DR. RODOLFO MONTES MEMORIAL SCHOLARSHIP 2014 Dr. Rodolfo Montes was born in Mexico in 1918, the oldest of four children. His father was president of the largest oil company in Mexico, but because of the Revolution his family left the country and eventually settled in Los Angeles. Most of the family fortune was lost during the Depression, and after deciding to pursue a profession to support himself, Rodolfo enrolled in USC’s School of Dentistry. After graduating, Dr. Montes set-up practice in East Los Angeles where he was impressed by the challenges and hardships faced by members of the community. In addition to being an important source of free or highly discounted dental service for many of those in need, his practice became a supportive center of the neighborhood in a wider sense. Over the years his philanthropy expanded greatly following a series of successful business ventures. Dr. Montes’s contribution to Los Angeles followed that of his father who was one of the five business and civic leaders who helped fund the 1920s revitalization of Olvera Street, the historical and cultural center of the city. The Dr. Rodolfo Montes Memorial Scholarship was established to honor the spirit of a self-made man who worked hard for his community and who valued the notion of giving people the resources to help themselves. Dr. Rodolfo Montes Memorial Scholarships are paid in the form of tuition awards. No exceptions will be made. Scholarships are awarded only to USC graduate student nominees who demonstrate a need for financial assistance, who have outstanding academic records and a history of community involvement, and who are enrolled full-time at the School of Cinematic Arts, Herman Ostrow School of Dentistry, Gould School of Law, Keck School of Medicine, or the School of Policy, Planning, and Development. In accordance with the wishes of the donor, preference will be given to those candidates who exemplify leadership, or demonstrate a potential for leadership, within the local Hispanic community. PERSONAL Name: ______________________________________________________________________________________ Mailing Address: ______________________________________________________________________________ 10 Digit USC ID#: _______________________ E-mail: _______________________________________________ Residency Status (e.g. US citizen, US permanent resident, international student): ___________________________ If international student, country of citizenship: ________________________________________________________ Birthplace: _____________________________________________ Date of Birth:__________________________ Marital Status: _________________________ If married, occupation of spouse: ___________________________ If applicable, maiden name: _____________________________________________________________________ If applicable, list dependents, age and relationship to you: ____________________________________________________________________________________________ Parents’ occupations: __________________________________________________________________________ Number of Siblings: ___________________________________________________________________________ Do you speak Spanish? ________________________________________________________________________ Please provide a history of your family background. Please indicate the important factors in your personal growth and, if applicable, the significance to you of your Hispanic heritage (in approximately 100 words). Please describe your hobbies and interests (in approximately 100 words). EDUCATION High School attended: __________________________________________________________________________ Degree Objective and Major at USC: ____________________________ Expected Graduation Date: ___________ USC Graduate GPA: ___________________________________________________________________________ Previous Undergraduate/Graduate Institutions Dates Attended Degree Major GPA Overall GPA Please list any awards, honors, publications or other distinctions: COMMUNITY ACTIVITY List and describe your past and current community service activities (in approximately 100 words): How do you see yourself being a role model in the Hispanic community (in approximately 100 words)? FINANCIAL INFORMATION Briefly describe how you are financing your education: Number of tuition units to be attempted next year: ____________________________________________________ TOTAL AMOUNT EXPECTED FOR 2014-2015 Parental or Spousal contribution $ Scholarships and Fellowships $ Loans $ College Work Study Grant $ Teaching or Research Assistantship $ Savings $ Non-Work Study Employment $ Other $ TOTAL $ List past and present employment and dates: Company or Organization Title Dates Responsibilities PERSONAL STATEMENT Describe in about 300 words your academic, professional and personal goals and ambitions. Please return this form to the Dr. Rodolfo Montes Memorial Scholarship coordinator in your department by Friday, May 23, 2014