Applicant Information 
Name:  ______________________________________________________________________
Home Address:  _________________________City ___________________Zip code________
Phone:  _______________________________     E-mail: ____________________________
Date of Birth:  ___________________
High School Name & Town:  ____________________________________________________
 To which Colleges, Professional or Technical Schools have you applied? (Use additional sheet if needed)
           
 

 

 

 

 
Explain how you qualify as a Hispanic: (i.e. explain where you, each of your parents, and/or your guardians were born or grew up.  Include grandparents if applicable):
 
 
 

 

 

 

            ­­­­­­­­­­­­­­­­­­
Tell Us About You
Your Class Rank:              _______   out of a total class size of ________    graduating seniors
Your GPA:                         _______   out of a maximum possible GPA of ________
Your Best SAT I Scores:  _______   Verbal  ________  Math
Your Fluency in:
 
 Speaking Spanish:                  ____  Excellent ___ Good   ___ Fair   ___ Minimal
 Reading Spanish:                    ____  Excellent ___ Good   ___ Fair   ___ Minimal
 Writing Spanish:                     ____  Excellent ___ Good   ___ Fair   ___ Minimal
 
Family
Father/Guardian’s   Name: __________________________________________________
                Address: ________________________________________________________
    Occupation:  _____________________________________________________
Mother/Guardian’s Name: __________________________________________________
    Address: ________________________________________________________
                Occupation:  _____________________________________________________
Siblings’ Names                                   Ages         Schools or Employers
____________________________     ______     _________________________________
____________________________     ______     _________________________________
____________________________     ______     _________________________________
____________________________     ______     _________________________________
Required Signatures 
Signature of Applicant ____________________________________ Date  _____________
 
Signature of Parent or Guardian ____________________________ Date  _______­­­­­­­­______
 
Requirements:  To assist us in our selection process for the HACC Scholarships, we want to know more about you.  Please submit a 300 word typed essay that cohesively contains the following bullet points.  All bullets must be addressed in the essay, but not necessarily in the following order:   

• Tell us about yourself, your interests, future course of study and your academic goals. Where do you see yourself in five years?
• How do you identify as Hispanic?  What is it about your heritage that makes you who you are?  Specifically talk about what being Hispanic means for you and how it shapes your life and your future goals.
• We’d like to know what you consider to be your most important activities and achievements so far.  Tell us about your most meaningful extracurricular activities in and out of school and how these experiences have shaped you.
• Why do you need this scholarship?  How will this scholarship help you achieve your goals?
• Any other personal, family or academic information or special circumstances that you would like us to consider in evaluating your application. Personal, family or academic difficulties that you’ve encountered and learned to cope with can be important achievements to mention. 

Mandatory Attachments 

1. High School Transcript, including GPA, class rank, 1st semester senior grades.
2. If the information does not already appear on your transcript, include a report from your High School that indicates the maximum GPA possible in your school’s grading system, and the size of your graduating class.
3. Photocopy of your SAT I Scores Report.
4. Other standardized test scores, if available (SAT II, AP, etc.).
5. Copies of 2 letters of recommendation.  These may be letters submitted with your college applications.
6. Summary listing of your school and outside activities, awards or honors, community service, full or part time jobs, interests and hobbies, special talents, etc.

DEADLINE FOR APPLICATIONS IS
April 15, 2020
 
The preferred method for application submission is PDF.  Scan the application, your personal essay and all mandatory attachments into ONE PDF and send to Barbarabferrer@gmail.com.  Paper applications will not be accepted.
 
Make sure to receive a Confirmation of Receipt
 
Applications and all accompanying materials must be in one PDF.  Applications that come in several attachments will not be read.  Applications that are missing pieces, signatures or do not follow the                          instructions will not be considered.
Applications MUST BE SIGNED by both the applicant and a guardian.
                       READ THE INSTRUCTIONS CAREFULLY

 
This application is also available on our website: https://hacc-chac.weebly.com, under Contact –Us, Scholarship Application.
 
Questions?   Email us at: Barbarabferrer@gmail.com
 
Recipients will be notified by April 30, 2020.  Scholarship awards will be presented
at a time and date to be determined.
 
Recipients will be expected to show proof of acceptance and/or commitment to a school
of higher education in order to be eligible for the scholarship.