MILE is designed to increase the leadership capacity, workforce skills, college enrollment and college comple on rate of men. We are seeking students who are commi ed to improving their lives and the lives of their families through higher educa on.  Leadership Training: Three day training to develop cri cal life skills  Mentor Program: Quarterly mentorship ac vi es  Scholarship Award: At comple on of Leadership Training, students receive a $500 award. An addi onal $500 will be given upon successful comple on of the quarterly mentor workshops. Leadership workshops: June 4, 2016 8:30 a.m. - 4:00 p.m. June 18, 2016 8:30 a.m. - 4:00 p.m. July 16, 2016 8:30 a.m. - 4:00 p.m. Gradua on: July 28, 2016 5:30 p.m. -7:00 p.m. Quarterly mentor mee ngs: October 15, 2016 10:00 a.m. - 2:00 p.m. January 28, 2017 10:00 a.m. -2:00 p.m. May 13, 2016 10:00 a.m. - 2:00 p.m. ApplicaƟons Available Online Now!
Due Date: May 2, 2016
www.hartnell.edu/scholarships
For ques ons or assistance please call: 831.755.6723 Application No. _______
For office use only
MEN’S INSTITUTE FOR
LEADERSHIP & EDUCATION
(MILE)
Scholarship Application
DEADLINE May 2, 2016
Name:
___
Submit Completed Application Including:
o
o
o
Application
One page personal statement
One letter of recommendation- on letterhead
Applications must be RECEIVED by May 2, 2016
(Documents must be one-sided, not back to back)
Please Print (Black Ink Only) or Type
First name: __________________
Date:
_________
Drop off or mail completed application to:
Hartnell College - Scholarship Office
Attn: Ana Valles (MILE)
411 Central Ave
Salinas, CA 93901
Website: www.hartnell.edu/scholarships
Phone: (831) 755-6723
I CONTACT INFORMATION
Last: __________________________________
MI: ____________
Hartnell Student ID # (if applicable) __________________ Last 4 digits of SSN#: ______________
Gender:
Male _____ Female ____
Age: ___________
Address: _______________________________________ City: ___________________ State: _____ Zip: ________
Contact Phone Number:
Primary ( _ _ _ ) _ _ _ - _ _ _ _
Alternate ( _ _ _ ) _ _ _ - _ _ _ _
Email (print clearly): __________________________________________________________________
Please make sure your contact information is CURRENT & LEGIBLE,
as we will use these to notify you if you are selected as a recipient
II PERSONAL STATEMENT
Your personal statement represents 50% of your application score. This is one of the key components of how we select
MILE scholars. Tell us about the following: (one separate page - minimum of 250 words 12pt font)
•
•
•
•
Why this scholarship is important to you
What are your educational goals
Describe personal challenges & goals
Describe financial challenges
III ACADEMIC INFORMATION
College Units Completed: __________ Units Enrolled: __________ Cumulative GPA: ________
Verified by Hartnell College Scholarship Office: ______________________________
REQUIREMENT: To be eligible for the MILE Scholarship, students must be enrolled or show evidence of enrollment at
Hartnell College in the 2016-2017 academic year prior to issuance of award. Students should have a minimum of 15
units of academics remaining at Hartnell. MILE Students are required to maintain a 2.5 G.P.A. and carry a minimum of 9
units each semester. If currently enrolled in high school, student must provide most recent high school transcripts.
Hartnell transcripts will be obtained by the Financial Aid & Scholarship Office.
A. OTHER ACADEMIC INFORMATION
What is your major or area of study: _____________________________________________
Which college or university will you be attending in Fall 2016?
____________________________________
Do you receive any of the following assistance:
Financial Aid Student _____
Tutorial Assistance
_____
Learning Assistance _____
Check any of the following that apply to you:
AB 540/Dreamer Student
___
First in family to go to college
___
Veteran
___
Learning Disability
___
Re-entry Student
___
Foster youth
___
ESL
___
Single Parent
___
Athlete
___
Community Involvement:
Activity
Description
B. SCHOOLS ATTENDED
If highest education level completed is high school, you must provide high school transcripts.
If you have attended a college other than Hartnell Community College, you must provide transcripts.
Name
City/State/Country
Dates of Attendance
Middle School
___________________________
_______________________
_________________
High School
___________________________
_______________________
_________________
College(s)
___________________________
_______________________
_________________
___________________________
________________________
_________________
IV REFERENCES
List two people who have knowledge of your academic promise, character, and responsibility.
Please note: This is in addition to the required letter of recommendation.
Name & Address
Position/Title
Phone
Email
1. _________________________ ________________
__________________
__________________________
2. _________________________ ________________
__________________
__________________________
V Employment EXPERIENCE
Are you employed?
Work History
______ Unemployed
______ Full time
Employer
______ part Time
Position/Title
Dates
1. ___________________________________
____________________________
__________________
2. ___________________________________
_____________________________
__________________
3. ___________________________________
_____________________________
__________________
VI LETTER OF RECOMENDATION
Please provide one letter of recommendation from employer, teacher/professor, or other professional.
Letter must be printed on official letter head, signed and dated with signer’s contact information.
VII READ AND SIGN
I, the undersigned, verify that I am the sole author of this application and that all statements herein are true and factual
to the best of my knowledge. By submitting this application, I understand the required participation and commitment to
the MILE Scholarship/Program.
•
•
•
Complete MILE Leadership Training, attend all 3 days: June 4, June 18, and July 16
Participate in quarterly MILE mentor meetings for one full year.
Provide a well written thank you letter
Signature of Applicant: ____________________________________
Date: ___________________
For assistance with this application
Contact: Ana Valles, (831)755-6811
Applicants will be notified of their application status by May 20th, 2016