2017-18
High School Student
Scholarship Application
Graduating High School Students who will attend Mission College in 2017/18
Application Deadline: Tuesday, April 18
th
, 2017 by 6pm at the
Welcome Center or by mail
Application Requirements:
Completed Application (typed)
Answer Essay Questions
One letter of recommendation (sealed in an envelope)
Unofficial High School Transcript
Incomplete Applications will not be reviewed.
Important Notices:
1. Please, review the instructions and other valuable scholarship information found on the
back of this page.
2. It is the applicant’s responsibility to ensure accurate completion of all required application
components. We will not verify completion or notify applicants of incomplete or
missing components prior to the application deadline.
Send completed application no later than 6PM on Tuesday, April 18
th
, 2017 to:
Mission College-Welcome Center
3000 Mission College Blvd. MS#9
Santa Clara, CA 95054
For additional information, you can send email to: mcscholarships@missioncollege.edu or
visit or call the Mission College Financial Aid Office at (408) 855-5065.
General Eligibility Criteria
Mission College (MC) Scholarships
Letter of Recommendation
To be eligible for a MC scholarship, you must:
Declare a major at MC.
Have a cumulative GPA of at least 2.50.
Maintain Satisfactory Academic Progress
Have submitted a completed scholarship application
by the stated deadline.
Meeting minimum requirements does not ensure
receipt of a scholarship.
Some Scholarships may have a need component
Awards are selected based on information provided in
each application. It’s possible for designated scholarship
recipients to become ineligible to receive their award if
they have a change in plans from the information
they provided in their application or no longer meet
the eligibility criteria for the individual award.
Personal Essay Questions
Type your answers in the space provided.
Enter your responses to each question in the
space provided in 200 words or less. When
writing your answers consider including the
following:
Most of these questions are designed for
you to demonstrate your motivation, vision,
and creativity. This will allow you the
opportunity to communicate the qualities and
abilities you most want to share with the
readers.
Only One letter of Recommendation is required. You
may use the attached letter of recommendation to give to
your evaluator.
Helpful tips:
Select someone who will say positive things
about you and your academic achievement
Evaluators must be a professional: dean,
professor, counselor, instructor, or someone
who knows you well professionally.
Give plenty of time for person writing letter
of recommendation
Must be returned in a sealed envelope.
Selection Criteria
A committee made up of financial aid staff and others
will select the recipients based on, but not limited to, the
following criteria:
Level of criteria match
Quality of response to essay questions
Scholarship Recipients will be notified via email.
Award Disbursements
The award will be paid to the recipients during the 2017-
2018 academic year. Scholarship awards will be
disbursed the beginning of the term provided student
meets all requirements and funds are available for
disbursement*.
*subject to change
2017-18 High School Student
SCHOLARSHIP APPLICATION
General Information:
Last Name: First Name:
Mission College Student I.D. #: Other/Previous Names:
(if you have not yet applied, please include the last for of your SSN# if applicable)
Street Address:
City:
State:
Zip: Home Phone:
E-mail address: @ Cell Phone:
Gender:

Male

Female
Date of Birth:
Ethnicity:
Marital status:
Single
Married
Divorced or
Separated
Widowed
American Indian or Alaska Native
Asian
Black or African American
Hispanic
Native Hawaiian or Pacific Islander
White
Other Specify:
Check the box(es) below that apply to you (one box must be checked):
U.S. Citizen
Eligible Non-Citizen
Foreign/International Student Fill in the type of visa
AB540/Dreamer
Deferred Action Recipient (DACA)
Foster Youth (former or current)
Status at Mission College for Fall 2017:
Newly graduating High School Senior (2017 High School Graduate)
How many units will you be enrolled in at Mission College for the Fall Semester 2016?
Full-Time (12 units or more)
Three-Quarters Time (9 units to 11.99
units)
Half-Time (6 units to 8.99 units)
Less-Than Half Time (5.99 units or less)
High School Name: _________________________City_________________________________
I received or will receive a High School Diploma by the beginning of the Fall 2017 term
High School Diploma______ GED______ or Equivelant______
Declared Program of Study at Mission College: (must match info. with
Admissions and Records)
Educational Goal(s) (check all that apply):
AA/AS

