Fillable AFS Dreamer Book Application 17-18

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AFS Dreamer Book Application 17-18

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The AFS Dreamer Book Application 17-18 form is 16 pages long and contains:

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  • 4 check-boxes
  • 146 other fields

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File type: PDF

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AFS –Dreamer Book Scholarship Page 1
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
2017/2018 Academic Year Application Information
General Information
The Abrego Future Scholars - Dreamer Book Scholarship at California State University, Fullerton (CSUF),
is designed to assist with the cost of books for students considered to be undocumented students. The
scholarship awards up to $500 to CSUF students who will be enrolled full time in the 2017/2018
academic year.
As part of the scholarship experience, students benefit from personalized support services to help
facilitate their student success at CSUF. Recipients must complete a set of requirements as part of the
scholarship program which include but are not limited to the following:
• Attend Fall and Spring scholarship orientation, events, and meetings;
• Meet for academic advising/coaching each semester;
• Meet with faculty/staff mentors;
• Meet with assigned peer mentor twice a month; and
• Attend student success workshops.
Eligibility Requirements
Scholarship recipients must meet these requirements:
• Must be considered an undocumented student
• Have a 2.0 Cumulative GPA
• Demonstrate significant contributions to school and community activities
• Enroll at CSUF full time each term during the 2017/2018 academic year
Application Procedure
Application
Completed application form, which should include personal experiences with employment and
community service, honors and awards received, and one essay.
Recommender Form
One recommendation form required (can be submitted directly to program by recommender)
Transcripts (only for new CSUF students)
Submit an unofficial copy of your transcript(s)
o First Time Freshmen: Recent unofficial high school transcript
o Transfer Students: Unofficial transcripts from all colleges attended
o Continuing CSUF Students: You do not need to submit a transcript
Financial Need Verification
Submit a copy of your 2017/2018 CA Dream Act (CDA) Aid Report or Cal SAR Report that
shows your Expected Family Contribution (EFC) number and includes the summary of income
and resources. If you are unable to file a CDA application, complete the financial need
summary section within this scholarship application.
AFS –Dreamer Book Scholarship Page 2
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
2017/2018 Academic Year Application Information (Continued)
Submission
The Abrego Future Scholars - Dreamer Book Scholarship application packet should be submitted to the
address below and postmarked on or before June 23, 2017 (late and/or incomplete applications will NOT
be accepted).
By Mail:
Center for Scholars: Abrego Future Scholars
California State University, Fullerton
P.O. Box 6810
Fullerton, CA 92834
By Fax:
Applications can be faxed to
(657) 278-1509
In Person: The application may also be hand-
delivered to our office located in the Center for
Scholars, Pollak Library South 194 (PLS-194).
By Email
: The application can be emailed to
jehamilton@fullerton.edu
Information
Helpful hints for the completion of the scholarship application:
• Responses should be neat and complete, grammar and spelling should be checked for accuracy.
• The completed application should clearly describe your economic, educational and
environmental background, as well as your achievements and future goals.
Contact information
The Abrego Future Scholars Program is part of the Center for Scholars which provides students with
space to study, a computer lab, free printing, community events, and leadership development
opportunities.
If you have questions about the Abrego Future Scholars Program, please contact the following:
Jaime E. Hamilton; Coordinator, Center for Scholars
Abrego Future Scholars & President’s Scholars
T: (657) 278-2389 | E: jehamilton@fullerton.edu | www.fullerton.edu/futurescholars
Current Abrego Future Scholars, including AFS-Dreamer Book Scholarship recipients, peer mentors, program staff,
and mentors at a Spring 2016 event.
AFS –Dreamer Book Scholarship Page 3
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
2017/2018 AFS Dreamer Book Scholarship Application
Pages 3-7 to be completed by student applicant (Instructions: Type or complete in dark ink only)
Personal Information
Last Name ________________________________________________________ First Name _________________________________________________
Birth Date ________________________________________________ CSUF Campus Wide ID (CWID) ___________________________________
Permanent Address _____________________________________________________________________________________________________________
City ________________________________________________________________________ State _________________ Zip ______________________
Preferred Phone Number ____________________________________ Email __________________________________________________________
1. Will you be a First Time Freshman Student at CSUF? Yes No
2. Will you be a New Transfer Student to CSUF? Yes No
3. Have either of your parents attended college? Yes No
4. If you answered yes to question 3, please explain: ______________________________________________________________________
5. What is your Expected Major? ____________________________________________________________________________________________
6. Name of College(s) Attended ______________________________________________________________________________________________
City _____________________________ State ______ Zip _______________
Biographical & Educational Information:
7. What kind of paid or unpaid work experience have you had? If you need additional space, please use the next
page in this packet (“Continuation of Question #7”).
8. List all community activities (and estimated hours per week) in which you were involved during your high
school, community college, or current CSUF years. If you need additional space, please use the next page in this
packet (“Continuation of Question #8”).
Community Activities
Hours per week
Number of weeks per year
9. List all honors and awards you have received and the year that you received them. If you need additional space,
please use the next page in this packet (“Continuation of Question #9”).
Honors and Awards
Year Received
AFS –Dreamer Book Scholarship Page 4
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
Continuation of Questions
NOTE: Only use this page if there was not enough space on the previous page for you to include all of your
information.
Continuation of Question #7: What kind of paid or unpaid work experience have you had?
