APPLICATION FOR 2015-16 SCHOLARSHIPS Application Deadline: 3:00p.m., Friday, May 22 Please see scholarship requirements, located on www.wvit.calpoly.edu (under Resources). American Vineyard Viticulture Scholarship Arthur E. Norman CHS University (CAFES) Garagsite Festival Scholarship John S. Maher (CAFES) Joe and Florence Silva memorial Knights of the Vine Monterey Chapter/Steve Pessagno Memorial Murphy Family Foundation Scholarship Orange County Wine Society Scholarship Ranchers Cotton Oil/Earl J. Cecil (CAFES) Tony and Janet Marino Will Rodgers Memorial Scholarship Woodward/Graff Wine Foundation I. APPLICANT INFORMATION (please print or type all information) Name: Student ID: (Last) (First) (M.I.) Local Address: E-mail: ______ Phone: Perm. Address: II. ACADEMIC INFORMATION GPA Expected Graduation Qtr/Yr: Last Completed Term at Cal Poly Concentration: CPSU Cumulative GPA Minor: Higher Education Cumulative GPA Academic status at beginning of 2014-15 (this) academic year: (Circle one): Freshman Sophomore Junior Will you be a full-time student (12 units or more) in the coming academic year? (Circle one): Senior Yes No III. REFERENCES – (On-campus, employers, or supervisors) Name/Address IV. Occupation Relationship Phone FINANCIAL DATA Are you currently on Financial Aid (have you filed a FASFA?) * Yes No *You must have submitted a FAFSA to qualify for scholarships with financial need as an eligibility requirement. Currently employed by: Hrs./Week: (company/location) Previous Scholarships/Awards received: Title of Scholarship/Award Year(s) Amount V. REQUIRED SUPPLEMENTAL INFORMATION Attach a separate sheet that addresses each of the following subjects: A. SCHOOL/UNIVERSITY/COMMUNITY ACTIVITIES: Briefly describe your involvement in any extracurricular activities, offices held, organizational memberships, or internships. B. EDUCATIONAL AND CAREER OBJECTIVES: State your reasons for applying for scholarship assistance and a description of your educational and career goals. Be as specific as possible. C. SPECIAL CONSIDERATIONS: Include an explanation of any special circumstances to be considered in the review of your scholarship application. NOTE: Reducing the amount of your student loan is NOT a significant reason for granting you a scholarship. We are looking for your personal circumstances as to why you are unable to take out a loan or why the loan is not enough to meet your needs; or special circumstances in your family. D. SPECIFIC SCHOLARSHIP CRITERIA: Address any special criteria listed for individual scholarships for which you are applying. I certify that all information on this application is true and accurate to the best of my knowledge. You are expected to write a thank you letter to the donor upon notification of winning the scholarship and provide a copy to the department. Applicant's Signature: Date: THIS INFORMATION WILL BE USED EXCLUSIVELY BY THE WVIT DEPARTMENT AND SCHOLARSHIP SPONSORS FOR THE PURPOSE Of AWARDING SCHILARSHIPS.