Fillable Page 1 of 7 (Bossier Parish Community College)

Fill Online, Printable, Fillable, Blank Page 1 of 7 (Bossier Parish Community College) Form

Use Fill to complete blank online BOSSIER PARISH COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Page 1 of 7 (Bossier Parish Community College)

On average this form takes 37 minutes to complete

The Page 1 of 7 (Bossier Parish Community College) form is 7 pages long and contains:

  • 2 signatures
  • 0 check-boxes
  • 141 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Bossier Parish Community College

BROWSE BOSSIER PARISH COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1 of 7
S
S
c
c
h
h
o
o
l
l
a
a
r
r
s
s
h
h
i
i
p
p
P
P
r
r
o
o
g
g
r
r
a
a
m
m
Executive Women International
®
(EWI
®
)
Reaching out to Communities
Through Education
ewiconnect.com
For instructions on submitting application,
please contact EWI Corporate Office
at 801.355.2800 or ewi@ewiconnect.com.
Revised January 2014
Page 2 of 7
(Rev. 1-14)
E X E C U T I V E W O M E N I N T E R N A T I O N A L
A D U L T S T U D E N T S I N S C H O L A S T I C
T R A N S I T I O N
S C H O L A R S H I P P R O G R A M
PROGRAM DESCRIPTION
The Adult Students in Scholastic Transition (ASIST) Scholarship is a non-discriminatory,
educational scholarship program for the benefit of non-traditional students. These include
persons who are past high school age and who are entering a college, university, or trade
schools and/or the workforce for the first time, non-traditional students already enrolled in a
college/university or trade program, are re-training due to changes in the workplace, or who
otherwise are not the traditional college or trade school student, recently finished with high
school.
The ASIST Scholarship Program helps provide financial support to adult students in a
variety of transitional situations. The goal of the ASIST Program is to enable recipients to
improve their self-esteem and to have a positive impact on the recipient’s personal life,
employment, family, and community.
In addition to the Chapter ASIST, there are twelve Corporate awards (payable in USD) given
annually. Corporate candidates are selected from Chapter winners.
Awards are provided for the recipients’ education and related expenses to aid them in
obtaining the necessary educational skills to help achieve career goals and objectives.
Related expenses include tuition, books and mandatory fees from schools (such as lab
fees), and child care. Not included are such things as rent, utility payments, travel expense,
or repayment of student loans. Checks for Chapter and Corporate scholarship awards are
paid directly to the respective college or university. Scholarship awards are valid for two
years from date granted. Unclaimed awards will be returned to the Chapter or Corporate
B/C/DP accounts for redistribution.
Selection criteria include, but are not limited to, the following:
Financial need
Socially, physically and economically challenged adults
Responsible for small children
Applicants must meet the following eligibility requirements:
Clearly define career goals and objectives
Specify the educational requirements to attain the above goals and objectives
Utilize re-entry programs available through colleges/universities, community
agencies and service groups or career professionals
18 years of age or older
Applicant must reside within the boundaries of an EWI Chapter
Page 3 of 7
(Rev. 1-14)
E X E C U T I V E W O M E N I N T E R N A T I O N A L
A D U L T S T U D E N T S I N S C H O L A S T I C
T R A N S I T I O N
S C H O L A R S H I P P R O G R A M
EWI ASIST SCHOLARSHIP APPLICATION INSTRUCTIONS/CHECKLIST
It is very important that this packet of materials be completed as thoroughly and as quickly as possible in
order to meet the deadlines established by the Chapter. Be concise, yet thorough, when answering all
questions. Type your responses or print legibly in black ink. All financial information provided will remain
confidential.
Submission Checklist:
Complete all required sections entirely and accurately. Incomplete applications will not be considered.
Be sure to sign the application where indicated.
Include copy of your completed FAFSA form (www.fafsa.ed.gov).
If applicable, include a copy of application for:
Student aid (federal financial aid form)
Other scholarships
Government grants
Government loans
Government aid (food stamps, rent/housing subsidy, etc.)
Unemployment benefits, or
Other financial assistance
Use the enclosed Personal Recommendation Form (form may be copied) to obtain two letters of
recommendation from individuals knowledgeable enough about you both academically and personally to
provide insight into your personal characteristics, abilities, achievements, motivation and potential. One
of the evaluations must be from an employer, teacher, guidance counselor or other school official.
The second must be from someone with whom you have worked on a community or volunteer
service activity, through religious affiliation or personal acquaintance. Before you decide on your
evaluations, read the Personal Recommendation Sections carefully to help you understand the type of
information required. When you make the request of your evaluators, be sure they feel comfortable
about completing the form.
Obtain an Official transcript of grades from educational provider or ACT scores.
COMPLETED APPLICATION SHOULD BE RETURNED TO:
Executive Women International
Chapter ___________________________________________
Chapter ASIST Chair ________________________________
Address___________________________________________
City, State, Zip _____________________________________
Phone or e-mail Address _____________________________
DEADLINE DATE FOR SUBMISSION _____________________________________
Page 4 of 7
(Rev. 1-14)
