Tahoe Truckee Community Foundation Need Based Scholarship Common Application Form 2011

Mountain Area Preservation

2016 Environmental Scholarship

Application Form

The Mountain Area Preservation Environmental Scholarship is a $1,000 award to a high school graduating senior residing in Truckee who will be attending a two- or four-year college/university and pursuing a degree in the environmental science/studies sector. Special focuses can include natural resource management, planning, law, policy or sustainability initiatives.

In addition to this application, you must include a short essay in response to the following:

Why do you want to pursue an education/career in the environmental sector?

How has growing up in Truckee helped to influence that decision?

Please address both questions in your response. Your response should be 300 words maximum for your combined answers. It should be typed, signed and dated by you, and attached to this application.

Applications are evaluated with the name of the student removed in order to assure that every applicant is reviewed in a fair and balanced manner.

APPLICANT CONTACT INFORMATION

First Name: ______Last Name: ______

Mailing Address: ______City:______Zip______

Home phone: ______Mobile phone: ______

Email: ______Date of Birth: ___/___/___

EDUCATION

High School: ______Graduation Date: ___/___/___

SAT Score (if applicable): Critical Reading______Math ______Writing______

ACT Score (if applicable): Composite Score ______

Education institution you plan to attend in Fall 2016: ______

*Please attach a copy of your acceptance letter, if applicable.

Intended major(s) ______

Applicant Name: ______

Will you be attending college full time? Yes____ No____

Do you plan to work while in school? Yes____ No____

Where do you plan to live next year? On-campus___ Off-campus___ With Parents___ Other___

What career(s) are you considering? ______

What factors determined your choice of college? ______

______

What do you consider your academic strengths? ______

______

BACKGROUND INFORMATION

How many years have you lived in Truckee/Tahoe? ______

Are you a current or former foster youth? Yes _____ No______

Do you live in a single parent household?Yes _____ No______

Are you a single parent? Yes _____ No______

What’s the highest education level achieved by either of your parent(s)/guardian(s)?

 Less than 8th grade

 Did not graduate from high school

 High school graduate

 Trade/Vocational Certificate

 Associate Degree (AA)

 Undergraduate Degree (BS or BA)

 Graduate Degree (MS, MA, MD, etc.)

 Other ______

Applicant Name: ______

EMPLOYMENT

Beginning with your present or most recent job, list your employment history.

What did you do with the money you earned? ______

______

SCHOOL INVOLVEMENT

Please list your top school-related activities in which you have participated.

COMMUNITY INVOLVEMENT

Please list the principal community activities in which you have been involved.

AWARDS AND HONORS

List awards and honors you have received and briefly explain their significance.

Applicant Name: ______

REQUIRED SIGNATURES

I certify that the information provided in this application is true and correct. Falsification of information will result in termination of any scholarship granted. I agree to adhere to all of the terms and conditions of my scholarship(s). By signing this application, I formally authorize Tahoe Truckee Community Foundation to seek any information needed to determine suitability for a scholarship award and forever release any entities seeking or providing such information from any and all claims or damages that I may or actually do sustain as a result of seeking or providing such information.

Student’s signature: ______Date: ___/___/___

Parent or Guardian’s signature: ______Date: ___/___/___

This student is in good standing and is on track to graduate in June 2016. The unofficial transcript provides accurate academic information.

School Counselor’s signature: ______Date: ___/___/___

APPLICATION CHECKLIST

Did you remember to:

 Attach your acceptance letter from college, if you have one?

 Complete and sign the application form?

 Have your parent/guardian AND your school counselor signed the form?

 Include an unofficial transcript?

 Attach your 300 word maximum typed response that is SIGNED and DATED?

NOTE:

• Do NOT use staples
• If applying for multiple TTCF scholarships, only one transcript and one copy of acceptance letter(s) is necessary to be submitted with your application package.

Deadline for all applications is Friday, April 1, 2016 at 5:00pm

Mail: Tahoe Truckee Community Foundation

P.O. Box 366

Truckee, CA 96160

Hand delivered:Tahoe Truckee Community Foundation

11071 Donner Pass Road

Truckee, CA 96161

RECEIVING A SCHOLARSHIP

We will notify you by Friday, April 29, 2016 if you have received a scholarship. If you receive a scholarship, the following procedures must be followed:

1. You must write a thank you note to:

Stacy Caldwell, CEO

Tahoe Truckee Community Foundation

P.O. Box 366

Truckee, CA 96160

1. Once enrolled in school, you must obtain official verification of your enrollment from the registrar and submit it to the Tahoe Truckee Community Scholarship Committee along with a letter stating where the scholarship check should be mailed. Please send this information to:

Tahoe Truckee Community Scholarship Committee

ATTN: Lisa Melin

11603 Donner Pass Road

Truckee, CA 96161

TTCF scholarship application 2016 page 1 of 5