National Scholarship Application (NEA-Drag Queen Caucus)
THE VIEWS EXPRESSED IN THIS DOCUMENT ARE THOSE OF THE CAUCUS. THE CAUCUS HAS NO AUTHORITY TO SPEAK FOR, OR ACT ON BEHALF OF, NEA.
Application Process
Eligibility: Application Process
Pursuing a degree in a four-year accredited college or university, financial need, LGBT public high school senior in the United States or Federal, and top fourth of the graduating class.
A $2,000 scholarship ($1,000 paid the first semester and renewable for the next semester) shall be awarded to a student who is a change agent, having leadership potential, and ranks in the top 25% of their graduating class. Financial need will be given strong consideration. Noteworthy accomplishments in student government, clubs, work experience is desirable, but not required. The GPA of 3.0 must be maintained to retain the scholarship for the second semester. The second half of the scholarship will be sent to their college upon receipt of the first semester's transcripts.
Qualifications:
A $2,000 scholarship ($1,000 paid the first semester and renewable for the next semester) shall be awarded to a student who is a change agent, having leadership potential, and ranks in the top 25% of their graduating class. Financial need will be given strong consideration. Noteworthy accomplishments in student government, clubs, work experience is desirable, but not required. The GPA of 3.0 must be maintained to retain the scholarship for the second semester. The second half of the scholarship will be sent to their college upon receipt of the first semester's transcripts.
Qualifications:
Please submit the following items to the address listed below.
Time-line:
- Grade Point Average
- Student high school transcripts
- School activities (clubs, sports, student government experience, volunteering activities, etc.)
- Home information, including parents' or guardians' yearly income, home address, phone number, e-mail
- 2-page essay: "My Life as a GLBT Student and the Role Models who Shaped it"
- 2 letters of recommendation
- Signature of authenticity including authorization of publishing the name in local, state, national, gay papers, and NEA publications (Your name does not need to be published to be considered.)
Time-line:
A typed application (see below) must be post-marked and received no later than May 1st. All information listed on the application process must accompany the application. Any missing information will result in the application being disqualified. The scholarship recipient will be contacted in May by e-mail to acknowledge receipt of the application. The winner will be notified in July after the NEA RA. Good luck to all applicants!
National Ricardo Correa Scholarship Application
$2,000 Student Scholarship
Application and checklist (See brochure)
Have to be received in the mail by May 1st
Ricardo Correa Scholarship
1407 E. Manitoba St.
Milwaukee, WI 53207
(262) 573-3321
(A picture of the national scholarship applicant should be attached.)
(A picture of the national scholarship applicant should be attached.)
Name_____________________________________
Address___________________________________
City, State, Zip Code________________________
Phone_____________________________________
Birth date__________________________________
Father’s Name_______________________________ Mother’s Name_______________________
Occupation_________________________________ Occupation__________________________
Place of Employment__________________________ Place of Employment_________________
Names and ages of all brothers and sisters, the school they are attending or have graduated from (high school, college, technical), and year of graduation
Name
|
Age
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Name of School
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Grad Year
|
Part-time jobs you have held or are now holding?
Where
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Position Held
|
From_____to_____
|
Leisure time activities/hobbies:______________________________________________________
List the colleges/universities that you have applied to as of January 1 (RANK THEM)
College/University
|
Accepted
|
Have not heard
|
Wait List
|
1.
| |||
2.
| |||
3.
| |||
4.
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5.
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6.
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7.
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Are there any other colleges/universities you will apply to? Yes or No
List: ___________________________________________________________________________
Tentative field of study: ___________________________________________________________
What have you done in the area of this interest (i.e. jobs, classes, projects, volunteer work, etc.): __ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What would you like to be doing when you are 25 years old? ______________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Name _________________________________
1. List all in-school activities (include sports, music, student government and other clubs), the grades you participated (9th, 10th, 11th, 12th) and any offices you held:
In-School Activity
|
Grade
|
Office Held
|
2. List all out-of-school activities including community service (Include year and time involved):
Out-of-school Activity
|
Year ___ to ___
|
Time Involved
|
3. List any honors, awards, or recognitions you have received both in-school and out of school during your high school
years:
Honors / Awards / Recognitions
|
Honors / Awards / Recognitions
|
Authorization for release of records: I authorize the release of my academic records, grade point average, rank in class, and test scores to the scholarship committees.
My signature below also indicates that I have completed this application accurately and truthfully. I authorize the Scholarship Committee to clarify my involvement in school activities as listed above by contacting my guidance counselor or activity advisor as needed. Understand that misrepresentation of factual information herein will cause my application to be withdrawn. Furthermore, if I am a recipient of a scholarship, I give permission for any of the committees to keep a copy of my application for historical purposes.
Signature of Applicant _______________________________________________________ Date _______________
Signature of Parent _________________________________________________________ Date _______________
Please sign this part of the authorization if you’d like your name released to the local/state GLBT publications. (Optional)
Signature of Applicant _______________________________________________________ Date _______________
Signature of Parent _________________________________________________________ Date _______________
Have your parents filed or do they intend to file a Financial Aid Form with the school(s) you are applying to? Yes No
Does your family hav e any unusual financial problems? Yes No
Expenses At the School You Plan to Attend:
List school in the column to the right
| ||
Tuition for one year
|
$
|
$
|
Room & Board for one year
|
$
|
$
|
Books for one year
|
$
|
$
|
Miscellaneous (include transportation( for one year
|
$
|
$
|
Total Cost for one Year
|
$
|
$
|
Grand Total (Total expenses for you to complete a four year degree)
|
$
|
$
|
How do you expect to finance your total education? (Students who do not complete the requested information may be ineligible for scholarships that are based on financial need.)
Personal Savings (Money already in the bank)
| ||
Summer Savings (Money you expect to earn during all the summers you will be attending school.)
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School year Savings (Money you will earn while attending school.)
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Family Contributions (Money you expect to receive from your family that would be in addition to the money already in the bank.)
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Loans/Financial Aid/Scholarships (Money you know you will get each year.) For example: A student at Viterbo University in La Crosse with an ACT score of 30 and a 3.4 GPA would receive a $7,500 yearly scholarship.
($_____Year 1) ($_____Year 2) ($_____Year 3) ($_____Year 4) =
| ||
Loans/Financial Aid (Money you hope you will get each year.)
($_____Year 1) ($_____Year 2) ($_____Year 3) ($_____Year 4) =
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Other Sources of Income (Please specify:)____________________)
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TOTAL (This total must equal your GRAND TOTAL.)
|
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In a 2-page typed essay, please tell about “My Life as a GLBT Person and
The Role Models who Shaped it”.
Send required application materials to:
Ricardo Correa Scholarship Foundation (National)
1407 E. Manitoba St.
Milwaukee, WI 53207
Questions? Please send e-mail to ric.fest@yahoo.com
1407 E. Manitoba St.
Milwaukee, WI 53207
Questions? Please send e-mail to ric.fest@yahoo.com
