Yakima Valley Community College Foundation
Official Scholarship Application Form
YVCC Foundation Scholarships are available for students taking (10+credits) per quarter
Name
Student ID #
Assigned by YVCC registrar
Address
Street Address/Post Office Box
US Citizen
Yes
or
City
No
State
Zip Code
If no, your federal eligible noncitizen alien registration number
(Required to be considered)
Date of Birth
Marital Status
Phone
Single
Email Address
Married
Number of dependent children who live with you?
Dependent on parents’ income?
Yes
Ages
No
Will parents help with educational costs?
Financially Self Supporting?
Yes
Are you presently employed?
Yes
No
Do you plan to work during college?
Yes
No
Yes
No
No
Have you received any other scholarships?
If yes, the amount you’ve been awarded
Yes
Employer
Hours worked per week
No
Specific factors which might affect your application. Please mark any that apply:
YVCC alumni affiliate
DUI victim
(One who, or whose family has graduated from YVCC)
Hearing impaired
Visually impaired
Academic records and program
I am currently attending
High School
College
Running Start
Not Enrolled at this time
High School
GPA / Include Transcript
High school transcript must be provided if still in high school or if you have less than 3 quarters college level courses
College
GPA / Include Transcript
What is your planned major?
Are you planning on attending YVCC Fall/Winter/Spring quarters of 2015-2016?
Yes
No
If not which quarter(s) will you be attending?
Have you received a degree from YVCC or another college?
Yes
No
If yes, when?
APPLICATIONS NOT CONTAINING THE FOLLOWING INFORMATION WILL BE
CONSIDERED INCOMPLETE AND WILL BE INELIGIBLE FOR FUNDING
This application will be evaluated using a point system listed below
Please provide typed responses to the following:
Up to 40 points
1. A narrative including the following criteria (not more than one page; using correct
spelling and grammar):

Any school or community activities you may have participated in such as
church, service clubs, volunteer positions, etc. and the impact they have had
on yourself and the community. Include any honors or awards that you have
received and what you’ve learned through these experiences to help aid you
in being successful at Yakima Valley Community College

Explain work or life experiences that have brought you to seek further
education

Include a short statement explaining why you should be granted this
scholarship. Include your educational plans and career goals
Up to 20 points
2. Please attach two letters of recommendation:

Letters should be from instructors or employers and should address your
ability and work habits or any other factors that would merit receipt of a
scholarship.
Up to 35 points
3. Attach current transcript(s). Unofficial is fine.

You will need both a high school transcript as well as a college transcript if
you have less than 3 quarters of college level courses (100 or above). If you
have GED a copy of your test scores will be needed.
Up to 5 points
4.
General quality of entire application
Grand total: 100 points
To the best of my knowledge, all the statements made in this application are true and correct
Signature
Date
Please return applications along with the above required documents between
January 5, 2015 and March 13, 2015 to:
YVCC Foundation
P.O. Box 22520
Yakima, WA 98907