ACADEMIC SCHOLARSHIP
SPONSORED BY:
NOVA’S LIFETIME LEARNING
INSTITUTE (LLI)
The Lifetime Learning Institute (LLI) is a nonprofit, member-run organization sponsored
by NOVA which provides continuing educational opportunities to older adults. Since
Spring 2000, LLI has been awarding leadership and academic scholarships to students of
all ages enrolled at the college.
This year LLI is offering at least one $2,000 scholarship and one $1,000 secondplace scholarship for students enrolled at the Annandale Campus.
(Deadline: March 14, 2011)
Description of Scholarships:
These scholarships will be awarded to students currently enrolled at the Annandale
campus and are based upon superior scholastic attainment and financial need. Selection
will be made by an LLI committee, which will interview candidates after an initial
screening process. The scholarship money can only be used for tuition and books. It
can be used either at NOVA or at a 4-year college to which the student transfers.
Amount of Scholarships:
Winner, $2,000; 2nd place, $1,000
Application Process:
1. Fill out the attached application form.
2. Include an original essay of no more than 500 words describing why you
should receive this scholarship and your career goals.
3. Include a copy of your unofficial transcript.
4. Two or more letters of recommendation are required, at least one of which
must be from a faculty or staff member of NOVA.
Applicants may also apply for the LLI Student Leadership Scholarship.
Criteria for Selection:
1. Completed application form, preferably typewritten, with Student Permission for
Release of Enrollment Verification form (NVCC 125-94) attached. The latter may
be downloaded from www.nvcc.edu in the “Forms Library.”
2. Demonstrated financial need.
3. Completed essay.
4. Two letters of recommendation, at least one of which must be from a faculty or
staff member at NOVA. Writers should send letters directly to the Office of
Counseling, Attention: Mark Mannheimer. Letters can be sent by email to
mmannheimer@nvcc.edu.
5. Must be enrolled at the Annandale campus at the time of application.
6. Cumulative GPA must be 3.5 or better, based on at least 12 (twelve) completed
credits.
7. Interview by a committee of LLI members and NOVA faculty/staff after initial
screening of applications
8. The winners must be available to receive the scholarship checks at the June 7,
2011 Forum meeting of the Lifetime Learning Institute.
DEADLINE: Complete applications are due Monday, March 14, 2011 at 5:00
PM. Late materials will not be accepted after the posted deadline. Please send
all materials to:
 Office of Counseling, Attn: Mark Mannheimer, CG 211, Northern
Virginia Community College, 8333 Little River Turnpike,
Annandale, VA 22003 on the Annandale Campus
For additional information, please contact Mark Mannheimer at
mmannheimer@nvcc.edu or (703) 323-3203.
Lifetime Learning Institute (LLI)
ANNANDALE CAMPUS
Academic Scholarship Application
DEADLINE: Complete applications are due Monday, March 14, 2011 at 5:00 PM.
Late materials will not be accepted after the posted deadline. Supporting documents should be
typed. Illegible or incomplete applications will not be considered or reviewed.
Applicant: Please type or print clearly information requested below:
I.
Personal Information
Name_______________________________________________
EMPLID ____________________
Male_____
Female_____
Address____________________________________________________________
Street
________________________________________________________________
City
State
Zip code
Cell Phone Number__________________ Other Phone Number ________________
Email Addresses: College_____________________ Other Email _____________________
II.
Academic Record/Scholarship
Major________________________ Credits Earned_____ Current GPA_______
List any academic honors or distinctions earned:
How long have you been at Northern Virginia Community College? ___________
Note: An unofficial transcript must be attached with this application.
III.
Essay (500-word limit)
On a separate sheet of paper, describe why you should receive this scholarship and your career
goals following graduation from NOVA.
IV.
Financial Situation
Provide information from the Student Aid Report (the current 2010-2011 Federal Application for
Federal Student Aid-FAFSA Form).
1. What is your adjusted gross income? $_____________
2. What is your parents’ adjusted gross income? $_______________
3. Do you currently receive money for your education from your
spouse/parent(s)/sponsor/other sources of income? (please circle one) Yes No
If yes, how much money do you receive for your education per year? $_____________
4. Do you receive any scholarships, grants or work-study? (please circle one) Yes No
If yes, how much do you receive in:

scholarships? ________
grants?
5. Do you have a job? (please circle one)
work-study? ___________
___
Yes
If yes, how many hours per week do you work?
No
__
What is your rate of pay and/or annual salary? _________________
6. Whom do you support with your income?
7. Describe your financial need and how this scholarship will assist towards your goals.
(You may use a separate sheet of paper to respond).
I certify that all of the information I have provided is correct.
Signature of Applicant_______________________________________Date_____________
For Office Use Only
Date Application received_______________
Transcript __________ Essay __________ Letters (2) ______ ______