CALHOUN AREA TECHNOLOGY CENTER

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Name __________________________________
CALHOUN AREA CAREER CENTER
SCHOLARSHIP APPLICATION ~ 2011
Applications will NOT be accepted after March 11, 2011. Missing or late information will cause this
application to be considered incomplete and applicant will not be considered for the scholarship.
This application is for the scholarships listed below. You must meet all eligibility requirements to be
considered for each scholarship award.
AMERICAN FOUNDRY SCHOLARSHIP
 This scholarship is available to students in the Machining and Welding Programs who
show potential for success at the post-secondary level.
NON-TRADITIONAL CAREERS SCHOLARSHIP (* Supplemental Financial Form needed)
 This is awarded to students showing academic promise, leadership potential, and a
commitment to pursuing training in a non-traditional field.
SUPERINTENDENT’S SCHOLARSHIP (* Supplemental Financial form needed)
 This scholarship is awarded to students planning to further their education at a fouryear college, community college or trade school. Selection is based on GPA,
leadership, extra-curricular activities and potential for success.
CACC JACK KORFF SCHOLARSHIP
 These scholarships are available for one deserving student in each of the center’s 18
(eighteen) Career & Technical Education Programs who demonstrate the potential for
future success at post secondary colleges, technical institutes or universities. The Korff
is awarded to students showing academic promise, good attendance, positive work
habits, leadership potential, and a commitment to pursuing training at the postsecondary level. [See your instructor for an application]
* * Please note: The following CACC Scholarship Applications are now included with
those at the Battle Creek Community Foundation [File the BCCF application] * *
CACC AUTOMOTIVE SERVICE TECHNOLOGY SCHOLARSHIP
CACC BETTIE & JIM COX MANUFACTURING SCHOLARSHIP
CACC CLARA MINER-FULLER SCHOLARSHIP
CACC GIFFORD - BURGY SCHOLARSHIP
CACC CONNIE DILLARD SCHOLARSHIP [Non-traditional Occupation Students]
CALHOUN AREA CAREER CENTER
SCHOLARSHIP APPLICATION
(Applications are due to program instructors by March 11, 2011)
These scholarships will be awarded to graduating students who plan to further their formal
education or training. Selection will be determined by high school grade point average, citizenship,
leadership and involvement in extra-curricular activities. Priorities vary with the different
scholarship programs but more consideration is given to those continuing in a field of study related
to the CACC Program in which the student was enrolled.
Eligibility is limited to students completing a program at the Calhoun Area Career Center, earning a
minimum of 3.0 in their CACC program and a minimum of a 2.0 grade point average at their sending
school. Students must be accepted at an accredited post-secondary school.
NOTE: A candidate for these scholarships will be scored according to the scholarship rubric which
includes daily attendance, good work habits and program academic/technical skills.
The scholarship recipients will be chosen by a selection committee. Financial need is a criterion for
two of these scholarships: Non-Traditional Careers and the Superintendent’s Scholarship. Please
complete the Supplemental Form if you want to be considered for either of these two
scholarships.
Completed application includes:
_____ Application and attachments (typewritten answers to scholarship questions)
_____ Copy of your Proof of Acceptance to a college or trade school
_____ Instructor recommendation/Citizenship Report
_____ Resume
_____ Two written recommendations (high school teacher, counselor, principal or
employer -- NOT CACC staff members)
_____ Sending school transcript
_____ Family Financial Statement (if needed)
_____ Scholarship checklist signed by instructor
NOTE: It is your responsibility to make sure all materials are turned in by the indicated date. Do
not include original letters of acceptance or awards—submit copies.
The Calhoun Area Career Center is in compliance with all State and Federal Laws prohibiting discrimination on the
basis of race, color, religion, national origin or ancestry, age, sex, marital status or handicap.
2
CALHOUN AREA CAREER CENTER
SCHOLARSHIP APPLICATION
(Applications are due March 11, 2011)
DIRECTIONS:
Please read over the application carefully and then fill out all the required information. After completing the
application, take it to your program instructor to check, sign and submit. The completed application with all
required components must be turned in to your instructor at the Calhoun Area Career Center by March 11, 2011.
The mailing address is:
Calhoun Area Career Center
475 E. Roosevelt Avenue
Battle Creek, MI 49017
NAME_____________________________________________BIRTH DATE__________/_________/_______
Last
First
Middle
Month
Day
Year
