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Excelen - Σ Ι Α Academic Scholarship 2012 Application Thank you for applying to the Solidaridad Inspiración Amistad Community Foundation, Inc. and Hermandad de Sigma Iota Alpha, Inc. Excelen-ΣΙΑ Academic Scholarship. Each year we award a scholarship to an individual embarking upon their first or second academic year at a 4-year institution of higher learning.

Eligibility Requirements •

• • •

Be a recently graduated high school senior beginning freshman year in an accredited 4year college or university in the fall of 2012 or a college freshman entering sophomore standing attending a 4-year college or university in the United States or its territories in the fall of 2012; U.S. Citizen; U.S. National; U.S. Permanent Resident; Temporary Resident (legalization program); Refugee; Asylee; Cuban-Haitian Entrant; or Humanitarian Parolee; College freshmen: Submit an official, sealed transcript from the university registrar indicating a minimum overall GPA of 2.50 on a 4.0 scale. Recent high school grad: Submit official transcript of a high school academic average of 90 or better (3.7 on a 4.0 scale) and/or a minimum score of 23 on the ACT Required Documents

• • • • • •

Application form Letter of acceptance to 4-year college/university (if beginning as a Freshman in fall 2012) Current, official transcript (from most recent educational institution) 2 letters of recommendation, from the following: a teacher/professor, community leader, advisor, administrator, counselor, and/or employer 1-3 page essay/personal statement (double spaced, 12 point font in Associated Press or MLA style) OPTIONAL: 2” x 2” photo. Picture might be considered for use in promotional materials. Basis of Selection, Notification & Disbursement of Award

• •

Applications will be reviewed by a committee based on content, clarity, and cohesiveness. Only complete application packets postmarked by July 15, 2012 will be reviewed. The total award is $1,500 presented as a onetime payment. The candidate selected for the scholarship award will receive formal notification by August 31, 2012. The scholarship recipient will be recognized at our annual anniversary banquet to be held on September 29, 2012 in Boston, MA.

Submission Details •

• •

Please mail completed applications by July 15, 2012 to: Cristina Luna c/o Solidaridad Inspiracion Amistad Community Foundation 4301 Broadway, CPO 306 San Antonio, TX 78209 Only complete applications will be considered. Direct all inquiries to caricia1990@sbcglobal.net


Excelen - Σ Ι Α Academic Scholarship 2012 Application Part I: Personal Information ***Carefully type or print your information*** Social Security #

--

--

Present Grade Level

Full Name: Last

First

M.I.

Suffix

Permanent Address: Street Address

Apartment/Unit #

City

State

ZIP Code

Current Address: *If different from above.

Street Address

Apartment/Unit #

City

Daytime Phone:

State

(

Cell Phone:

Evening Phone: (

)

ZIP Code

(

)

What is the best way to contact you?

E-mail Address: Alternate E-Mail: Gender

Male

□ Female

Are you a U.S. Citizen?

Yes

Birth Date:

No

Age:

If “No,” of what country are you a citizen?

If you are not a citizen, do you hold Permanent Residence status (valid I-551) for the U.S.? If “Yes,” date permanent resident card issued:

Yes

No

Number:

*Enclose a copy of the card

Month/Day/Year

Ethnicity/Racial Background: Please indicate which of the following best describes your ethnic background. This information is voluntary and will be used in a nondiscriminatory manner, consistent with applicable civil rights laws and will not be used in any scholarship decisions.

□ □

□ □

American Indian or Alaskan Native African American, Black

Asian or Pacific Islander White, Non-Hispanic

□ Hispanic or Latino □ Other: _____________

High School/University Information Grade Level:

GPA on a 4.0 Scale:

ACT/SAT:

School Name: School Address: Street Address City

State

County

ZIP Code

Equal Opportunity Policy: Solidaridad Inspiración Amistad Community Foundation, Inc. and Hermandad de Sigma Iota Alpha, Inc. provides equal treatment to all persons without regard to race, color, religion, national original, sex, age, disability, veteran status or sexual orientation except where such distinction is required by law. This statement reflects compliance with Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendment of 1972 and all other federal and state regulations.


