applicant data - Southern West Virginia Community and Technical

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CEDAR of Southern West Virginia, Inc.
2014 Scholarship Program
at
Southern West Virginia
Community and Technical College
APPLICANT DATA
____________________________________________________ ___________________
Name
(Last)
(First)
(Middle Initial)
Social Security Number
________________________________________________________________________
Permanent Address
(Street/P.O)
‫ ڤ‬Male
‫ ڤ‬Female
_____________________________________
(Date of Birth)
(City)
(State)
(Zip)
____________________________________
(Telephone Number)
Name of Parent/Guardian_________________________________
____________________________
(Telephone Number)
______________________________________________________________________________________
Permanent Address
(Street/P.O.)
(City)
(State)
(Zip)
SCHOOL DATA
High School ________________________________________________Graduation Date ______________
Address________________________________________ ______________________________________
(Street/P.O.)
(City)
(State)
(Zip)
(Telephone Number)
Name of Principal_______________________________________ County_________________________
Name of Guidance Counselor_____________________________________________________________
TRANSCRIPT INFORMATION
A high school transcript of grades must be included. The following must be completed by your high school
counselor.
Applicant ranks _________ in a class of ____________
Cummulative grade point average___________
(4.0 Scale)
ACT Score _________
SAT Score _________
______________________________________________________________________________________
Guidance Counselor’s Signature
Date
Title
(Telephone Number)
PERSONAL DATA
List all school activities in which you have participated during the past 4 years (i.e., Student government, music, sports, etc.). List all
community activities in which you have participated without pay during the past 4 years (i.e., 4-H, Scouts, church youth group, volunteer
group, etc.). Indicate all special awards, honors.
Make a statement of your plans as they relate to your educational and career objectives and future goals.
ESSAY
On a separate page, please provide an essay of at least 100 words telling why you feel the coal industry is
important to West Virginia.
These items must be completed and returned, no later than April 18, 2014 to CEDAR of Southern West
Virginia, Inc., Attention: Scholarship Committee, P. O. Box 477, Holden, WV 25625.
In submitting this application, I certify that all information provided is complete and accurate to the best of my
knowledge. Falsification of information may result in termination of any scholarship granted.
I authorize Southern West Virginia Community and Technical College and the Southern West Virginia
Community College Foundation to verify all information contained in this application. Any institution, agency,
or individual may release this information to the College and Foundation for verification purposes. I
understand the College and Foundation may release this information for verification and/or publicity
purposes. It is my responsibility to inform the Financial Aid Office staff of any scholarship, grant, or waiver
received by me.
___________________________________________________________________________________
(Applicant’s Signature)
(Date)
WORD:CEDAR\Scholarship Application13.doc
It is the policy of Southern West Virginia Community and Technical College to provide equal opportunities to
all prospective and current members of the student body, faculty, and staff on the basis of individual
qualifications and merit without regard to race, sex, religion, age, or nation origin.
The CEDAR of Southern West Virginia, Inc. 2014 Scholarship Program at Southern West Virginia
Community and Technical College will provide ten (10) $1,000 scholarships to students from the
CEDAR participating counties (Mingo, Logan, Boone, McDowell, Wyoming and Wayne).
High School Seniors Only. Any student in the graduating class of a high school or its equivalent, who is a
resident within Mingo, Logan, Boone, McDowell, Wyoming, or Wayne Counties, may file an application. All
applicants must be citizens of the United States of America on the date the application is filed. This
application must be filed with the CEDAR of Southern West Virginia, Inc., P. O Box 477, Holden, WV
25625. Only one application may be filed per student. The final date for filing completed applications is
April 18, 2014. All applicants must provide their Social Security Number.
The $1,000 Award will be used for an industry related degree at one of the Southern West Virginia
Community and Technical College campuses. (Industry related degree can range from administrative,
accounting, engineering, etc.)
GENERAL INSTRUCTIONS
1. Official high school transcript of student grades from the beginning of the 9 th grade to due date of
application may be photocopies that bear an original signature of the proper school authority.
2. SAT and ACT test scores must be included but may be photocopies.
3. Essay must be typed.
4. Applications must be properly bound on left side with hinges or staples in a standard binder or cover.
Elaborate bindings are discouraged. Clear plastic bulky covers are undesirable.
SCORING SYSTEM
(30)
SAT/ACT
1100/26 +
30
_____
900/21
25
_____
750/20 & under
20
_____
(40)
ESSAY
Clear and concise writing
1-10
_____
Positive aspects of industry
1-15
_____
Educational/informational value
of paper’s content
1-15
_____
(30 point) maximum
LEADERSHIP
Honors & Awards
1-10
_____
Officer & positions leadership
1-5
_____
Member of organization
1-5
_____
Student is employed
1-10
_____
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