MIRACOSTA COLLEGE
SPRING 2017 CLASSIFIED SENATE
EMPLOYEE SCHOLARSHIP APPLICATION
Office Use Only
Dues current: Y
Code: ________
DEADLINE: OCTOBER 31, 2016
ELIGIBILITY CRITERIA
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Must be a permanent Classified Employee at MiraCosta College, or a dependent between the
ages of 17 and 24 years of a permanent Classified Employee.
Classified Staff must be current with the payment of their classified dues.
Must include proof of enrollment or intent to enroll in an education program; i.e. course
description, class schedule, etc.
Personal statement required (see details below).
First priority will be given to permanent classified staff, followed by dependents.
Applicants may reapply each year.
Last Name
First Name
Address
(Street)
Telephone
(
(City)
)
(Zip)
MiraCosta ID#
E-Mail Address:
I am a permanent Classified Employee, current with the payment of my classified dues
I am the dependent of a Classified Employee between the ages of 17 and 24
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Classified Employee’s name, mail station or extension:___________________________
PERSONAL STATEMENT
Attach a double-spaced, two page maximum, Personal Statement with your name and ID# at the
top left-hand side. Dependents must include parent’s name, mail station and extension also.
Please address the following items:
 Discuss your educational program and how it will enhance your current job or career goals
 Include any activities you are involved with; e.g., clubs, organizations, volunteer service, etc.
 State your financial need and how this scholarship will help you achieve your education goal,
 Include why you think you should be selected for this scholarship
A Personal Statement template is available on the scholarship website. Visit the Writing Center
for assistance.
www.MiraCosta.edu/scholarships
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MiraCosta College
Spring 20__ Classified Senate
Employee Scholarship Application
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APPLICATION PROCESS
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Submit the application and required attachments to the Scholarship office by the deadline date.
Late submissions cannot be accepted.
Application and attachments can be emailed, mailed, or dropped off at the Scholarship Office.
The MiraCosta Awards & Scholarships Committee will review submissions based on a blind
application process; Classified staff will not be included in the selection process.
Selection will be based on meeting the eligibility criteria, proof of enrollment or intent to enroll in an
education program, and the personal statement.
In December, the award recipient will be notified by email followed by an award letter
o Non-awardees will be notified by email
Financial Aid recipients may have their financial aid award reduced to accommodate scholarship
dollars, contact the Financial Aid Office for additional information.
Proof of enrollment in the stated education program will be required before the award check is
disbursed.
Scholarship winner will be recognized at an appropriate college event.
TERMS OF AGREEMENT
I realize that it is my responsibility to inform the Scholarship office of any changes to my contact
information.
I hereby authorize the release of this information to the Awards & Scholarships Committee for review.
By submitting this application, I certify that the answers I have given and the material I submitted are
true and correct. If awarded a scholarship, MiraCosta College may release my name to the Chariot
and/or local press.
Signature: ________________________________________________ Dated: ____________________
Dependents must include parent’s signature: _______________________________________________
Submit application to:
MiraCosta College
Attn: Scholarship Office, 3A
Bldg. 3000
1 Barnard Drive
Oceanside, CA 92056-3899
ddanielewicz@miracosta.edu
Questions? Contact Diane Danielewicz, Financial Aid/Scholarship Specialist
(760) 795-6751, ddanielewicz@miracosta.edu
www.MiraCosta.edu/scholarships
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