2012 Scholarship Application

The 2012 Scholarship Fund of Alexandria Application

The Scholarship Fund awarded $375,000 to members of the T.C. Williams Class of 2011. This is your opportunity to apply for funds donated by the Alexandria community.
This is a competitive process; not all applicants will receive scholarships. * The deadline is Friday, February 10, 2012, at 5:00 p.m. * This form must be completed in one session - you can not save it. * Additional Instructions and Required Forms are located on the TC Student Server (TCSS1) at "R:Teachers/Scholarship_Fund/All Periods/Application Forms for Download." * If you need help with your application, call 703-824-6730, Mon-Fri, 7:00 a.m. to 5:00 p.m.
Applicant's Demographic Information

First Name	*	Middle Name Last Name* Suffix
Home: Street+Apt	*
Home: City	*	Home: StateHome: ZIP
Home Phone	*	Cell Phone*
Email (Primary)	*	Email (Backup)
Gender	*	Year Graduating from TCW*
Date of Birth	*	DayYear
SSN Last Four	*
Mother's/Guardian's/1st Parent's Information (Note: If only one parent's information is known, indicate "Not Known" in the Name block for the other parent):

Mother's Name	*	M's Middle M's Last*
M's Street+Apt
M's City		M's StateM's ZIP
M's Home Phone	*	M's Other Phone
M's Email	*
Father's/Guardian's/2nd Parent's Information (Note: If only one parent's information is known, indicate "Not Known" in the Name block for the other parent):

Father's Name	*	F's Middle F's Last*
F's Street+Apt
F's City		F's StateF's ZIP
F's Home Phone		F's Other Phone
F's Email
Additional Applicant Demographic Information

Guidance Counselor	*	1st Period Teacher*
Elementary School	*	If "Other", Write in name:
Middle/Junior High School	*	If "Other", write in name:
Resident of:	*	Arlandria Del Ray Lynhaven Taylor Run Warwick Village None of These
Special Criteria (Select all that apply):		1st Generation to Attend College Child of POW/MIA English as a Second Language/ELL Independent Student Learning Disabled Physically Challenged Single Parent Family Special Education Student
Race/Ethnicity	*	American Indian or Alaskan Native Asian or Pacific Islander Black, Not of Hispanic Origin Hispanic Native Hawaiian/Other Pacific Islander White, Not of Hispanic Origin Other (Fill in)
Other Race/Ethnicity (Fill In)
Demonstrated Financial Need Information

Eligibility Status	*	Place of Birth*
Application Basis	*
If you apply based on financial need, you must do the FAFSA	*
Please Note: Scholarships awarded based upon financial need are intended to help fill the GAP between the cost of college attendance, less any other grants, and family resources (i.e., your Expected Family Contribution or EFC). Students may not be over-awarded, that is, receive more money than it costs to attend college.
Optional: From the scholarships listed on the R-Drive, is there one (or two) for which you believe you are particularly eligible?

You are required to provide at least two recommendations from teachers, guidance counselors, employers, or other members of the community. The form to request these recommendations is on the R-Drive. The two persons who will be providing your recommendations are:
1st Recommender	*	2nd Recommender*
What are your plans for Fall 2012? Be brief.	*
Colleges/Universities/Career & Technical Schools Applied to/Accepted by (In order of preference). Cost of Attendance is the Annual Cost and includes tuition, fees, room & board, books, personal expenses and transportation.

1st College	*	Admission Status (1)Annual Cost (1)
2nd College		Admission Status (2)Annual Cost (2)
3rd College		Admission Status (3)Annual Cost (3)
First Choice of College	*
What do you see yourself doing after you complete college/university/career school? Be Brief.	*
Career Interests

Intended course of study/career interests. Select up to three choices and rank them in order of importance to you.
1st Choice	*	Other (1st)
2nd Choice		Other (2nd)
3rd Choice		Other (3rd)
Extracurricular Activities