AA-T/AS-T
Certificate
Transfer

Other (specify):
Cumulative High School GPA: (HS transcripts must support this GPA)
Campus affiliations
List any programs, sports, clubs, leadership or community service in which you currently participate or have
participated: Example: Student Government, soccer, football, honors programs, AVID, etc.
____________________
____________________
____________________
____________________
____________________
____________________
____________________
Additional information:
For scholarships with a need based eligibility component, you must apply for need-based Financial Aid for the 2016-17 by
the March 2
nd
, 2016 using either the FAFSA (www.fafsa.gov) or, if applicable, the Dream Act Application
(www.caldreact.org). Your calculated must meet or exceed the scholarship amount available in order to be
considered for
need based scholarships.
Some scholarship may require Board of Governors Eligibility (need based scholarships).
Meeting minimum requirements does not ensure receipt of a scholarship.
Student’s Release Authorization
I, , hereby authorize Mission College employees to release of any
information relating to scholarship eligibility: this may include, but not limited to, my academic transcript, application and
personal essay to any donors and to the scholarship committee. I understand that, if awarded, I must meet ALL individual
scholarship eligibility requirements prior to disbursement of funds and authorize release of this information for publication. I
certify all information provided here to be true and accurate to the best of my knowledge.
Applicants Signature: _Date: _
click to sign
signature
click to edit
Essay Questions: Blank answers will disqualify you from being considered for a scholarship.
Background/ Achievement: Topics to consider: Please tell us about your background. What struggles have you
overcome related to your education? How has your education contributed to who you are today? Please tell us why
you are most deserving of a scholarship? How will winning a scholarship benefit you in achieving your career and
academic goals?
Future Plans and Goals/ Co-Curricular activities: Topics to consider: What is your educational field or area of
interest? What interests you most about this field? Describe how you have demonstrated leadership ability both in and
out of school. Describe a special accomplishment that you are most proud of.
Insert Text Here: (200 words max)
Insert Text Here: (200 words max)
Return to:
Mission College Welcome Center
3000 Mission College Blvd, MS#9
Santa Clara, CA 95054-1897
Letter of Recommendation
2017-18
Mission College Student Identification (SID) Number:_______________________
Student’s Name (Please print) _________
(Last)
(First)
(Initial)
Scholarships are awarded on the basis of academic excellence, of promise of achievement, and, in some instances, on financial need. The
applicant should seek recommendations from EVALUATORS who can evaluate their promise of academic achievement. Evaluators must
be a dean, professor, counselor, instructor, or someone who knows you well academically and/or professionally (example: boss, supervisor,
minister, etc.)
Evaluators, Please Note:
This recommendation should be put into a sealed envelope and given back to the student. If you do not want to complete this
recommendation form, please advise the student to select another person.
Please return to student in time to meet the Tuesday, April 18
th
, 2017 deadline.
PLEASE CHECK APPROPRIATE BOXES:
1.
2.
3.
4.
5.
6.
7.
8.
Promise
Seriousness of
Personality
Leadership
Responsibility
Creativity
Extracurricular
Overall
Of
Purpose
Qualities
&
&
Involvement
Academic
Achievement
Reliability
Resourcefulness
Outstanding
Excellent
Above
Average
Average
Below
Average
No Response
Additional remarks and general information concerning the applicant’s qualifications. (Please print or type):
Evaluator’s Name (Please print)
(Last) (First)
(Initial)
Evaluator’s Relationship to Student:
Evaluator’s Signature Date
Reminder: Please return form to student in a SEALED envelope.
click to sign
signature
click to edit