Rio Hondo College
National Science Foundation
Scholarships to Aid Rio Hondo STEM Students (STARSS)
Student Application
Last Name: ______________________________ First Name: ______________________________ MI: ____________
Address: ___________________________________________________City: _________________ Zip: ____________
Cell Phone: __________________ Home Phone: __________________ Email: _________________________________
Rio ID: _______________________
Gender:
Male
Date of Birth: ________________ Ethnicity: ___________________________
Female
U.S. Citizen
Resident status:
Permanent Resident (Alien Registration Number: ___________________________)
RHC Major: ______________________________ Cumulative GPA: __________ No. of Units Attempted: ____________
Transfer Major: ___________________________ Estimated semester and year of transfer: ________________________
Transfer University:
Participation:
1st Choice: ______________________________ 2nd Choice: ___________________________
MESA
SSS-STEM (check all that apply)
other_______________________
1. Did you apply for the 2016-17 FAFSA: Choose One
What percent of your lifetime Pell have you used:
(Go to www.nslds.ed.gov to determine your lifetime percentage used.)
Students who do not complete a
FAFSA for 2016-17 are not eligble to
apply.
What is the expected family contribution (EFC) on your 2016 - 17 Student Aid Report.
2. If you are receiving financial aid, check all that apply:
BOG
Pell Grant
Cal Grant
STARSS Scholarship: $_____________
3. List all colleges you have attended and attach all (unofficial) transcripts:
Other: $________________
In the table below, fill in Fall 15 semester and for Spring 16 semester courses. If you are taking math or
4. chemistry in Summer please add it to the Spring and write X16 in the grade column.
Fall 2015
Spring 2016
Class Name: (i.e. Math 180)
Units Grade
Class Name: (i.e. Physics 211)
Units Grade
0
0
Total Units =
Total Units =
5. In the table below, fill in Fall 16 semester and for Spring 17 semester courses. If you are applying for a transfer
Scholarship leave the table below blank.
Fall 2016
Class Name: (i.e. Math 180)
Units:
Total Units =
Spring 2017
Class Name: (i.e. Physics 211)
Units:
Total Units =
0
0
6. Math and Science GPA: On your transcripts highlight all mathematics and science courses and their grades
Complete the table with all math and science 100 level and above courses and calculate the GPA. (If you repeated a course
please list it as many times as you took it. For GPA calculation only use the last grade, enter 0 for the units in all other
attempts. Indicate the college, if the course was not taken at Rio Hondo. (Please ask for assistance if necessary.)
Course
College
Units
Grade
GPA Points
(A=4, B=3, C=2,
D=1, F=0)
Units * GPA Points
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Units
0
0
GPA = (sum of last column)/ (total number of units)
Total Points
If you need more space please attach a separate piece of paper
GPA =
0
7. List all MESA|TRIO SSS STEM resources or events you have participated in while at RHC (e.g. AEW’s, MESA
Group Study Sessions, Tutoring, Guest Speaker Sessions, Leadership Retreats, etc.). Activity Title/ Semester
8. List any academic awards received, giving the specific semester and year for each.
9. Describe any volunteer work, community activities, or other extra-curricular activities where you had
opportunities to demonstrate initiative, leadership, teamwork, etc. Please be specific.
10. Describe any other accomplishments you feel may qualify you for this scholarship. Please be specific.
11. If you work, please tell us how many hours you work per week during the semester, and your pay rate.
MARK THIS CHECK LIST BEFORE SUBMITTING YOUR APPLICATION ONLINE
Scholarship application form with essay
Unofficial transcripts from RHC and all other attended colleges
Updated Educational Plan through transfer from a MESA |SSS-STEM Counselor (Jose, or Tammy)
(Not necessary for transfer scholarship applications)
Requested Letter(s) of Recommendation from a Math, Engineering or Science Professor at RHC
Recommender Name: _____________________
Proof of Permanent Residency if it applies
Note: Application packets will not be returned to the applicants. All materials are kept confidential.
I ___________________________ hereby affirm that all information contained herein is true and accurate to the best of
my knowledge, and I understand that any misrepresentation may lead to denial, revocation, and/or repayment of any
grant awarded to me. I am responsible for asking and collecting information about the application time line. Type your
name into the signature box.
Student Signature:
Date:
DO NOT PRINT ----- Submit online
SCHOLARSHIP ESSAY GUIDELINES: Include a well written statement of 750 words or less, explaining why you are a
deserving candidate for this scholarship. Include your professional goals, transfer major, special interests, and
achievements.
A strong statement should include any academic or personal obstacles you have overcome to achieve your goals. Be
open. Be reflective. Find your individual voice and express it. More importantly, be specific and provide examples.
Describe your participation in any student support programs or clubs at Rio Hondo College. Explain how your
participation in these activities has helped you toward achieving your academic goals and professional or personal
development. If you were not able to participate, explain why.
Explain how this scholarship will reduce your financial burden. If you currently don’t work, describe your financial
situation and how this scholarship will benefit you. If you work, please explain how this scholarship would
decrease your workload outside of school.
Type your paper double spaced in a word processor and then copy it into the space below and on the next page. You will have to divide it yourself.