Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
The checklist below is intended to help you complete and submit your materials on time in order to be considered for the LEN Scholarship.
Prior to completing the application, you will need to:
_____ Take either the SAT and/or ACT Standardized Tests and obtain results for submission of scholarship packet.
_____ Provide reference forms and envelopes to 2 people (not family) who can attest to your character for submission of scholarship packet.
_____ Request that your official high school or college transcripts are sent to LEN to the same address you are to send this application.
_____ Verify your future college choice has been accredited by a regional or national accreditation agency recognized by the Secretary of Education.
On or prior to February 15, 2014, you need:
_____ Complete and sign the LEN scholarship application. All questions in the application must be fully completed by the applicant.
_____ Prepare a response to the essay question, typed and double-spaced. Essay response should be a minimum of 300 words and a maximum of 500 words in length.
_____ Mail the LEN scholarship application, essay, and two (2) reference forms, postmarked no later than February 15, 2014.
If you are notified by LEN that you are an award winner:
_____ Plan to attend the LEN Scholarship Reception (details will be provided to scholarship winners).
_____ In order to receive scholarship award, you will need to provide LEN a proof of enrollment from the college/university* you will be attending in 2014/15 and your Social Security
Number no later than August 1, 2014 or your scholarship will be revoked.
*College/University must be accredited by a regional or national accreditation agency recognized by the Secretary of Education.
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Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
The Latino Employee Network of Union Pacific will be awarding at least ten $1,000 merit-based scholarships to Latino students that are enrolling in a college or university in the first four years of their undergraduate degree.
SCHOLARSHIP AWARDS: A selection committee will review applications and select the winning recipients. Scholarship winners will be notified and are invited to attend a Scholarship Reception. Prior to receiving scholarship funds, scholarship recipients are required to provide proof of enrollment from the college or university the student is to attend as well as their Social Security Number. Required documents for award recipients must be received by August 1, 2014.
ELIGIBILITY:
Eligible students must:


Be of Latino/Hispanic heritage
Planning to attend a college/university accredited by a regional or national accreditation agency
 recognized by the Secretary of Education during the 2014-2015 academic year
 enrolling in the first four years of an undergraduate degree program
 have a GPA of 2.8 and higher on a 4.0 grade scale have a GPA of 3.8 and higher on a 5.0 grade scale
 have an ACT score of 20 or higher, or an SAT score of 1400 or higher
 be a resident of Omaha, Nebraska; Council Bluffs, Iowa; or the surrounding metropolitan area
 not be a child or dependent of a Union Pacific Employee
 have an individual Social Security Number
Students may receive the scholarship up to a maximum of four times while in the undergraduate program.
Do not include any additional paperwork such as a resume. Answer sections B through F in the space provided. Choose your best and/or most recent examples.
APPLICATION DEADLINE: All applications must be postmarked on or prior to February 15, 2014, to receive full consideration. This includes essay, transcript(s), and references. Applications received after the requested postmark date will NOT be considered. Scholarship winners’ enrollment documents and
Social Security Number must be received by August 1, 2014.
COMPLETED APPLICATIONS SHOULD BE SENT TO: Union Pacific Latino Employee Network c/o Juan Padilla Mail Stop 1230
1400 Douglas Street
Omaha, NE 68179
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Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
Q) Do I need to provide an SSN or will a Tax ID Number do?
A) To receive the scholarship award check you must provide a valid Social
Security Number. No other information, such as a Tax ID Number, can be used in its place.
Q) Can I attend an out-of-state university?
A) Yes, as long as your permanent address is in the local Omaha area and the college/university has been accredited by a regional or national accreditation agency recognized by the Secretary of Education.
Q) Do I have to list both parents on my application form?
A) No, however at least one parent or guardian must be listed.
Q) If I have a relative working at Union Pacific Railroad, am I still eligible?
A) Yes, as long as you are not a child or legal dependent of a Union Pacific
Railroad employee.
Q) If I am selected as a scholarship recipient, is there anything else I have to do?
A) There will be documentation required before the scholarship process is finished, and an award ceremony that we encourage you to attend. More details about these will be addressed in your award notification letter.
Q) Will I have to be paid in full with my university/college to obtain a proof of enrollment?
A) No, you will not. If you are selected as a scholarship recipient and need to provide proof of enrollment, more specific directions will be provided to you at that time.
Q) Will you only award scholarships to students pursuing certain degree programs?
A) No, we will not. All degree programs will be considered equally. Also, we do not try to maintain any kind of ratio of degree programs among our recipients.
Q) If I am selected for the scholarship, how will I receive the scholarship?
A) UP-LEN will mail all checks to the scholarship winners upon completion of the process.
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Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
To receive full consideration, read all information carefully prior to completing. Please type or print responses to all questions. Application must be postmarked on or prior to February 15, 2014.
A. Student Information
Name
Address
First
Street
Middle
Apartment #
Last
City
Contact Information
Home Phone
Personal Information
Mother’s Name
Alternate Phone
State
Father’s Name
Zip Code
Email Address
Name/Phone of Nearest Relative Not Living in Household
Check one: English is my
…
Primary Language Secondary Language
B. Student Status
HIGH SCHOOL SENIORS
Complete this box if you are a high school senior planning to enroll in a college or university for the 2014/15 academic year
What high school do you attend? _______________________________________________________________________________
Name City State
Dates Attended: FROM ___________________ TO ____________________ Cumulative GPA: _______________________
What college or university are you planning to attend? _______________________________________________________________
Chosen field of study: _______________________________________________________________________________________
COLLEGE & UNIVERSITY STUDENTS
Complete this box if you are already attending a college or university and will be a student for the 2014/15 academic year
What college or university do you attend? _____________________________________________________________________
Name City State
Dates Attended: FROM ___________________ TO ____________________ Cumulative GPA: _______________________
Major field of study? ______________________________________________________________________________________
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Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
The Union Pacific Latino Employee Network emphasizes dedication to community service, personal development, and hard work. In this section you have the opportunity to identify how you portray these ideals. We encourage you to list your individual accomplishments and dedication to hard work. Utilize this opportunity to paint a picture of who you are and what is important to you.
C. Extra-Curricular Activities/ Employment History
List extra-curricular activities (e.g. clubs, sports and volunteer activities), including positions held.
Date Activity
List recent employment, dates, duties and average hours per week worked
Employer Date(s) Duties Avg. hours worked per week
D. Honors and Awards
Date(s) Description of Honor, Award or Recognition
E. References
List the two people who completed reference forms for you.
1. __________________________________________________________________________________
Name Relationship to you
2. __________________________________________________________________________________
Relationship to you Name
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Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
F. Essay
The Union Pacific Latino Employee Network strives to provide quality leadership within the communities they call home as well as within the railroad they work for. The purpose of this scholarship is to advance and continue support of local communities by way of young leaders who want to make or influence a positive difference.
Your essay response to the following questions will give us a glimpse of how you contribute to your community:
Describe your leadership skills and demonstrate how you have used them to contribute to your community.
How will you use this scholarship to further advance yourself and the Hispanic/Latino
Community?
What life experience/situation has motivated you to further your education?
* Provide your typed answer on a separate sheet. Include your name and school in the top right of the sheet.
* Remember to limit the essay to 500 words.
G. Certification of Applicant
I, _____________________________________________________________________________
(Print) First Name Middle Name Last Name
CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS COMPLETE AND ACCURATE. I AGREE THAT IF I
AM SELECTED FOR AN AWARD, MY NAME AND PICTURE MAY BE USED FOR PUBLICITY PURPOSES WITH NO
ADDITIONAL COMPENSATION BY THE SPONSORS OF THE SCHOLARSHIP PROGRAM. I AGREE THAT IF I AM SELECTED
FOR AN AWARD THAT IS NOT CLAIMED WITHIN 90 DAYS OF CHECK DISBURSMENT, THAT THE AWARD MAY BE
WITHDRAWN OR REASSIGNED TO ANOTHER APPLICANT AT LEN’S SOLE DISCRETION.
Date Signature of Applicant
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Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
As an applicant for the Union Pacific Latino Employee Network Scholarship we would like you to consider future recruitment opportunities with Union Pacific. By applying for the Union Pacific Latino Employee Network Scholarship you consent to the following:

