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 _____