Fillable ChemeketaScholarsApplication2020

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ChemeketaScholarsApplication2020

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Chemeketa Scholars Application Packet
Application Instructions
1. Complete Chemeketa’s web admission form at applyonline.chemeketa.edu (indicate fall 2020 as
starting term). Please complete an admission application even if you are already a Chemeketa
student.
2. Submit complete Chemeketa Scholars application packet between March 9–13, 2020
(see application packet requirements below).
High School Packet Requirements
Home School Packet Requirements
• Submit Chemeketa web application for fall 2020
• Chemeketa Scholars application
• Unofficial high school transcript
• Include a copy of your printed placement scores
from your My Chemeketa account showing
Reading, Writing and Math placement
• Submit Chemeketa web application for fall 2020
• Chemeketa Scholars application
• ACT/SAT official test results
• WESD Home School Student Confirmation letter
• Include a copy of your printed placement scores
from your My Chemeketa account showing
Reading, Writing and Math placement
*If you do not know your MyChemeketa login information, contact the Help Desk at 503.399.7899.
Application packets will be accepted at the Yamhill Valley Campus only on March 6, 2020, 8 am–5 pm and
applications will be accepted only at the Salem Campus during the application week, 9-13, 2020, 8 am–5 pm.
Incomplete or late application packets will not be accepted. No exceptions will be made. Submit your completed
application in person to –
Chemeketa Salem Campus
March 9-13, 2020, 8 am–5 pm
Bldg. 2, Rm. 115
4000 Lancaster Drive NE, Salem, Oregon
Chemeketa Yamhill Valley Campus
March 6, 2020, 8 am–5 pm
Bldg. 1, Front Desk
288 NE Norton Lane, McMinnville, Oregon
Eligibility Requirements
In order to qualify for this scholarship, applicants must –
High School Students
1. Attend high school in, or be a permanent resident of, Chemeketa’s district.
2. Earn a cumulative, unweighted GPA of 3.50 or better (as of first semester/quarter grades of final year of
high school). Your transcript must show your expected graduation date or class of 2020.
3. Take Chemeketa’s placement test (may substitute Smarter Balanced scores) and earn minimum placement
into Reading 115, Writing 115, and Math 095.
4. Enroll full-time (12-18 credits) at Chemeketa the fall term that immediately follows high school graduation.
Home School Students
1. Reside permanently within Chemeketa’s district.
2. Be a registered home school student with the Willamette Education Service District (WESD).
3. Earn ACT composite score of 27 or SAT combined score of 1270 in the Evidence-Based Reading and
Writing plus Math tests
4. Take Chemeketa’s placement test and earn minimum placement into Reading 115, Writing 115, and Math
095.
5. Enroll full-time (12-18 credits) at Chemeketa the fall term immediately after completing high school
requirements.
Military Veterans
1. Meet above High School or Home School requirements.
2. Joined the military within three months of graduating from high school.
3. Enroll at Chemeketa within six months of military discharge.
Chemeketa Scholars Application
Please print legibly (all fields required)
Last name ________________________________ First name ______________________ MI______
Chemeketa K# or SSN_________________________________________________________________
Mailing Address: _____________________________________________________________________
City: _______________________________ State: _________ Zip Code: ____________________
Cell phone: ______________________________ Home phone: ______________________________
Email: _____________________________________________________________________________
High School _________________________________ Date of Graduation ______________________
Cumulative high school GPA ____________ (High school students need to include an unofficial transcript)
Intended Major or Field of Study: ________________________________________________________
Do you intend to transfer to a four-year college or university? __________________________________
If yes, which one? ____________________________________________________________________
I certify that the information provided in this application is truthful and accurate to the best of my
knowledge.
_______________________________________________ ______________________________
Applicant Signature Date
Application packets will be accepted at the Yamhill Valley Campus only on March 6, 2020, 8 am–5 pm
and applications will be accepted only at the Salem Campus during the application week, March 9-13,
2020, 8 am–5 pm. Incomplete or late application packets will not be accepted. No exceptions will be
made. Submit your completed application in person to –
Chemeketa Salem Campus Chemeketa Yamhill Valley Campus
Bldg. 2, Rm. 115 Bldg. 1, Front Desk, 8 am–5 pm
4000 Lancaster Drive NE, Salem, Oregon 288 NE Norton Lane, Salem, Oregon
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Completed 21 January 2020

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