Continuation of Question #8: List all community activities (and estimated hours per week) in which you
were involved during your high school, community college, or current CSUF years.
Community Activities
Hours per week
Number of weeks per year
Continuation of Question #9: List all honors and awards you have received and the year that you received
them.
Honors and Awards
Year Received
AFS –Dreamer Book Scholarship Page 5
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
Financial Need Verification
Our ability to determine financial need is important during the scholarship selection process. Please provide
current information to help us assess your (or your family’s’) ability to afford college expenses. This information is
not reported to anyone; only staff in the Center for Scholars and members of the Selection Committee will review it.
Check the appropriate box, complete any needed information, or attach copies.
I am eligible to file a California Dream Act Application and have attached a copy of my 2017/2018 CA Dream
Act (CDA) Aid Report or Cal SAR Report.
I am unable to file a CDA application and have filled out the financial need summary section below:
Parent 1 Yearly Income Parent 2 Yearly Income
Personal Yearly Income
Spouse Yearly Income (if
student is married)
Current Balance of
Cash/Savings
Total Family Untaxed
Income (Social Sec., Other)
Total Number of people in
household (including
student)
Total Number in College
during 2016/17
Please share any other resources family is receiving
Free/Reduced Lunch
Program
WIC, TANF, SSI
Food Stamps/SNAP
program
If your family has limited or no financial resources, please provide a brief explanation sharing how your
family is supported (examples may include but not be limited to, living with a family member who pays
for bills in exchange for help around the house.)
AFS –Dreamer Book Scholarship Page 6
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
Essays
You may type your essays on a separate page (please note the word count) and attach them to your application. You must
complete this essay in order for your application to be reviewed. If one essay is missing, your application will be considered
incomplete and will not be reviewed by the Selection Committee.
Essay Question 1:
What motivates you to pursue a college degree? (500 words)
Describe any particular circumstances, experiences, family background, or other influences that have inspired you to
excel academically and pursue a college degree.
AFS –Dreamer Book Scholarship Page 7
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
Essay Question 2:
What are your career aspirations? (500 words maximum)
Application Certification
All of the information on this form is true and complete to the best of my knowledge. If selected, I will use the Abrego
Future Scholars - Dreamer Book Scholarship award toward educational expenses related to my attendance at
California State University, Fullerton.
Signature:____________________________________________________________________Date:_______________________________
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AFS –Dreamer Book Scholarship Page 8
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
This page is intentionally blank. Please see next page for recommender
evaluation form.
AFS –Dreamer Book Scholarship Page 9
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
Recommender Evaluation Form
To the Student Applicant:
Fill out your personal information below. Then, please give this form to someone who knows you well, is not a
relative (e.g. teacher, counselor, minister, work supervisor, etc.), and can evaluate you appropriately. Ideally, this
individual should be able to comment on your academic preparation, school and community involvement, and
other relevant background prior to enrollment at CSU Fullerton.
Last Name ________________________________________________________ First Name _________________________________________________
CSUF Campus Wide ID (CWID) ___________________________________________
Preferred Phone Number ____________________________________ Email __________________________________________________________
Student Signature _____________________________________________________________________ Date __________________________________
To the Recommender:
The above-named student is applying for a scholarship to be awarded to outstanding students, for the 2017/2018
academic year. The general criteria for selection are academic excellence, outstanding personal qualities,
contributions to school and community, and a disadvantaged background due to socioeconomic, environmental, or
educational challenges.
On the scale below, please rate the applicant with a check mark under the appropriate column.
Outstanding Excellent Good Average
Unable to
Rate
Ability in Written
Expression
Ability in Oral Expression
Initiative
Integrity
Maturity
Resilience
Civic Engagement
Potential
Consideration of Others
Interaction with Others
Leadership Potential
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AFS –Dreamer Book Scholarship Page
10
Center for Scholars
Abrego Future Scholars
Dreamer Book Scholarship
Recommender Evaluation Form Continued
How long have you known the applicant? ____________________________________________________________________________________
In what capacity? _______________________________________________________________________________________________________________
Please address the following regarding the applicant below or in a letter: any situations or incidents which you feel
best illustrate their abilities, their strengths and weaknesses, and any additional comments or information you can
share about the student.
Overall recommendation for scholarship selection:
Strongly recommend
Recommend
Recommend with reservation
Do not recommend
Recommender Name____________________________________________________________________________________
Please print or type
Recommender Signature _______________________________________________________________________________
Title ________________________________________________________________ Employer _________________________________________________
Preferred Phone Number ________________________________________ Email ______________________________________________________
Upon completing this form, you may return it to the student in a sealed envelope. If preferred, you can send it
directly to the Coordinator via email to jehamilton@fullerton.edu or fax to (657) 278-1509. Please complete and
submit by June 23, 2017, and let the applicant know how you will be submitting your recommendation.
Abrego Future Scholars Program information can be found at
www.fullerton.edu/futurescholars
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AFS Dreamer Book Application 17-18

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Completed 14 February 2020

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