West Hills College Coalinga
Scholarship Application 2013-2014
Application deadline is March 1, 2013
Incomplete applications will not be processed
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Last Name
First Name
Middle
Birthdate
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Mailing Address
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Home Address If Different
Phone Number
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City
State
Zip
Cell Phone number
Academic Information
Major: _____________________________________________
GPA: ___
Career Goal: _____________________________
Do you plan to attend WHC during 2013/2014 ( Yes /No ) full time___ or part time___?
Anticipated Graduation Date from WHC (fall / spring) year ____
Planned school to transfer: __________________
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High School Attended
City
State
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College/University Attended
City
State
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College/University Attended
City
State
Current Class Level
Entering from high school (Please submit high school
transcript)
Re-entry student (25 years or older and with over a
three year break since last school year).
1st Year Student (0-30 units completed at WHC)
Transferring student to a four year college
(Transferring Fall 2013).
2nd Year Student (Continuing WHC student with +30 units)
For Office Use Only
Units in Progress ____________
Quarter Cum GPA___________
Awarded: Y__ N__/ Initials_______
Grad List ______
Dates of attendance _______________
College Units Completed___________
Name of Scholarship Awarded ______________
Scholarships Available ONLY to West Hills College Coalinga students:
All scholarships are based on two semesters of attendance and are dispersed one-half each
semester. You must meet scholarship criteria at the time of disbursement.
Please check those for which you feel you are eligible. Eligibility requirements are posted at:
http://westhillscollege.com/district/foundation/scholarships/lemoore-scholarships.asp
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Ann Harris- 1@$250
Sawyers Endowed- 1@$1,000
WHC Faculty Association- 1@$500
Wakefield Everett Memorial- 1@$100
Fellowship of Christian Athletes- 1@$250
J.D. Johnson Rodeo- 1-6@$500/$3,000
J& R Rodriquez- 1@$500
Norine Oliver Memorial- 1@$500
West Hills Community College Book Voucher- 2@$150
NDC/Firebaugh (NDC ONLY)- 5@$400
NDC/Firebaugh Book Voucher (NDC ONLY)- 2@$150
Bernard Osher- 16 each up to $1,000
Barbara Devine- 1@$500
Phyllis Roberts Endowed- 1@$500
ASB- 1@$100
ASB- 2@$200
CSEA- 1@$500
Chevron- 1@$300
The Coalinga Area Chamber of Commerce- 2@$250
Bob Viets Ag Endowment- 1@$1,000
Stephen Orradre- 1@$250
Stephen Orrande- 1@$500
Robert & Collette Keller Book Voucher- 1@$250
Farm of the Future- 8 @ up to $1,000 each
Rodeo Boosters- A number of scholarships @ up to $3,000
Marlon Hall Jr. Memorial- 1@$500
Hang T. Phan Memorial- 1 @$250
Pacific Coast Aeronauts- 1@$300
Larry Gage Memorial Scholarship/Firebaugh Rotary (NDC ONLY) - 1
@$1,000
 RCO Ag Credit Endowed Scholarship- 1 @$1,000
Scholarships for which all district students are eligible:
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Bob Holmes Memorial- 1@$250
Nick & Edna Ivans- 1@$150
Padilla Family- 1@$300
Watts Family- 2@$600
Woodson Memorial- 1@$150
Steve Blanco Memorial- 1@$300
Theresa Mendes Memorial- 1@$1,000
Personal Information: Your response to this section is optional and intended solely for identifying applicants for
applicants with preferred criteria.
American Indian
Chicano/Mexican-American
African-American
Other Hispanic
White/Caucasian
Filipino
Pacific Islander
Asian
Other
Has either one of your parents obtained a college/university degree? Yes / No
Do you or an immediate family member work for West Hills CCD? Yes / No (If so, please provide their name
and position: name ______________________ position _____________________
Do you plan to become a teacher? Y___N___
Is either of your parents currently or during the past six months employed in the automotive industry? Yes / No
You are required to submit an essay. Please address the following in no more than one page double
spaced. Do not list the questions and answer them. Your essay should reflect thoughtful, grammatically correct
information that the scholarship committee will consider in selecting you for a foundation scholarship.
 your educational goals;
 your service and involvement at WHC and/or within the community including offices held, club/team membership,
campus activities or organizations, athletics, projects, volunteer work etc.;
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your career aspirations and why have you selected this field;
 any financial needs that you have that will allow you to continue your education
All Applicants: As a scholarship applicant, I hereby authorize the Financial Aid and Scholarship Office at West Hills
College to release the information contained on this application as well as my academic transcripts to campus personnel
and/or private donors as may be required in connection with securing or reviewing a scholarship for me. Furthermore, I
understand that scholarships may be denied or withdrawn if any information reported on this application is found to be
intentionally misleading or inaccurate. I also understand I must maintain the GPA requirement of each scholarship each
semester throughout the award year to remain eligible for continued semester funding.
In order to receive any scholarship, I understand that I will be required to meet requirements of that scholarship when
I enroll during the 2013-2014 school year.
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Signature of Applicant
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Date
*APPLICATION MUST BE COMPLETE WHEN SUBMITTED.
HIGH SCHOOL TRANSCRIPTS MUST BE INCLUDED IF APPLICABLE*
The scholarship application must be dropped off or postmarked by the deadline of March 1, 2013, for consideration.
Frances A. Squire
West Hills Community College Foundation
9800 Cody Street
Coalinga, CA 93210