be a registered student at a high school located within the Queen Creek and San Tan Valley area.
2. Applicant must be a junior or senior level student as defined through credit hours at theirinstitution.
3. Applicant must show a proven record of community service.
4. Applicant must have a minimum, cumulative GPA of 2.0 or higher on a 4.0 scale.
5. Applicant must be a U.S. citizen or permanent resident with a permanent resident IDcard or current passport.2
Application Process:
Applicant must submit the following items:
1. Completed application form (if handwritten, please print legibly).
2. Letter of intent addressed to the Pan de Vida Foundation stating their intent to apply for the scholarship.
3. Two (2) character references in the form of a letter of recommendation.
4. A copy of their most recent transcript with cumulative grade point average.
5. Personal Essay. In your essay, please answer the question on the enclosed essayform.
How has community service made a meaningful impact in your education?[300 words or more]
6. Applicant must agree to a personal interview with the selection committee in person, upon request as neccessary.
7. Applicant must agree to a media interview (ex. Newspaper) along with a photo if awarded to be published.
8. Applicant must agree to release all rights to photos to be used for Pan de Vida Scholarship collateral.
9. Letter of acceptance from school for the following school year.
10. Applicant must present U.S. birth certificate or proof of residency.
11. Applicant must present income records for parents or legal guardians for the past year.
Deadlinefor the application isApril 30th of every calendar year beginning with 2012. Applications postmarked after this date will not be considered. No emailed application packets, incomplete applications will not be considered.
Announcement of Scholarship Recipients:May of every calendar year beginning with 2012
Special Provision:Scholarship funds will be issued directly to the recipient’s campus and may not be used to pay back college loans of any kind.
Please mail your application to:Pan de Vida Foundation
Scholarship Application
PO Box 745
Queen Creek, AZ 85142
Pan de Vida Foundation Scholarship Program
“A Sign of Hope in the Community”
Application 2011: Please type or print your answeres clearly. If application is illegible it will not be considered.
Last Name:
First Name:
Current Year in High School: (Junior or Senior)
Email Address:
Street:
City, State, ZIP:
Daytime Phone Number:
Date of Birth: (Month, Day, Year)
I certify that I am a U.S. Citizen or a permanent resident of the United States of America: (Yes or No)
Current High School I am enrolled in:
I will be attending the following school in the Fall of the following year:
(proof of acceptance or current student enrollment from the above school is required prior to receipt of funds)
Grade Point Average (GPA on a 4.0 scale):
Name & address of parent(s) or legal guardian(s):
Name
Street
City, State, Zip
Home phone
Name
Street
City, State, Zip
Home phone
What is your major/degree?
List other financial assistance you will receive per semester or quarter:
Personal Amount
Other Scholarship(s): Amount$ , please describe
Student Loan(s): Amount$, please describe
Other Financial Resources: Amount$, please describe
Comments:
List your academic honors, awards and membership activities:
List your community service activities, hobbies, outside interests, and extracurricular activities:
Personal Essay: Please answer the following question:
How has community service made a meaningful impact in your education?[300 words or more]
Submit your response on the last sheet provided with this application.
The following items must be attached to this application in order for the application to qualify to be reviewed by the scholarship committee. Your application will not be considered for review if these items are not attached to this application. (no exceptions)
Check box: Yes or No
Completed, signed application form
Two (2) character references. Include these letters in sealed envelopes.
Letter of application- stating your intent to apply
A copy of your most recent transcript with cumulative GPA.
A copy of your acceptance letter from the college you will be attending.
Personal Essay:How has community service made a meaningful impact in your education?[300 words or more]
A copy of U.S. birth certificate or proof of residency.
A copy of the income records for your parents or legal guardians for the past year.
Statement of Acurracy
I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary to promote Pan de Vida Foundation’s scholarship program.
I hereby understand that if chosen as a scholarship winner, according to Pan de Vida Scholarship policy, I must provide evidence of enrollment/registration at a college before my scholarship funds can be awarded.
Signature of scholarship applicant:
Date:
REMEMBER: The deadline for this application to be received by mail by Pan de Vida Foundation is April 30th of each calendar year by 4:00 p.m. No Exceptions!
Pan de Vida Foundation Scholarship Program
“A Sign of Hope in the Community”
Personal Essay
How has community service made a meaningful impact in your education?[300 words or more]