Excelen - Σ Ι Α Academic Scholarship 2012 Applicat ion Part II: Activities Please list, in priority order, the organizations, activities, jobs and internships that indicate your special contributions, talents, honors and abilities in the areas of extracurricular activities, service and work. Attach additional pages as needed. Please spell out the names and describe the organizations in which you have participated. Extracurricular Activities

Organization

Ex. Speech/Debate Club Ex. Basketball Team

Position/Yr

Committee Chair/senior Captain/junior

Were you elected to this position? Check Yes/No √ Yes □ No √ Yes □ No

Hours per wk./ Hours per yr.

Description of Activities

Level

(3/32 = 3 hours per week/32 weeks per year)

10 Hosted Speech Tournament Played forward

Regional Local

th

11

3/32 5/16

th

12

3/32 5/16

th

2/15 5/16

□ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No

Community Service Service/Volunteer Work Ex. Habitat for Humanity Ex. Hospital Volunteer

Description of Service Helped build houses Helped nurses and visited patients

From–Thru

Total Hours

5/03 – 5/04 6/03 – 8/04

120 112

Talent/Awards/Honors Talents/Awards Honors

Ex. Voice Ex. All-Region Basketball Team

Description

Level

Sang in school choir 1 of 5 in state chosen for first team

Local Regional

Year Received 10

11

12

X

X X

X

Student Profile Have you already been accepted into a college/university?

□ Yes □ No

If so, what college/university? Will you attend full time (min. 12 credits per semester) during the 2012-2013 school year? Do you wish to receive information from the Solidaridad Inspiración Amistad Foundation? Do you wish to receive information about Hermandad de Sigma Iota Alpha, Inc.?

□ Yes □ No □ Yes □ No □ Yes □ No

How did you hear about the Solidaridad Inspiración Amistad Community Foundation, Inc./Hermandad de Sigma Iota Alpha, Inc. scholarship? ____________________________________________________________


Excelen - Σ Ι Α Academic Scholarship 2012 Application Part III: Instructions •

Please attach to this application a 1-3 page essay answering the question, “What do Solidarity, Inspiration and Friendship mean to me and how have these three topics played a role in my journey toward higher education?”

Letters of Recommendation – Have two letters of recommendation written on your behalf by two different people from the list on page 1. These sponsors should give us an indication that they know you in an academic, professional, volunteer, or extracurricular experience. Choose people who know you well, but can also give a positive recommendation of your work ethics. Ask the sponsor to seal the letter he or she has written, sign across the seal, and return it to you. Do not open this envelope or break the seal. Submit the sealed envelopes containing your letters of recommendation with your application.

Optional – If you feel you have faced hardships during your journey toward higher education please describe your experience in an essay.

Honors and Awards received – These should not go back more than four years.

I certify that this information provided is complete and correct to the best of my knowledge. Any misrepresentation of the information presented may be grounds to withdraw the scholarship award. I am willing to forward any additional information if deemed necessary. I agree to accept the decision of the Scholarship Committee of Solidaridad Inspiración Amistad Community Foundation, Inc./Hermandad de Sigma Iota Alpha, Inc. I understand that all application materials become the property of Solidaridad Inspiración Amistad Community Foundation, Inc./Hermandad de Sigma Iota Alpha, Inc. and will not be returned to me. I hereby give permission to the Solidaridad Inspiración Amistad Community Foundation, Inc./Hermandad de Sigma Iota Alpha, Inc. to use my name, picture or likeness as a scholarship recipient for the purpose of public relations and/or advertisement.

Signature

Date

Thank you for your interest in the Excelen-ΣΙΑ Academic Scholarship and good luck!


Excelen - Σ Ι Α Academic Scholarship 2012 Application Letter of Recommendation Applicant’s Last Name

First Name

Instructions to the applicant: Please distribute one of these forms to each of the sponsors you select. Ask the sponsor to seal the letter he or she has written on your behalf, sign across the seal, and return it to you. Do not open this envelope or break the seal. Submit the sealed envelopes containing your letters of appraisal with your application.

To Whom It May Concern:

Middle Initial

I hereby forego any claim to access letters of appraisal on behalf of my application for the ExcelenSIA Academic Scholarship.

I do not wish to forego my claim to access to letters of appraisal on my application for the ExcelenSIA Academic Scholarship.

Excelen-SIA Scholarship Application  

Hermandad de Sigma Iota Alpha, Inc. 2012 Scholarship

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