1112 Plaza del Norte
Española, NM 87532
tel: 505-753-8890
fax: 505-753-8915
www.lanlfoundation.org
Northern New Mexico Tribal Business Scholarship
Application Form 2016
Introduction
The Northern New Mexico Tribal communities, have a dream of growing their business opportunities to help provide a
bright future for generations to come. To make that a reality, these Tribal communities need to encourage students to pursue
business-related degrees and use their education skills to be a part of their Tribe’s long-range goals for enhancing economic
development and business in their communities.
The Northern New Mexico Tribal Business Scholarship was created to keep up with the growing need for qualified
accountants, financial analysts, and business information system professionals within Tribal communities.
Los Alamos National Security, LLC and Los Alamos National Laboratory (LANL) are strongly committed to supporting
and advancing education opportunities for Tribal students from our 16 neighboring Tribal communities and will award
scholarships worth $1,000. Scholarships are administered by the LANL Foundation, and a Tribal/Laboratory Advisory
Committee determines the mission and goals of the program and serves as the Selection Committee.
Application Process
Applicants will submit an online application through the Los Alamos Employees’ Scholarship Fund Program (LAESF)
on the LANL Foundation website at www.lanlfoundation.org/scholarships or submit a hardcopy application.
Guidelines/Criteria
Students will be selected to receive awards based on the following:
• Must be a member of a Pueblo or Tribe and/or reside within the seven Northern New Mexico counties (Los Alamos,
Mora, Rio Arriba, San Miguel, Sandoval, Santa Fe, and Taos)
• Must have a 2.5 (on a 4.0 scale) or higher cumulative grade point average
• Undergraduate students with sophomore, junior, or senior status, enrolled full-time and majoring in accounting, business
administration, finance, or management information systems (MIS) degree programs or related fields at an accredited
post-secondary educational institution
Application Portfolio Requirements
• Application form (submitted electronically at www.lanlfoundation.org/scholarships or hardcopy delivered by mail
or in person to the LANL Foundation office in Española)
• Official academic transcript(s)
• Two letters of recommendation (one academic and one from a Tribal Leader or community member who can speak
to student’s community involvement) signed and in sealed envelopes or sent by e-mail
• An essay (250 words) describing personal objectives in pursuing an accounting, business administration, finance,
or MIS degree
• A copy of Certificate of Indian Blood (CIB) or proof of Tribal enrollment document
• Application deadline is June 15, 2016.
Submit application online at:
www.lanlfoundation.org/scholarships
or
Mail or hand deliver
application portfolios to:
LANL Foundation, Scholarship Coordinator
1112 Plaza del Norte
Española, NM 87532
1112 Plaza del Norte
Española, NM 87532
tel: 505-753-8890
fax: 505-753-8915
www.lanlfoundation.org
Applicant’s Name:
(PLEASE PRINT)
Date of Application:
Personal and Demographic Information
Permanent Home Mailing Address (please use P.O. Box number if applicable)
Street:
City:
State:
E-mail:
ZIP:
County of residence:
Phone:
Residence at School/College (if different than above)
Street:
City:
State:
Phone:
E-mail:
ZIP:
Demographic Information (optional)
Demographic data are important in assessing the effectiveness of our efforts to solicit applications from a diverse population.
Please provide the following information to help us in this regard.
Date of Birth:
U.S. Citizen:
Yes No
Gender: M
F
Tribal Affiliation:
Note: Attach Certificate of Indian Blood (CIB) or other proof of Tribal enrollment.
Northern New Mexico Tribal Business Scholarship Application Form
1
1112 Plaza del Norte
Española, NM 87532
tel: 505-753-8890
fax: 505-753-8915
www.lanlfoundation.org
Applicant’s Name:
(PLEASE PRINT)
Past Education Information
A high school diploma or GED credential is required for eligibility. Please indicate which you received and provide the
requested information.
High School Graduate
GED Credential
High School Diploma Information
Name of High School:
City:
State:
Year of Graduation:
Grade Point Average, if known (4.0 scale):
GED Credential Information
Year of Credential:
State/Jurisdiction Issuing:
Current Education Information
College/university currently attending:
Current Level:
Freshman/1st year
Cumulative GPA:
Sophomore/2nd year
Junior
Senior Planned Graduation date:
Major field(s) of study:
Are you planning to enroll in a four-year degree program at your school or transfer to another institution? If so, where?
Courses currently enrolled in:
Previous LANL Foundation Scholarship
Have you ever previously received a scholarship of any kind from the LANL Foundation?