To be contacted for future recruiting opportunities

To allow UP LEN Scholarship Committee to release scholarship information to the UP Recruiting personnel
(Print) First Name Middle Name Last Name
Date Signature of Applicant
Recruiting Parental Consent for Nebraska Applicants 18 years of age and younger and Iowa Applicants 17 years of age and younger .
Please talk this over with your parents prior to deciding whether or not to apply. We will also ask that your parents provide consent for you to take part in any recruiting activity.
Parent Consent:
Student Name__________________________________________________________________________________________
Student School__________________________________________________________________________________________
Parent Consenting_______________________________________________________________________________________
(Print) Name Date
______________________________________________________________________________________________________
Phone Alternate Phone Email
______________________________________________________________________________________________________
Street Apt.# City State Zip
Parent Signature Date
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Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
Instructions for Applicant: Please provide this form to two individuals who can attest to your scholarship, leadership and character. Two completed references must be included with the application packet in order to receive full consideration. Individuals providing references must include one faculty member or administrator from the school last attended, and one from another source
(excluding family members).
Instructions for Individual Providing Referral: Please complete this form and return to the Applicant in a sealed envelope as soon as possible so that the student may complete and send in the application no later than February 15, 2014. Please answer all questions completely. Please avoid using student’s name in your written responses to assure anonymity in evaluating the applications. Additional pages may be attached.
Applicant Name________________________________________________________________________________________
Applicant
’s School_______________________________________________________________________________________
Individual Providing Referral_______________________________________________________________________________
Name Employer Position Held
______________________________________________________________________________________________________
Phone Alternate Phone Email
______________________________________________________________________________________________________
Street Apt.# City State Zip
1. How many years have you known the applicant? In what capacity?
2. Why is this applicant deserving of the Latino Employee Network of Union Pacific scholarship?
3. Please discuss the applicant in terms of his/her scholarship, leadership and character?
4. Additional comments that you feel will allow the committee to better evaluate this candidate.
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Instructions for Applicant: Please provide this form to two individuals who can attest to your scholarship, leadership, and character. Two completed references must be included with the application packet in order to receive full consideration. Individuals providing references must include one faculty member or administrator from the school last attended, and one from another source
(excluding family members).
Instructions for Individual Providing Referral: Please complete this form and return to the Applicant in a sealed envelope as soon as possible so that the student may complete and send in the application no later than February 15, 2014. Please answer all questions completely.
Please avoid using student’s name in your written responses to assure anonymity in evaluating the applications. Additional pages may be attached.
Applicant Name________________________________________________________________________________________
Applicant
’s School_______________________________________________________________________________________
Individual Providing Referral_______________________________________________________________________________
Name Employer Position Held
______________________________________________________________________________________________________
Phone Alternate Phone Email
______________________________________________________________________________________________________
Street Apt.# City State Zip
1. How many years have you known the applicant? In what capacity?
2. Why is this applicant deserving of the Latino Employee Network of Union Pacific scholarship?
3. Please discuss the applicant in terms of his/her scholarship, leadership and character?
4. Additional comments that you feel will allow the committee to better evaluate this candidate.
Latino Employee Network of Union Pacific
2014 Scholarship Application for the 2014/15 Academic Year
Postmark application on or prior to February 15, 2014
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