2008 November AICC Scholarship Fund Application
Form For Native American Heritage Month Scholarship

Events
2008 Calendar
Monthly Meetings
June Luncheon
Native American
  Heritage Month
  Luncheon

History
Saluting our
  Warrior Award
  Winners
Saluting our
  Scholarship Recipients
Archives

Partners
Links
Supplier Diversity
 Program Links
Partner Events
 

Contact Us
555 W. Fifth Street
31st Floor
Los Angeles, CA 90013
info@aiccsocal.org

American Indian Chamber of Commerce of California
Scholarship Award Application
application in pdf format or print out the form below from your browser

Purpose of Award:

The purpose of this scholarship award is to supplement a Native American student's income in order to pay for their educational expenses. The scholarship award will amount to $1,500 and five (5) Native American students will be chosen for this award.   There is a third scholarship, The Darlene Dyer Stanhoff Memorial Scholarship which provides a $2,500 award.

Eligibility Requirements:

An applicant must be:

1. An American Indian verified by the following:

(1) person is on federal or state recognized tribal roll and identified by a tribal enrollment card, or (2) person who has official letter from a federal or state recognized tribe or agency stating tribal membership or Indian blood

2. A resident of California attending an institution of higher learning within the United States, or any tribal member attending an institution of higher learning within California.

3. Recognized as a full-time degree candidate at an accredited institution of higher learning (4 year university, graduate school, junior college, or trade/vocational school).

Application Procedure:

The following application must be completed in its entirety. Any incomplete applications will be automatically disqualified. One copy must be submitted to the following address no later than October 22, 2008

Attention: AICC Scholarship

AICC, 555 W. Fifth Street 31st Floor Los Angeles, CA 90013

Application Contents:

1. Completed application form.

2. Documentation of American Indian ethnicity as described above.

3. Evidence of admission to an accredited college.

4. A copy of your latest transcripts (High school transcripts if the student has not attended college yet)

5. One letter of recommendation from one of the following: teachers, advisors, tribal government representatives and/or civic leaders.

6. An educational commitment essay describing your chosen field of study, your educational goals, career goals, involvement in the Indian community and how this scholarship will help you in furthering your education.
 

Application Form

1. Name of applicant:

__________________________________________________________________________

2. Applicant's address:

 
Street_____________________________________________________________________

City_________________________________________________

State___________________________   Zip_________________

3. Phone number:

Daytime________________________  Evening________________________

4. Sex: [   ] Male [   ] Female

5. Date of birth_________________________________________________

6. Check the box for the type of information you enclosed to verify your eligibility:

[ ] Copy of official document showing tribal enrollment number

[ ] Other official document (describe)

___________________________________________________________________________

7. Tribal affiliation:
 

Name _________________________________________________________

Number and Street ______________________________________________

                          ______________________________________________

City/State/Zip Code_____________________________________________

8. School that you plan to attend for the upcoming academic year:

___________________________________________________________________________

Name of School Department

___________________________________________________________________________

Street Number and Address

____________________________________________________________________________

City/State/Zip Code

____________________________________________________________________________

Phone Number

____________________________________________________________________________

9. Classification for the upcoming term:

Undergraduate - [   ] Freshman [   ] Sophomore [   ] Junior [   ] Senior

Graduate - [  ] 1st Year [   ] 2nd Year [   ] 3rd Year [   ] 4th Year

10. Field of study:______________________________________________

11. Degree sought:______________________________________________

12. Expected graduation date:_____________________________________

13. Full time student: [   ] Yes [   ] No

14. Have you attached evidence that you are enrolled or have been accepted into the degree program listed above: [   ] Yes [   ] No

15. Which system does the school use:
     [   ] Semester [   ] Trimester [   ] Quarter

16. Indicate the official start date of the upcoming term:_______________

Please include this form and all other materials required for this scholarship in a single envelope/package. Incomplete applications or missing materials will be grounds for automatic disqualification. This scholarship packet will be scored on a 100 point scale with a possible extra 10 points awarded to Native American business students. The packet will be graded as follows:

30 points - Transcripts

20 points - One letter of recommendation

50 points - Educational commitment essay

100 Points - Total

10 points - Extra points awarded to Native American Business Students

110 points - Highest possible total score