If yes, when?:
Yes No
Scholarship type and $ amount:
Internships
Scholarship recipients may have the opportunity to apply for an internship at a local Tribal business. The Advisory
Committee will make every effort to match students with a business and mentor in their field of interest. However,
due to the possible limited number of available positions, employment is not guaranteed.
Please indicate if you would like to be considered for employment.
Yes No
Northern New Mexico Tribal Business Scholarship Application Form
2
1112 Plaza del Norte
Española, NM 87532
tel: 505-753-8890
fax: 505-753-8915
www.lanlfoundation.org
Applicant’s Name:
(PLEASE PRINT)
Career Goals
List your current career plans and any activities that support your goals.
Home and Family Commitments
If you have devoted significant time as a primary caregiver or homemaker for family members or other dependents,
please describe the circumstances and your role.
Northern New Mexico Tribal Business Scholarship Application Form
3
1112 Plaza del Norte
Española, NM 87532
tel: 505-753-8890
fax: 505-753-8915
www.lanlfoundation.org
Applicant’s Name:
(PLEASE PRINT)
Community Service
Indicate any current or previous community service activities in support of Tribal or non-Tribal communities or organizations.
Briefly describe your role, number of hours on each activity, and any recognition received.
Leadership Activities
Indicate any current or previous activities not mentioned earlier that demonstrate your leadership qualities, the level and nature
of your involvement, and the total number of hours spent on each activity. Indicate any recognition or honors received.
Tell Us More About One or Two Top Accomplishments
Considering work, school, and home activities, describe the one or two accomplishments that you feel are the most
significant and that best characterize what you are capable of achieving (100–200 words).
Northern New Mexico Tribal Business Scholarship Application Form
4
1112 Plaza del Norte
Española, NM 87532
tel: 505-753-8890
fax: 505-753-8915
www.lanlfoundation.org
Applicant’s Name:
(PLEASE PRINT)
Essay
In approximately 250 words describe your personal objectives in pursuing an accounting, business administration, finance,
MIS or related degree.
Northern New Mexico Tribal Business Scholarship Application Form
6
1112 Plaza del Norte
Española, NM 87532
tel: 505-753-8890
fax: 505-753-8915
www.lanlfoundation.org
Applicant’s Name:
(PLEASE PRINT)
Signatures
I certify that the information I have provided on this application is true and correct. My signature attests to the accuracy
of all information provided.
I am aware that the LANL Foundation reserves the right to verify all information contained in this application, and I am
willing to supply supporting documentation if requested.
Student Signature:
Date:
Northern New Mexico Tribal Business Scholarship Application Form
7
1112 Plaza del Norte
Española, NM 87532
tel: 505-753-8890
fax: 505-753-8915
www.lanlfoundation.org
Applicant’s Name:
(PLEASE PRINT)
Recommendation Letter Guidelines
Note to students: Supply a copy of these instructions to both of your recommendation letter writers. Be sure to have
one letter of recommendation primarily academic (teacher, school counselor) and one from a Tribal Leader or community
member who can speak to your community involvement. You may not have a member of your family, either immediate
or secondary, write a letter of recommendation on your behalf.
Note to recommendation letter writer: Letters must be received or postmarked on or before June 15, 2016.
Mail letters of recommendation to:
LANL Foundation
Scholarship Coordinator
1112 Plaza del Norte
Española, NM 87532
Or, e-mail letters of recommendation to:
tony@lanlfoundation.org
Guidelines
In your letter of recommendation, please address the following items:
1. At the top of your letter, list the name of the student that you are writing about and the school that your student is
currently attending.
2. Indicate what your relationship is to the student (academic, personal, employer, coach, etc.), the length of time you’ve
known the student, and how well you know the student.
3. Elaborate on how/what this student has done to enhance his/her intellect, including your impression of the student’s
ability to achieve his/her educational objectives.
4. Evaluate the student with respect to the following personal characteristics: honesty/integrity, emotional stability and
maturity, leadership abilities, perseverance/dedication, character, communication skills, responsibility, and work habits.
5. Evaluate the student with respect to the following performance capabilities: oral communication, ability to think critically
and problem solve.
6. Evaluate the student’s commitment to the community. Please provide specific details or examples that would define
this student as a community or school leader.
7.Include any additional information or comments about the applicant that you feel would be helpful to the Selection
Committee, or any special circumstances that should be considered.
8. Include your name, official title, place of employment, and phone number should we need to contact you with
additional questions.
Thank you for taking the time to assist your student with the Northern New Mexico Tribal Business Scholarship application.
Should you have any questions regarding this process, please don’t hesitate to contact Tony Fox, LANL Foundation Vice
President of Institutional Advancement and Scholarships, at 505-753-8890 or tony@lanlfoundation.org.
Northern New Mexico Tribal Business Scholarship Application Form
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