The National HEP/CAMP Association
Scholarship Application Packet
Eligibility
HEP - Must have completed a HEP and enrolled in
a post-secondary institution by the application
deadline. HEP graduates who are now participating
in CAMP must follow scholarship instructions for
CAMP students.
CAMP - Student must have completed their first
year in CAMP. Students must be enrolled in a postsecondary institution as a sophomore, junior or
senior by the application deadline.
Documentation
Application Form
The application form must be completed the applicant and by a HEP or CAMP staff member at the post-secondary
institution the student is currently attending or plans to attend. If there is no HEP or CAMP at the institution, this
section can be completed by another staff member in the institution (e.g., counselor, financial aid advisor). Please make
sure all staff and student signatures are provided.
Recommendation Form
The applicant should use the form included with the application to request one recommendation from a staff member
who can write about the applicant’s motivation, abilities, commitment, and quality of work.
Essay
Student must write a personal statement describing his/her family’s farm-work experience, financial need and academic
goals. The essay must be written in English.
Proof of registration
Student must send proof of course enrollment for the term of application. Proof of enrollment must be printed on
institutional letterhead or have the institution’s seal, or be signed by a HEP/CAMP staff member attesting the student is
registered for the term of application.
Requirements




Only two applicants per HEP and CAMP Program will be accepted for each calendar year.
Directors or Coordinators must sign each application to validate it as one of two applications from their program.
Student must be enrolled in a post-secondary institution seeking a certificate/degree program of study.
Students enrolled in ESL/ELL Programs or Intensive English Programs with the sole purpose of learning English
will not be considered, unless the courses are required by a certificate/degree-seeking program.
 Applications missing any supporting documents will not be considered.
Application Deadline
HEP Applicants:
CAMP Applicants:
March 30th, June 30th, and September 30th
September 30th
Application Submission The application packet may be submitted by one of the following three ways:
Mail
Fax
Email
Noel Rodriguez, CAMP, Cortez 138A, One West University Blvd, Brownsville, TX 78520
(956) 882-7876 Attn: Noel Rodriguez
noel.rodriguez@utb.edu
Please feel free to call (956) 882-7872 or email questions related to completing the application
The National HEP/CAMP Association
Scholarship Application Form
For HEP Applicants Only
Personal Information: (completed by student)
Applicant Name:
Mailing Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Student ID# (if applicable):
E-mail:
Academic Information: (completed by student)
HEP Institution Attended:
HEP Completion Date:
HEP Director’s Name:
Phone Number:
Address:
Certificate or degree program of study you are seeking or will be seeking:
Name of post-secondary institution you are attending:
Date of attendance at post-secondary institution:
Authorization Information:
I release to the High School Equivalency Program (HEP) at (name of institution)
the right to share
the financial aid information requested which will be used solely for the evaluation of my HEP/CAMP Association Scholarship application.
(Initial)
(Initial)
I hereby grant permission to the National HEP/CAMP Association, their Board members, and Scholarship Committee members to
use or publicly display quotations from my essay, sent as part of the Association’s scholarship application. I understand that I will be
acknowledged, with or without name, as the author of any sections taken from my essay.
Student Signature:
Date:
To be completed by HEP staff member: Post-secondary Institution Name:
Staff Name:
Email:
Position:
Phone:
This institution is
[ ] Public, 4-yr
[ ] Private, 4-yr
[ ] 2-year
[ ] Other:
Institution’s terms:
[ ] Semesters
[ ] Trimesters
[ ] Other:
Student is/will be
[ ] Full-time [ ] Part-time
[ ] In-state [ ] Out-state
Is student eligible for
[ ] Federal Aid
[ ] State Aid
[ ] Institutional Aid
Student has dependents [ ]No [ ]Yes
What is the student’s ANNUAL cost of attendance?
Tuition and fees
$
Room Board/meal plan
$
Health Insurance
$
Other:
$
Total
$
Housing plans [ ] on-campus [ ] off-campus
Is student is purchasing a meal plan? [ ]Yes [ ]No
*Please do not include personal expenses, books or transportation
Student’s academic year financial aid package. If package is not currently available, when will it be?
Federal/state/institutional grants:
$
Scholarships:
$
Loans (if accepted)
$
Student is accepting [ ] federal loans [ ] PLUS/alternative loans
Other aid: (no work-study)
$
Total $
Signature of HEP staff approving this applicant:
Date:
The National HEP/CAMP Association
Letter of Recommendation Form
(Please include one letter of recommendation in your application package)
Student Name:
EVALUATOR: The student named above is applying for a National HEP/CAMP Association Scholarship. Please
evaluate the applicant’s potential for success in post-secondary education relative to his/her peers. If you have any
questions, feel free to call Noel Rodriguez (956) 882-7872. Thank you for your assistance.
Please Print:
Name of Evaluator:
Position:
School/Organization:
Phone Number:
Address:
E-mail Address:
How long have you known the student and in what capacity?
Please mark the appropriate box for each quality
Persistence
Leadership
Academic Skills
Motivation
Quality of Work
Responsibility
Strong
Average
Weak
Unknown
Please address the following questions:
1. In your opinion, is the student motivated and committed to completing a post-secondary program of study?
2. Please share additional comments about the applicant.
Evaluator’s Name
Signature
Date