Scholarship

American Druze Society
Southern California Chapter

Your Subtitle text

Scholarship

American Druze Scholarship Foundation

Scholarship Information-2011

The American Druze Scholarship Foundation is pleased to announce that we have scholarships available in the amount of $500.00 or more for qualified high school graduates, college undergraduates and college graduate students.

Qualifications:

· Graduating High School Senior planning to go to college.

· College or Graduate Student.

· A Druze Southern California Resident.

· Demonstrate Leadership Qualities.

· Good Citizenship Record.

· Above average Academic Achiever.

· Good Recommendations.

· Financial Need.

Please Submit applications to the American Druze Scholarship Foundation Committee, no later than June 18, 2011 and mail to:

American Druze Scholarship Foundation

C/O Jumana Assaf

2239 Merton Ave.

Eagle Rock, Ca. 90041

For questions or more information, please contact:

Jumana Assaf at 818-249-8511

Scholarship Application

Please type or print application:

*Applicant’s Name: ____________________________________

*Please check one:

Graduating High School Senior: _____

College or University Student: _______

*College or University Name: ____________________________

Major: ______________________

Minor: ______________________

Freshmen: _______
sophomore:_______
Junior:      ________
Senior:      ________

Graduate: _________
Continuing Graduate: ______

*Class Rank: ______ (High School Applicants)

Recommendations/References:

Please provide 3 Recommendations/References using the attached form.

Respondents must not be related. At least one respondent should be an educator or an educational administration and one could be an employer.

References should be returned in sealed envelopes and attached to application. (Recommendation form may be duplicated as needed).

All information provided is strictly confidential.

General Information:

1. Name: _____________________________
(last) (first) (middle)

2. Date of Birth: ____________________________________

3. Current Address: _______________________

(street) (app.#) ______________________________________

(city) (state) (zip)

4. Home phone # _________________
Cell phone # ___________________

5. E-mail address: ____________________________________________

6. Father’s Name: ______________________
Occupation: ___________

7. Mother’s Name: _____________________
Occupation: ___________

8. Names’ of Siblings:
_____________________    Age:______
_____________________    Age: ______
_____________________    Age: ______

9. Financial Status: Please inform us of any financial information you feel is significant.

_______________________________________

Education Record:

1. Major: _______________________________

2. Expected Graduation Date:_________

3. Degree To Be Awarded: ________

4. College Entrance Exam Scores:

SAT ________________

CAT_________________

None Taken ___________

5. Grade Point Average: ___________

Please attach a copy of:

Official High School Transcript (if you’re a high school senior) or an Official College Transcript (if you’re a college student).

School(s) Attended Dates Degree/Diploma GPA

__________________________________________

Career Goal Essay:

Write an essay of 250 words or less telling us about your projected goals when you graduate and what you think is the greatest opportunities in your chosen field.

Extra Curricular Activities:

List all community & school activities/ programs (ex. Volunteer work, tutoring, mentoring…..) in which you participated.

Include also any academic achievements or involvements in competitions and sports activities.

Activity Program Date Explanation

__________________________________________

Employment Experience:

List all full-time, part-time, and summer jobs you had.

List most recent employment first.

Type of work Date Employer Wages

______________________________________________

Recommendation/Reference Form

Applicant’s Name:___________________________

ReferenceName:_____________________________

Title: _____________________________________

Address: __________________________________

Telephone:_________________________________

1. I have known the applicant:

_______ As a High School Student.

_______ As an Undergraduate.

_______ As an Employee.

_______ As a Friend.

_______ Other (ex. research assistant, teaching assistant…..)

2. I have known the applicant for:___years___months

3. Describe the applicant’s achievements and/or characteristics using a scale from 1 to 6 (1 being low & 6 being the highest).

a. Productive in group/team projects.____
b. Speaking & writing skills. ____

c. Self-reliance & independence. ____

d. Motivation towards a successful career.___

e. Emotional stability & maturity. ____

f. Ability to use basics in work. ____

4. Special Comments:

______________________________________________

Signature: _______________________

Date: __________________