application cuny-ime becas scholarship program · application cuny-ime becas ... what is your osis...
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Application CUNY-IME Becas Scholarship Program
MUST BE COMPLETE AND SUBMITTED BY 11:59 PM ON FEBRUARY 28, 2014
PERSONAL INFORMATION
LAST NAME: FIRST NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE: Gender
FemaleMale
EMAIL ADDRESS
PHONE NUMBER:
EDUCATION
I AM CURRENTLY ENROLLED IN
CURRENT CUNY STATUS
DEGREE SOUGHT AABABSMAOther
MAJOR
IF YOU ARE CURRENTLY A CUNY STUDENT, WHAT IS YOUR EMPL ID#
List your previous schools, beginning with the most recent.
NAME OF SCHOOL:
I AM CURRENTLY ATTENDING THIS SCHOOL
YES NO
STREET ADDRESS:
CITY:
STATE: ZIP CODE:
FIRST ATTENDED: LAST ATTENDED:
GRADUATED: DATE OF GRADUATION (ACTUAL OR ANTICIPATED)
CAA AVERAGE G.P.A.:
IF YOU ARE CURRENTLY A NEW YORK CITY HIGH SCHOOL STUDENT, WHAT IS YOUR OSIS NUMBER?
PRIOR SCHOOL ATTENDED
NAME OF SCHOOL:
STREET ADDRESS:
CITY:
STATE: ZIP CODE:
FIRST ATTENDED: LAST ATTENDED:
GRADUATED: DATE OF GRADUATION
CAA AVERAGE G.P.A.:
FINANCIAL NEED
NUMBER OF PEOPLE IN HOUSEHOLD
ANNUAL HOUSEHOLD INCOME
I CURRENTLY RECEIVE FINANCIAL AID OR SCHOLARSHIPS
YESNO
IF YES, WHICH FINANCIAL AID OR SCHOLARSHIPS DO YOU RECEIVE:
I HAVE HAD TO POSTPONE OR INTERRUPT MY EDUCATION DUE TO FINANCIAL NEED
YESNO
REQUIRED MATERIALS: Please submit the following required materials via email to [email protected] All materials must be received by the application deadline. Personal statement (1 page): a short essay that describes you with attention to community service with the Mexican immigrant community, commitment to community advancement, obstacles faced in educational trajectory and what this scholarship would mean to you. (.pdf or .doc format) Statement of Financial need (1 page): Describe your financial situation and that of your family, including eligibility for financial aid or scholarships, employment, health and other issues. Be specific and detailed (.pdf or .doc format) Transcript: If you are currently a NYC high school student or a recent graduate, please provide your OSIS number so we may access your transcript. If you do not have it, you must provide a transcript from your most recent school attended. It may be an unofficial student copy. It must be scanned and submitted in PDF format via email.
I HAVE REQUESTED A LETTER OF RECOMMENDATION FROM
PLEASE ASK YOUR RECOMMENDER TO GO TO OUR WEBSITE AND SUBMIT A LETTER OF RECOMMENDATION. IT MUST BE RECEIVED BY 11:59 PM 2/28/2014.
I CONFIRM THAT ALL INFORMATION CONTAINED HERE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE (TYPE YOUR NAME)