Jack Walsh Renaissance Scholarship

2016 Application

Application Deadline: Monday, August 1, 2016 by 5pm

Mission

To provide financial and practical assistance to community involved individuals in support of their passions and education.

Eligibility Criteria

Applicants must demonstrate a history of community involvement.

Scholarship is open to all qualifying applicants regardless of immigration status, age or number of times applied or awarded.

Priority goes to applicants 17 years and older.

Application Guidelines:

Please read all 6 pages of application before submitting.

Send all supplemental documents with your completed application.

Applications postmarked after the deadline will not be accepted.

Faxed or emailed applications will not be accepted.

Incomplete applications will not be reviewed.

Applications missing any of the required documents are considered incomplete.

Finalists may be called for interviews to be considered for the scholarship.

Scholarship Awards may range from $250-$1,000.

In your application please include the amount you are requesting and what it will be used for.

Jack Walsh Scholarship Application

2016 Scholarship Opportunities:

·  Education or Teaching

·  Arts

·  General (i. e. creative learning opportunities, vocational training, certifications, general education)

The mission of Casa Familiar is to allows the dignity, power, and worth within individuals and families to flourish, by enhancing the quality of life through education, advocacy, service programming, housing and community economic development.

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Because of Casa Familiar’s commitment to sustaining the Jack Walsh Scholarship Fund as well as ongoing contributions from the Walsh family, Casa Familiar has awarded over 25 scholarships since 2006. The first 4 scholarships granted through this fund were to 4 students who were volunteers in the community of San Ysidro and members of Casa Familiar’s Young Leaders Program who then went on to attend universities across California, all of whom were first generation college students. Most recent scholarships went to young individuals who received training in Mexico in the area of folkloric dance. We urge individuals of all ages and interests to apply.

Jack Walsh Renaissance Scholarship Application

Include the following with the complete application:

Letter of recommendation

Each applicant must submit one letter of recommendation. The letter should come from non-relatives and should address the following:

o  Relationship to the applicant including time acquainted and in what capacity.

o  Goals, aspirations, strengths and weaknesses.

o  Community, educational, leadership involvement

o  (Emailed or faxed letters of recommendation will not be accepted).

Personal Statement

In a written statement of no more than 800 words, tell us about:

o  Why you want to receive the Jack Walsh Renaissance Scholarship?

o  Other than your family members, who has inspired you and why?

o  Your community involvement?

o  Describe your background, family history, upbringing, experiences and obstacles confronted.

o  What you are passionate about and what is your personal vision?

o  Short and long-term goals personally and professionally?

o  Why you chose your field of study/interest.

o  What you would use the scholarship money for and how much you are requesting.

o  How do you plan to contribute with the scholarship?

Resume

Please include paid and unpaid experiences, highlighting your volunteer and community involvement, as well as certificates, awards, special honors received, and a complete educational history.

Color Photograph (For promotional purposes)

Wallet sized no larger than 3 ½ X 5.

Release Authorization Form. (See last page)

Jack Walsh Renaissance Scholarship Application

Personal Information: Complete all sections. If not applicable, write N/A

Name: ________________________________________________________________

Last First MI

Permanent Address:______________________________________

Street Address

_____________________________________________________________________________

City State Zip Code

Mailing Address: ______________________________________________________

(If different from above) Street Address

_____________________________________________________________________________

City State Zip Code

Date of Birth:_________ Gender: Female ____ Male ____

Month/Day/Year

Home #: ( )_____-______ Cell Phone: ( )____-_____ Other( )____-____

Email:________________________________________

Academic Information:

Highest Grade level completed________ High School ___________________

Current GPA_____ Graduation Date_____________

Colleges/Trade schools attended (include years attended and major or area of focus)

Jack Walsh Renaissance Scholarship Application

Application Certification (If under 18 years of age, parent signature required)

I hereby certify that the information provided in this application is accurate and compete to the best of my knowledge. I authorize Casa Familiar to verify any information submitted as part of this application. I understand that any falsifications will result in the disqualification of my application.

I understand that any changes to application information must be reported to Casa Familiar immediately. Failure to comply may lead to disqualification of my scholarship award if selected as a recipient.

I give Casa Familiar permission to release my name, institution, essay, and photograph for promotional purposes, if selected to receive the Jack Walsh Renaissance Scholarship.

Attach Photo Here

_________________________________

Printed Name

_________________________________

Signature

Jack Walsh Renaissance Scholarship Application

Release Authorization Form

I, the undersigned, authorize Casa Familiar and the Jack Walsh Scholarship Committee to reprint my personal statement and/or photograph for all rights, including but not limited to advertising, marketing, reports, and publications.

I understand that my personal statement may be edited for grammar, clarity, and /or suitability, as deemed necessary.

I understand that my personal statement and/or photograph may or may not be used and that my photograph will not be returned.

Printed Name:_____________________________________________

Signature:_________________________________________________ Date:_______________

Please mail or deliver a complete application package to:

Casa Familiar

119 West Hall Avenue

San Ysidro, CA 92173

Attn: Lisa Cuestas

Questions?

Please contact Lisa Cuestas at (619) 428-1115

Or via email at *****@***org