ADDRESS_______________________________________________ PHONE NO. (_____)________________
No. Street
City, State
Zip
Program enrolled in at the Career Center______________________________________________________
Date you plan to graduate from high school____________________________________________________
Sending School Name ________________________________Counselor’s Name_______________________
What subject area will you study while at college or trade school? __________________________________
What is the name of the school you have applied to and plan to attend? _____________________________
(You must provide proof of acceptance to this school)
Please attach the TYPE-written answers to the following questions:
1. List any honors or awards you may have received while in high school.
2. List your high school extracurricular activities. (Examples: volunteer work, sports, after school job, co-op, etc.)
3. Write and attach a paragraph or two completing EACH of the following three topics:
 The importance of post-secondary training at a college or trade school
 Your post-secondary and career goals and how they link to your CACC Program
 Why you are a deserving recipient of this scholarship
____________________________________________
Student Signature
__________________________________________
Date
3
Calhoun Area Career Center Supplemental Scholarship Form
Student Name:_______________________________
Program:______________________________________
PARENT/GUARDIAN INFORMATION
Marital Status:  Single
 Married
 Divorced
Dependent Children: Number __________
2010 Income
$
Widowed
Ages: _________________________
Number in College:__________
2011 Projected Income
Parent’s Total Combined Annual
$
Income
Student’s Total Annual Income
$
TOTAL $
$
Please describe any unusual financial circumstances or financial hardships in your household. (Attach additional sheets, if needed.)
The undersigned hereby acknowledges that the information provided on this application, including attachments, is true and correct to
the best of his/her knowledge. Please be sure all submitted information is updated and current so it can be used to accurately assess
applicants.
Parent/Guardian Signature:____________________________________ Date:_______________________________
Submit this supplemental form along with the CACC Scholarship Application by March 11, 2011, to the:
Calhoun Area Career Center
475 E. Roosevelt Avenue
Battle Creek, MI 49017
The Calhoun Area Career Center is in compliance with State and Federal laws prohibiting discrimination on the basis of race, religion, color,
sex, age, height, weight, national origin, marital status, handicap condition or disability. Questions should be directed to the Calhoun
Intermediate School District.
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Instructor Recommendation/Citizenship Report
(Rating of Effort, Work Ethic and Behavior)
Student Name ________________________
Program________________
Please rank student from 1 – 5, with 5 being the highest score and 1 the lowest score.
Area
Submits completed
documents/assignments/projects
on time.
Maintains a high interest in
learning and is willing to work hard
to accomplish difficult tasks or to
master difficult concepts.
Is well prepared for class and
maintains personal organization to
ensure that class requirements can
be met.
Is respectful and helpful to
classmates and handles program
property with care.
Contributes to class activities;
comments and questions are
appropriate.
Contributes to a positive classroom
atmosphere.
Total Score
Ranking
Comments:
Instructor Signature____________________________________ Date _______________
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Teacher Scholarship Checklist Verification:
_____ Application
_____ Answers to scholarship questions
_____ Copy of proof of acceptance to college or trade school
_____ Instructor Recommendation/Citizenship Report
_____ Resume
_____ Two recommendations (other than CACC staff)
_____ Sending school transcript
_____ Family Financial Statement (if needed)
_____ This checklist reviewed and initialed by Instructor
I have reviewed this application and find it complete. ________
Teacher Initials
_________
Date
Instructors: This packet must be submitted to SCS by March 11, 2011!
Students: Your application materials will be evaluated with the following rubric:
Rubric Items
Teacher Recommendation
Essay answers to scholarship
questions




Recommendations
Scholastic Measure


Extra-Curricular Activities




Proof of Acceptance
Citizenship
Resume




How to Score
Positive attitude
Stays on task
Typed/Correct spelling and proper
grammar
Career goals related to CACC
program
Two, other than CACC staff
Minimum: 3.0 CACC and 2.0
sending school
Score = (ACT Score / 36) X 25
Volunteer work
Sports
After school job/Co-Op
Required for consideration with any
scholarship
Attendance
No behavioral referrals
Visually pleasing
Correct spelling and proper
grammar
6
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