E X E C U T I V E W O M E N I N T E R N A T I O N A L
A D U L T S T U D E N T S I N S C H O L A S T I C
T R A N S I T I O N
S C H O L A R S H I P P R O G R A M
Application
Date: _____________________________________ Birth Date:__________________________________
Name: _____________________________________ Home Phone Number: ________________________
Address: ____________________________________ Work/Cell Phone Number: _____________________
___________________________________________ Marital Status: ______________________________
City/State/Province/Zip ________________________
LIST DEPENDENTS(s): If different from your tax return, please explain
Name
Ages
Relationship to Applicant
WORK HISTORY
Employer
Description of Position
Employment Dates
To / From
Hours per
Week
EDUCATION (list major if college graduate)
Name of School
Course of Study
Dates Attended
Graduated
(Yes/No)
School Currently Attending
Name __________________________________ Address ______________________________________
City/State/Province/ Zip _____________________________________ Full or Part-Time Student? _________
Total Credits Earned: __________________ Remaining Credits Needed to Graduate: _______________
Planned Graduation Date: _____________ Major/Minor: _______________________________________
NOTE: Please provide an Official Transcript of Grades from educational facility currently attending.
If you are not currently enrolled in school, please provide your ACT scores.
Page 5 of 7
(Rev. 1-14)
E X E C U T I V E W O M E N I N T E R N A T I O N A L
A D U L T S T U D E N T S I N S C H O L A S T I C
T R A N S I T I O N S C H O L A R S H I P P R O G R A M
Application
INCOME/FINANCIAL DATA
Please provide the following documents:
Copy of any student aid application (if applying for)
List with amounts or any grants or aid you receive
Copy of your completed FAFSA form (www.fafsa.ed.gov)
MONTHLY INCOME
$
$
MONTHLY EXPENSES
Rent/Mortgage
(specify which)
$
Current School Expenses
Per Semester
Telephone
Tuition
Utilities (gas, electricity, water,
sewage, etc.)
Books
Food
Transportation
Clothing
Other
Medical/Dental
TOTAL SCHOOL EXPENSES
$
Credit Card Payments
Insurance (life, home, medical,
etc.)
Child Support/Alimony
Projected School Expenses
Per Semester
Day Care or School
Tuition
Car Payments
Books
Car Insurance
Transportation
Car Maintenance/Gas
Other
Other Household Expenses
(specify)
TOTAL SCHOOL EXPENSES
$
TOTAL EXPENSES
$
Total Educational Funds requested for year 20___ $____________________
Are you the recipient of any other scholarships? If so, list amounts and names of scholarships.
__________________________________________________________________________________________
Page 6 of 7
(Rev. 1-14)
E X E C U T I V E W O M E N I N T E R N A T I O N A L
A D U L T S T U D E N T S I N S C H O L A S T I C
T R A N S I T I O N
S C H O L A R S H I P P R O G R A M
Application
ESSAY (attach additional pages as needed)
Your essay must (1) describe what your life’s goals and objectives are and how obtaining additional education or a
college degree will further these goals and objectives, and (2) explain what qualifies you for this scholarship.
Please limit your essay to 750 words.
_________________________________________________________________________________________
By signing this application, I verify the above information to be true and correct and authorize the use and
disclosure of such information to members, officers, employees and agents of EWI. In addition, I consent
for all purposes to the sale, reproduction and/or use of photographs and voice recordings by EWI, including
any agency, in all forms and media including television and advertising.
Signature ________________________________________________ Date __________________________
click to sign
signature
click to edit
Page 7 of 7
(Rev. 1-14)
E X E C U T I V E W O M E N I N T E R N A T I O N A L
A D U L T S T U D E N T S I N S C H O L A S T I C
T R A N S I T I O N
S C H O L A R S H I P P R O G R A M
PERSONAL RECOMMENDATION FORM
The student named below is a candidate for the EWI ASIST Scholarship. Scholarships are disbursed directly to
the student’s account at his/her college/university of choice.
INSTRUCTIONS: Two letters of reference must accompany the individual’s application. The reference letters
should comment on the following points:
State how well, how long and in what capacity you know the applicant
Your knowledge of the applicant’s personal situation
Why you are recommending this individual for an ASIST award
The applicant’s goals/objectives and potential for success
One letter of recommendation must be completed by an individual of the student’s choice who is a past or
present employer, teacher, guidance counselor or other school administrator.
A second letter of recommendation must be completed by an individual of the student’s choice from a
religious affiliation, volunteer organization or personal acquaintance.
Recommendation letters must be typed and limited to one page, one-sided.
The recommendation letters will become part of the student’s confidential file intended for use by the
selection committee.
Student Name: ____________________________________________________________________________|
Recommending Person ____________________________________ Title: _____________________________
Address: __________________________________________________________________________________
Telephone: ________________________________________________________________________________
Signature: _________________________________________________________________________________
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Page 1 of 7 (Bossier Parish Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 17 September 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document