EmailMe Form - GCC Student Continuing Ed. Scholarship 2024

PRIVACY ACT STATEMENT
Under authority of U.S. Title 10, Section 3012, the enclosed personal information will be maintained by the Scholarship Committee for administrative use and released only to the individuals needed to evaluate the application. The disclosure of the information is voluntary; however, failure to disclose all or part of the requested information may hinder evaluation of the application. The application will remain in the possession of the Scholarship Committee Chairperson for one year and will then be destroyed.

Statement of Understanding
I certify that the information in this application is true and correct to the best of my knowledge. I understand that I will be disqualified if I include false information in this application. I agree to abide by the conditions of the Scholarship Committee and in no way shall question their selection of the winners. I understand that the GCC Scholarship Committee reserves the right to contact individuals listed on this application.

I certify that the essay is my original work and I have signed and completed the acknowledgement statement listing any advice or assistance I have received. *

e-Signature of Applicant (Sponsor/Guardian if under 18 years old) and Date

*

e-Signature of Sponsor and Date

• Selection process is anonymous and packet identification will be by applicant’s Identification Code
• The selection panel will judge applications with all other identifying information removed.
• Make certain each separate document submitted has the applicant’s Identification Code in the upper right hand corner.
• Make a copy of this application for your records

Your Identification Code is the last letter of your first name, the last letter of your last name and the last four numbers of your social security number. *

Applicant's Identification Code

Name *

First MI Last

Email *

Phone *

APO Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Photocopy of applicant I.D. card (specified in “Eligibility”). Please black out sponsor’s grade/rank and copy both sides - .jpg or pdf file *

Sponsor's Name *

First MI Last

Sponsor's Organization *

Sponsor's Email *

Sponsor's Duty Phone *

College/Institution of current enrollment *

What degree program do you plan to complete? What are your career plans?

List all colleges and institutions you have attended. Freshmen should also list high schools attended. Include dates attended, G.P.A., and degree attained, if any. *

Cumulative Grade Point Average based on all semesters of college work (GPA/Scale) *

Activites

Campus and Community Activities - Please include location, organization, position, dates, and hours. If none specify N/A. *

List all extracurricular activities beginning with the most recent going back four years (this includes any sport, club or activity with which you have been associated). Activities prior to college enrollment may be considered separately from college activities. The committee is aware that the time available for a college student to participate in volunteer service and community and extracurricular activities is more limited.

Community and Volunteer Service - Please include dates, location, organization, position, and hours. If none specify N/A. *

List all volunteer activities beginning with the most recent going back four years. Activities prior to college enrollment may be considered separately from college activities. The committee is aware that the time available for a college student to participate in volunteer service and community and extracurricular activities is more limited.

Employment (include self-employment such as childcare, pet sitting, etc.) If none specify N/A. *

List all paid employment and internships (paid and unpaid) beginning with the most recent going back four years. Include position held, hours per week, length of employment, and supervisor’s name and email (if available)

Leadership, Awards, Achievements, and Honors - Please include date, activity, award/achievement/honor, and location. If none specify N/A. *

Please list all school, academic and community awards, achievements, and honors going back four years (e.g. Honor Society, National Merit Scholarship, community or association volunteer awards, volunteer commendations, etc.). Please include Sports Awards in this section.

List any hobbies or interests not listed above.

Are there any extraordinary circumstances you would like the committee to know about that have affected your transcripts and/or application? (Academic or extracurricular)

ACKNOWLEDGEMENT STATEMENT
In order to evaluate applications fairly and to preserve the integrity of the preparation process, the scholarship committee requests that every applicant complete an acknowledgement statement. Each applicant is expected to complete the packet and write and proofread the essay themselves and the result should be the applicant’s own work. However, the committee understands that an applicant might ask a teacher or parent to provide a second proofing of the essay or review the packet to be sure that it is complete. Respectfully, the committee requires that each applicant acknowledge and provide details of any assistance he or she might have received by completing the acknowledgement statement below.

I pledge that I have prepared the scholarship application packet myself and that the essay and the forms are my own work. *

e-Signature of Applicant (Sponsor/Guardian if under 18 years old) and Date

In completing my work, I have used the following resources or accepted the following types of assistance (for example, activities page screened by my parents): *

Please complete the following items offline:

Copy of official transcripts from any undergraduate or graduate courses - Electronic copies can be sent to GCCScholashipChair@gmail.com. Mail to: Scholarship Application Attn: GCC Scholarship Chair, CMR 409, Box 615, APO, AE, 09053.

FRESHMAN ONLY – copy of official high school transcripts or GED - Electronic copies can be sent to GCCScholashipChair@gmail.com. Mail to: Scholarship Application Attn: GCC Scholarship Chair, CMR 409, Box 615, APO, AE, 09053.

One (1) recommendation letter completed by someone other than a family member or another student – pdf or .doc file sent directly from recommender to GCCScholashipChair@gmail.com.

Name and email address for recommender *

Essay - Having had some experience now with life overseas and in your post-secondary program, how would you compare yourself today to yourself as a high school graduate? What are your thoughts and feelings about what still lies ahead for you (challenges, goals, experiences, requirements, etc.) as you continue working towards your next graduation? *

Keep in mind the following:

1. The essay should be:
• a .pdf file
• 12 point, double-spaced, with one inch margins
• 300-500 words
• include a word count at the end

2. Please include your Identification Code, not your name, in the upper right hand corner of each page.

3. The essay will be evaluated on style and content, and must be grammatically correct.

4. Points will be deducted from essays that exceed the word limits.

5. Include any assistance you receive on your Acknowledgement Statement.