Fillable 9132HOPE FORM (Laramie County Community College)

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9132HOPE FORM (Laramie County Community College)

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Produced by LCCC Public Relations PRS 9132 4/19
Hispanic Organization for
Progress and Education
SCHOLARSHIP APPLICATION
Application Deadline: April 1
Academic year for which assistance is requested: 20____ through 20____
Eligibility
You are eligible for a HOPE (Hispanic Organization for Progress and Education)
Scholarship, if you:
1. Are a Laramie County resident.
2. Are a current senior at a Laramie County High School.
OR graduating from Laramie County Community College.
3. Are a student of Hispanic descent.
4. Have a 2.5 GPA
5. Submit this application and attach a copy of your academic transcript.
Make sure you complete all the 3 pages in this application!
SECTION 1 – PERSONAL INFORMATION
Name: Last First MI
Date of Birth
Gender Female Male
Telephone Number Email Address
Current Address
Street Number and Name
City State ZIP
Mailing Address (if dierent from current address)
Street Number and Name
City State ZIP
Names and addresses of parents, spouse, legal guardians, or others who provide nancial contributions
or plan to contribute to your academic support. Are they HOPE members? ()
Yes
No
Are you currently residing with anyone mentioned above? (
)
Yes
No
SECTION 2 – EMPLOYMENT
Are you currently employed? ()
Yes
No If yes, how long at present job?
Employer’s Name
Employer’s Address
SECTION 3 – EDUCATION
College or Technical School you plan to attend for which assistance is requested:
Name
City State
If you are currently attending college, check which grade.
Freshman
Sophomore
Other
ACT Score SAT Score
Name of High School
SECTION 4 – OTHER ACTIVITIES, COMMUNITY INVOLVEMENT, VOLUNTEER WORK
SECTION 5 – PERSONAL ESSAY
Please complete a one-page personal essay and your need for this scholarship.
Essay: Choose a Hispanic personality you admire from: Justice Sonia Sotomayor, News Anchor
Jorge Ramos, Astronaut Ellen Ochoa, Doctor Antonia Novello, Activist Rodolfo “Corky” Gonzalez, and
Secretary Thomas Perez. Write about his/her journey to success, why you look up to them, how they
inspire you to achieve your own education goals.
SECTION 6 – AGREEMENT AND SIGNATURE
By submitting this application:
I arm that the information submitted is true and complete.
I am in need of this assistance to continue my education.
I will use the proceeds of any assistance received for payment of my education expenses.
I understand that this form is an application only and does not insure that assistance will be granted.
Name (printed) Signature Date
All qualied applicants will be contacted for a personal interview.
HOPE SCHOLARSHIP APPLICATION
(Keep this section for your records)
HOPE Scholarships are funded by donations to the HOPE Scholarship fund, as
well as from the proceeds of any fundraisers. Therefore, the amount and number of
awards will be limited to available funds and may vary from year-to-year.
Scholarship recipients will be expected to assist with the fundraising and other
events throughout the year.
You will be asked to submit proof of college registration in order to receive your
scholarship award. Please submit proof of registration by August 1.
Please report any changes to the HOPE Chairman to this email:
info@hopecheyenne.org.
Call HOPE at 307 632-4667 if you have questions.
Completed applications are due at 5:00 p.m. on April 1.
Submit Completed Application to:
HOPE Scholarship Committee P.O. Box 3194
Cheyenne, WY 82003
Or to info@hopecheyenne.org
Check List:
Have you completed the scholarship application?
(Incomplete applications will be disqualied).
Have you attached a copy of your academic transcripts?
Have you attached your personal essay?
Have you signed the application form?
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9132HOPE FORM (Laramie County Community College)

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Completed 21 July 2020

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