West Hills College Scholarship Application Application deadline is March 1, 2015 Incomplete applications will not be processed ___________________________________________________________ Last Name First Name Middle _________________________________________ Birthdate ___________________________________________________________ Mailing Address __________________________________________ Mobile/Cell Number ___________________________________________________________ Home Address (If Different) __________________________________________ Home Phone Number ___________________________________________________________ City State Zip Academic Information Major: _____________________________________________ GPA: ______ Career Goal: _____________________________ Do you plan to attend WHC during 2015/2016? Yes  / No  WHC location that you intend to take most classes:  Coalinga  Lemoore full time  / part time ?  NDC, Firebaugh ___________________________________________________________________________________________________ High School Attended City State Anticipated Graduation Date ___________________________________________________________________________________________________ College/University Attended City State Anticipated Graduation Date Current Class Level (as of March 1, 2015)  High School (Please submit high school transcript)  Re-entry student (25 years or older and with over a three year break since last school year).  1st Year Student at WHC (0-30 units completed)  Graduating WHC student planning to transfer to a four year college Fall 2015  2nd Year Student at WHC (+30 units completed) Planned school to transfer: _______________________ Personal Information: Your response is optional and intended solely for identifying applicants for scholarships with preferred criteria.  American Indian  Chicano/Mexican-American  Pacific Islander  African-American  Other Hispanic  Asian  White/Caucasian  Filipino  Portuguese  Other:________________________ For Office Use Only Units in Progress ____________ Quarter Cum GPA___________ Awarded: Y__ N__/ Initials_______ Grad List ______ Dates of attendance _______________ College Units Completed___________ Name of Scholarship Awarded ____________ Has either one of your parents obtained a college/university degree? Yes  / No  Do have an immediate family member that works for West Hills College? Yes  / No  (If yes, please provide their name and title: name: ______________________ title: _____________________ Do you have an immediate family member who is a member of the Lemoore Lions Club? Yes  /No  (If yes, please provide their name: _________________________ Is either of your parents currently or during the past six months employed in the auto industry? Yes  No  Are you a veteran with four or more years of military service? Yes  No  Do you plan to become a teacher? Yes  No  Are you active duty military? Yes  No  All scholarships are based on two semesters of attendance and are dispersed one-half each semester. You must meet scholarship criteria at the time of disbursement. You are required to submit an essay. Please address the following in no more than one page double spaced. Do not list the questions and answer them. Your essay should reflect thoughtful, grammatically correct information that the scholarship committee will consider in selecting you for a foundation scholarship. • your educational goals; • your service and involvement at WHC and/or within the community including offices held, club/team membership, campus activities or organizations, athletics, projects, volunteer work etc.; • your career aspirations and why have you selected this field; • any financial needs that you have that will allow you to continue your education • If you applying for the Alda Diniz Scholarship and are of Portuguese heritage, what that heritage means to you. • If you are applying for a disability related scholarship, include what effects your disability has had on your education. All Applicants: As a scholarship applicant, I hereby authorize the Financial Aid and Scholarship Office at West Hills College to release the information contained on this application as well as my academic transcripts to campus personnel and/or private donors as may be required in connection with securing or reviewing a scholarship for me. Furthermore, I understand that scholarships may be denied or withdrawn if any information reported on this application is found to be intentionally misleading or inaccurate. I also understand I must maintain the GPA requirement of each scholarship each semester throughout the award year to remain eligible for continued semester funding. In order to receive any scholarship, I understand that I will be required to meet requirements of that scholarship when I enroll during the 2015-2016 school year. _______________________________________ Signature of Applicant _______________________ Date *APPLICATION MUST BE COMPLETE WHEN SUBMITTED. HIGH SCHOOL TRANSCRIPTS MUST BE INCLUDED IF APPLICABLE* The scholarship application must be submitted by the deadline of March 1, 2015, for consideration. Please submit to: Financial Aid Office, West Hills College Coalinga, 300 Cherry Lane, Coalinga, CA 93210 or Financial Aid Office, West Hills College Lemoore, 555 College Ave., Lemoore, CA 93245