CALIFORNIA COUNCIL OF THE BLIND
1303 “J” Street, Suite 400 Sacramento, CA 95814-2900
800-221-6359 916-441-2100
SCHOLARSHIP AWARDS APPLICATION FOR SCHOOL YEAR 2015 - 2016
The California Council of the Blind gives a number of awards to the most deserving student applicants who are legally blind residents of California. Awards are made to students who will enter or continue undergraduate or graduate studies at an accredited college, university, or vocational school.
Applicants must be enrolled on a full-time basis.
It is not required that the institution attended be located in California.
These awards are granted in two parts (half in the Fall and half in the Spring) upon receipt of proof of enrollment. Awards will be granted on the basis of academic performance and other factors. Your application must be typed or it will be automatically rejected. If you have previously applied, you must submit an entirely new application, including supporting documentation. Your application may be denied if it is incomplete. If a requested item is not applicable, please provide a brief explanation.
To qualify to receive a scholarship award, you must be a full-time student registered for at least 12 semester/8 quarter units for each term of the entire academic year or 9 semester/6 quarter units each term for graduate students. If you believe that you have extenuating circumstances, such as additional disability or job requirements, that prevent you from meeting this requirement, please provide a complete explanation of your situation.
If your award is approved, you must submit, for each half of the award, written proof of enrollment. This proof of enrollment must be signed by the Registrar on school letterhead and must include a complete list of classes and total units to be taken.
When beginning or continuing work on a thesis or dissertation, a letter from the Dean, or Department head stating that the student is working on their thesis or dissertation, must be provided. This must be done at the beginning of each term. No monies will be allocated if proof of enrollment or continuing thesis or dissertation studies are not provided.
You must be a permanent California resident to apply.
Application date: _______________________
Applicant’s full name:_____________________age____gender_______
Permanent California residence address: _______________________________________ street city zip telephone
Summer address: (if different) __________________________________________ street city zip telephone
School address: (if different) __________________________________________ street city zip telephone
E-mail address: ______________________________
Freshmen applicants please provide: High School attended:_________________________ name city state
List previous colleges attended: (years attended and total units completed) (Please specify quarter or semester units)
college name_______________ __________________From_____to_____Units_____ Date Date __________________From_____to_____Units_____ college name_______________ Date Date
__________________From_____to_____Units_____ college name_______________ Date Date
College now attending:________________________ name city state
College you will attend this summer:______________
Total number of units completed:______
Cumulative all college grade point average:_______
Total number of units carried this term:_______
Total number of units you will carry this Fall:_______ (If your school measures course work in hours, please provide the total units you will receive.)
State your Subject/Major:______________________
Are you a client of the California Department of Rehabilitation? YES __ NO __ If yes, please provide the name of your Rehabilitation Counselor. Your answer will not effect the validity of your application. ____________________________ Provide a typewritten statement (not more than 500 words and double spaced) giving your purpose in undertaking college work and your vocational goals. (For previous applicants, your prior statement is not acceptable.)
You may also mention your interests and avocations.
If you are a member of the California Council of the Blind, we would appreciate a current letter of recommendation from the President of your chapter or affiliate. If you are not a member but you know a member, we would appreciate a current letter of recommendation from that person. You may also send letters from teachers or others. Even if you have applied previously, please provide updates as typewritten information.
(___) Check this box if you do not wish us to provide your contact information to the local chapter president of the California Council of the Blind.
In order to process your application, this application, transcripts and records must be submitted to the California Council of the Blind office by July 1, 2015 at 5 pm. You may submit the application via electronic format, but all supporting documentation must be submitted in hard copy. However, if transcripts are not available at that time, you may submit them by no later than July 17, 2015.
We will attempt to arrange a telephone interview. Accurate summer telephone numbers and addresses are vital to the processing of this application. (revision 02/17/2015) |