|
|
Congratulations on your academic achievement. Although your academic record is of primary importance, please take the time to fill out this application, which will allow the scholarship committee to know what other qualifications distinguish you as a candidate for a merit scholarship. Please complete and mail or deliver in person the application to the Educational Foundation Office by TUESDAY, APRIL 1, 2008. THE DSLCC EDUCATIONAL FOUNDATION OFFICE WILL NOT BE RESPONSIBLE FOR LATE APPLICATIONS! For more information, contact the Foundation Office at 540/863-2837 or 863-2835.
YOU MUST ENSURE THAT YOUR APPLICATION, ALONG WITH YOUR OFFICIAL TRANSCRIPT AND TWO LETTERS OF RECOMMENDATION (OTHER THAN FAMILY MEMBERS) ARE RECEIVED BY THE FOUNDATION OFFICE NO LATER THAN APRIL 1, 2008. YOUR APPLICATION MAY BE PRINTED AND DELIVERED IN PERSON 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
|
|
NAME:
|
ADDRESS:
|
CITY:
|
STATE:
|
ZIP:
|
HIGH SCHOOL:
|
|
HOME PHONE NUMBER:
|
EMAIL ADDRESS:
|
SSN:
|
CURRICULUM DESIRED AT DSLCC:
|
1. EXPLAIN YOUR CAREER GOALS--WHERE DO YOU SEE YOURSELF IN FIVE YEARS?
|
IMPACT ON YOUR LIFE.
|
| 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 DLSCC website. |
3. LIST ANY EXTRACURRICULAR ACTIVITIES IN WHICH YOU ARE INVOLVED. BE SURE TO INCLUDE YEARS OF PARTICIPATION, OFFICES HELD, and HONORS BESTOWED:
PLEASE INCLUDE YEARS (FRESHMAN, JUNIOR, ETC.) OF INVOLVEMENT
|
4. LIST COMMUNITY INVOLVEMENT AND/OR JOBS YOU HAVE HELD, INCLUDING VOLUNTEER WORK. OFFICES HELD and HONORS BESTOWED. BE SURE TO INCLUDE YEARS OF PARTICIPATION.
|
PARENT'S/GUARDIAN'S NAMES: (for news release only)
|
NEWSPAPERS IN WHICH YOU WOULD LIKE YOUR NEWS RELEASE PUBLISHED:
|
DSLCC AND THE DSLCC EDUCATION FOUNDATION, INC., ARE EEO INSTITUTIONS.
back to home page
|