What sports have you participated in during grades 9-12? Indicate Varsity (V), Junior Varsity (JV) or Intramural (I) for each sport. Also grade level for participation. Example: Ping Pong, JV 9-10, V 11-12.
Sport (1)		Sports Participation (1)
Sport (2)		Sports Participation (2)
Sport (3)		Sports Participation (3)
Sport (4)		Sports Participation (4)
Selected Activities

Eligibility requirements for donor-named scholarships are based on criteria set by the donor. Responses to the following options may indicate eligibility for specific scholarships:
Select all that apply and indicate level of participation and years. Example: Club Secretary 12, member 9-11. If you select "Community Service" or "Other", please provide additional information below.
Specified Activities (1)		Participation (1)
Specified Activities (2)		Participation (2)
Specified Activities (3)		Participation (3)
Specified Activities (4)		Participation (4)
Specified Activities (5)		Participation (5)
Specified Activities (6)		Participation (6)
Employment

Employer+Position (1)		Dates of Employ (1) Hours/Week (1)
Employer+Position (2)		Dates of Employ (2) Hours/Week (2)
Employer+Position (3)		Dates of Employ (3) Hours/Week (3)
Academic Achievement

Cumulative GPA at the End of Junior Year	*	Rank in Class at the End of Junior Year*
I have successfully completed Algebra II with a grade of "C" or better.
Test Scores
Note: Completion of standardized tests (SAT, ACT, SAT II, AP, IB, etc.) is not a prerequisite for this application. However, completion of these tests may enhance the quality of the application.
SAT Reasoning Test
SAT Total		Critical Reading Math Writing I have not taken the SAT
ACT Test
ACT Composite		English Math Reading Science I have not taken the ACT
Other Standardized Test Scores
Test Name (1)		Date Taken (1) Score (1)
Test Name (2)		Date Taken (2) Score (2)
Test Name (3)		Date Taken (3) Score (3)
Test Name (4)		Date Taken (4) Score (4)
Test Name (5)		Date Taken (5) Score (5)
Academic and Other Awards Received

Academic Award (1)		TCW Grade (1) Award Date (1)
Academic Award (2)		TCW Grade (2) Award Date (2)
Academic Award (3)		TCW Grade (3) Award Date (3)
Academic Award (4)		TCW Grade (4) Award Date (4)
Other Awards
Other Award Name (5)		TCW Grade (5) Other Award Date (5)
Other Award Name (6)		TCW Grade (6) Other Award Date (6)
Required Personal Statements
Please provide
Please provide a narrative response to each of the three following questions. Each response should be no more than about 500-600 words. These responses are an important part of your application. Please take your time to write thoughtful and well-written statements. Check your spelling and grammar! You may also email your statements to Mrs. Yowell at syowell@acps.k12.va.us. Include your name in the subject line. If you email, you must enter "Emailed" in the response box on this form.
1. Discuss your personal, educational, and professional life goals; your plan to achieve those goals; and how a scholarship will help you achieve your goals.	*
2. Identify your extracurricular activities, community service activities or other significant accomplishments of which you are proudest. Tell us why.	*
3. Write a brief biographical essay highlighting those experiences or individuals that made a significant impact on you and made you realize who you are or who you wish to be (We are not looking for a detailed chronology of your life).	*
Required Resume

A resume is required -- in any style. Either paste below or email to Mrs. Yowell.	*
A Few More Questions

I was advised on the college-going process by (select all that apply):		Building Better Futures Clergy College & Career Center College Admissions or Financial Aid Officer College Guide College Summit Guidance Counselor Other Friend or Family Member Other Professional Parent Project Discovery Scholarship Fund of Alexandria Teacher, or Someone Else
I met with the College Guide (Catherine Melton or Rebeccah Chacon) at least once.	*
If you met with the College Guide, how did she assist you in the college-going process?
As a Senior applying for post-high school education, what other service, advising or preparation do you wish was available to help you prepare, but was not?	*
Lastly

Have you have completed all required fields, uploaded your Personal Statements and Resume, downloaded two recommendation requests, a transcript request and a signature page? Completed the FAFSA (if applicable). Then you are ready to submit! If you omit a required field the application will not process and will highlight the field in YELLOW.