Dabney S. Lancaster Community College
Educational Foundation
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Bridging the Gap--College to the Community

Internship Scholarship Application

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This scholarship enables currently enrolled students at Dabney S. Lancaster Community College to receive financial assistance for an internship that provides experiential learning opportunities.

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REQUIREMENTS

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  1. Applicants must be currently enrolled at DSLCC and have successfully completed (a minimum 2.5 GPA), cumulative or semester, whichever is higher) fifty percent (50%) of their program requirements.

  2. Applicants must meet specified performance measures (attendance, punctuality, ect.) and a predetermined level of skills and knowledge as established by the instructor and agreed upon by the student.

  3. The award must be used for the semester for which it was designated.

  4. Include with your application a short essay describing your career goals--where do you see yourself in five years.

  5. Include two letters of recommendation, one of which must be from the individual responsible for the supervision of internships in the respective program of study (letters from relatives are not acceptable).

  6. Include your official DSLCC transcript.

STIPULATIONS

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  1. Upon completion of a satisfactory evaluation by the site supervisor and the instructor of record, one third of the scholarship award will be paid to the recipient at the end of the first four weeks of the internship.

  2. Upon completion of a second satisfactory evaluation at the end of the internship (sixteen weeks), the remaining two thrids of the award will be paid to the recipient.

YOU MUST ENSURE THAT YOUR APPLICATION, ALONG WITH YOUR TRANSCRIPT, TWO LETTERS OF RECOMMENDATION, AND A SIGNED INFORMATION RELEASE FORM ARE RECEIVED BY THE FOUNDATION OFFICE NO LATER THAN THE APPLICATION DEADLINE LISTED BELOW.  YOUR APPLICATION MAY BE PRINTED AND DELIVERED IN PERSON TO ROOM 104 BACKELS HALL OR MAILED TO THE ADDRESS BELOW.

DABNEY S. LANCASTER COMMUNITY COLLEGE

EDUCATIONAL FOUNDATION, INC.
P.O. BOX 1000
CLIFTON FORGE, VIRGINIA 24422-1000
540-863-2837 OR 540-863-2835
(TOLL-FREE: 877-73DSLCC)
FAX: 540-863-2915

DEADLINES FOR APPLICATION

MAY 16 FOR SUMMER 2013 INTERNSHIP

JULY 15 FOR FALL 2013 INTERNSHIP

DECEMBER 6 FOR SPRING 2014 INTERNSHIP


NAME:
ADDRESS:
CITY:
STATE:
ZIP:
HIGH SCHOOL:

HOME PHONE NUMBER:


EMAIL ADDRESS:


SSN:

PROGRAM AT DSLCC IN WHICH YOU CURRENTLY ARE ENROLLED:

SEMESTERS/CREDIT HOURS COMPLETED AT DSLCC:

COMPANY/ORGANIZATION WITH WHOM YOU PLAN TO INTERN:

In order to publicize the Foundation's scholarship programs and promote DSLCC, this award (along with your name as recipient) will be announced in local news outlets and the DSLCC website.  If you do not wish the following information made public, please contact the Foundation office.
1. WRITE A SHORT ESSAY ON YOUR CAREER GOALS: (WHERE DO YOU SEE YOURSELF IN FIVE YEARS)?

PARENTS/GUARDIANS NAMES: (if applicabel, for news release only)

SPOUSE'S AND/OR CHILDREN'S NAMES:
(if applicable, for news release only)

NEWSPAPERS IN WHICH YOU WOULD LIKE YOUR NEWS RELEASE PUBLISHED:

DSLCC AND THE DSLCC EDUCATION FOUNDATION, INC., ARE EEO INSTITUTIONS.

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