NAHC College Scholarship Application
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Transcript of NAHC College Scholarship Application
Native American Native American Health CenterHealth CenterCollege Scholarship FundCollege Scholarship Fund
Dear Applicant for the NAHC College Scholarship Fund:
Native American Health Center is proud to announce our next round of scholarships. This fund was created to provide financial assistance for San Francisco Bay Area Native American students. The Native American Health Center College Scholarship Fund is an investment in the health and education of our future generations.
Native American Health CenterNative American Health Center, a nonprofit community-based organization, was founded in 1972 and operates two licensed community health clinics in Oakland and San Francisco. The mission of Native American Health Center is to assist American Indians to improve and maintain their physical, mental, emotional, social and spiritual well-being while respecting cultural traditions, and to advocate for the needs of all Indian People, especially the most vulnerable members of the community.
Native American Health Center provides a full range of community health care and prevention services including: primary family medical care; comprehensive dental care; pediatrics; women’s health; Women, Infants and Children (WIC) program; health education; youth services; Tribal Athletics Program; teen health services; nutrition and fitness counseling; HIV/AIDS prevention, outpatient mental health and substance abuse counseling; and the Healthy Nations Wellness Center.
Eligibility RequirementsInterested American Indian and Alaskan Native students must meet these requirements to be eligible for an award. Eligibility requirements are:
Residing in Alameda, Contra Costa, Marin, San Mateo or San Francisco counties of the State of California
High school graduate or equivalent Accepted to or currently attending an accredited college or university. GPA of 2.5 or higher
Selection CriteriaThe NAHC College Scholarship Fund will review each completed application and will make awards based upon specific criteria and information provided in the application. Selection criteria include:
Completed application, incomplete applications will not be reviewed Financial need High school or current college GPA Personal statements Letter of recommendation from instructor/advisor/counselor Letter of recommendation from community member Commitment to community involvement
Application to Native American Health Center College Scholarship Fund Page 1 of 7
Native American Health Center3124 International Blvd. Oakland, CA 94601
Tel: (510)434-5481 Fax: (510)261-1841www.nativehealth.org [email protected]
Application ProcessEnclosed is an application for the NAHC College Scholarship. Please complete the application and return with required attachments by the deadline: Friday, August 5, 2011, 5:00 pm. No late applications will be accepted. Submit scholarship application by hand, email, or delivery to [email protected] or mail to the address below:
Native American Health CenterAttn: College Scholarship Committee
3124 International Blvd, Suite 308Oakland, CA 94601
Scholarship AwardsScholarship awards will be announced at a later date. All applicants will be contacted by phone or by letter. The scholarship amount will be determined during the selection process. A minimum of $1,000 will be awarded. Scholarship funds can only be used by the student awarded and applied to their college tuition, room/board, fees, books and transportation.
Scholarship checks are made payable to the college or to the student. A written status report is required to be submitted to the NAHC College Scholarship committee on how funds were used and awardees’ academic status.
Contact InformationFor more information, questions or comments, please contact Catherine A. Marin-Wisdom at (510) 434-5481 or by e-mail at [email protected].
Thank you and good luck!
NAHC College Scholarship Fund Committee
Application to Native American Health Center College Scholarship Fund Page 2 of 7
Native American Native American Health CenterHealth CenterCollege Scholarship FundCollege Scholarship Fund
Application for the Native American Health Center College Scholarship Fund
Instructions: Please type or print neatly your responses to the questions listed below.
Name:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Address:______________________________________________________________________________
City/State/Zip:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Telephone No.:__________________________ Email address:_________________________________
Tribal Affiliation:________________________________________________________________________
Intended uses of scholarship:_____________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________
Name and address of College you are attending or will attend:___________________________________
_____________________________________________________________________________________
Major or intended major:_________________________________________________________________
If you are already attending college, how many semesters/quarters have you attended?_______________
_____________________________________________________________________________________
What is your current G.P.A.?______________________________________________________________
Application to Native American Health Center College Scholarship Fund Page 3 of 7
Native American Health Center3124 International Blvd. Oakland, CA 94601
Tel: 510/434-5481 Fax: 510/261-1841www.nativehealth.org [email protected]
If you have not attended college, what was the name and location of your high school?________________
__________________________________________________________________________________________________________________________________________________________________________
Required Attachments
1. Enclose a copy of your acceptance letter or a schedule of classes for the current or next semester.
2. Enclose an official transcript (or most current report card) with your application.
*Please sign and date below acknowledging the information above is correct.
_____________________________________________________________________________________ (if application was electronically submitted, please print ‘page 3’ and submit hard copy with signature)
Application to Native American Health Center College Scholarship Fund Page 4 of 7
Personal Statements
Instructions: Please respond to the following sets of questions. Please type or print neatly your responses or send electronically with your application. Page requirement for all three questions is 1 page minimum and 3 pages maximum.
1. Please describe why you feel you have financial need for a scholarship. What other sources are you targeting for financial support? What outstanding circumstances are you experiencing affecting your ability to pay for college?
2. Commitment to community is a very important criteria for selection of awardees. Please describe your community experience citing specific examples. What do you feel are the greatest needs in our community? How would you continue to exhibit commitment to community while you are in college? What are your plans for continued commitment to community following graduation?
3. In what area of study are you planning to major? Why have you chosen this area of study? What are your long-term goals with this major? If you haven’t yet selected a major, what are your interests and why? What type of employment do you plan to enter upon completion of your studies?
Application to Native American Health Center College Scholarship Fund Page 5 of 7
Letter of Recommendation from Community Member
Instructions to Applicant: Please give this sheet or a copy of this sheet to community members who have knowledge of your commitment to the community. At least one Letter of Recommendation from a Community Member and up to three total may be included in your application. Please include this completed sheet or sheets with your returned application.
Dear Community Member: Name of Applicant:_______________________________
Instructions: Please print neatly or type your responses to the following questions on this sheet. Feel free to use the back of this sheet or another piece of paper for your responses. This letter could also be submitted electronically by e-mail to [email protected] or mailed to NAHC College Scholarship Fund, 3124 International Blvd., Oakland, CA 94601.
Please describe the applicant’s commitment to community, citing specific examples. Why do you feel the applicant should receive an award from the Scholarship Fund? What do you feel are the strongest characteristics of the Applicant?
Application to Native American Health Center College Scholarship Fund Page 6 of 7
Letter of Recommendation from Instructor/Advisor/Counselor
Instructions to Applicant: Please give this sheet or a copy of this sheet to your instructor, advisor or counselor. At least one Letter of Recommendation from an instructor, advisor or counselor and up to three total may be included in your application. Please include this completed sheet or sheets with your returned application.
Dear Instructor/Advisor/Counselor: Name of Applicant:______________________________
Instructions: Please print neatly or type your responses to the following questions on this sheet. Feel free to use the back of this sheet or another piece of paper for your responses. This letter could also be submitted electronically to [email protected] or mailed to NAHC College Scholarship Fund, 3124 International Blvd., Oakland, CA 94601.
Please describe the applicant’s academic excellence, citing specific examples. Why do you feel the applicant should receive an award from the Scholarship Fund? What do you feel are the strongest characteristics of the Applicant?
Application to Native American Health Center College Scholarship Fund Page 7 of 7