VISTA TEACHERS ASSOCIATION RETURN COMPLETED
SCHOLARSHIP FUND, INC. APPLICATION TO THE
2141 Industrial Court, Suite C VTA Office by Friday
VISTA CA 92081 June 8, 2018
POST SECONDARY SCHOLARSHIP APPLICATION
NO LATE APPLICATIONS WILL BE ACCEPTED
· Failure to complete the form properly may result in disqualification.
· A copy of your most current transcript for classes taken to date must be attached.
· The scholarship recipient must provide proof from the institution that he/she is enrolled in a full academic program for the fall semester before the scholarship will be issued.
· Do not send proof of enrollment until you have been notified that you are a recipient.
We verify that the information contained on this sheet is correct to the best of our knowledge.
Last Name First Name Initial
Signature of Student Date Signature of Parent Date
College or University Name Subject Major E-mail Address
School Address City State ZIP
Type of School: Four-Year School Community College Trade School
Class Standing Next School Year: Sophomore Junior Senior .
Date of Birth (Month,Day,Year) Age Home Phone
Street Address City State Zip
Father (or Guardian) Occupation Place of Employment
Mother (or Guardian) Occupation Place of Employment
List Three Careers or Job Interests You Are Considering.
.
Financial Need Other useful information regarding your financial need, if any.
Family Gross Income
$ 0- 25,000
25,000- 50,000
50,000- 75,000
75,000-100,000
OVER 100,000
ACADEMIC/ACTIVITIES SECTION
A. List College Honor Societies and/or Special College Awards.
EXTRA-CURRICULAR ACTIVITIES SECTION
A. College Clubs or Organizations
B. College Athletics/Drama/Journalism/Music
C. Work Experience Since High School (Paid) (Dates and hours per month)
D. Volunteer Work Since High School(Non-paid) (Dates and hours per month)
E. Using an additional sheet, describe your personal occupational/vocational goals. Include why you feel you are a good candidate to receive this scholarship.
VTA Post Secondary Scholarship Application 1/29/2018