Introduction

Introduction:
The California Paralyzed Veterans Association (CPVA) primary goal has been to assist its members and their families in improving the quality of their lives.
This goal has been addressed through a variety of activities, including the establishment of the Educational Scholarship Program.This program assists CPVA members and their immediate family members by funding a post-secondary education.

Eligibility:
• Applicant must be either a CPVA member, the spouse of a PVA member, or an unmarried child (under 24 years of age) who is dependent (as defined by the IRS) on the member for principal support.
• Applicant must be a citizen of the United States.
• Applicant must be accepted or enrolled as a full-time student in an accredited US college or university.
• Past award recipients may apply.

Award Amounts:
CPVA will award two scholarships in the amount of $500 to, two full-time students. Scholarship funds are released solely in the name of the university. Under no circumstances will payment be made to the students.

Application Submission:
All components of the application must be received by June 1, 2010. Late applications will not be accepted, no exceptions. In addition, any incomplete applications will not be considered.
The components of the applications should be clipped, not stapled or bound
1. Application
2. Personal Statement - The statement should explain why you wish to further your education; short and long-term academic goals; how this will meet your career objectives; and, how will it affect the PVA membership. Also describe how and when any unusual family or personal circumstances have affected your achievement in school, work or your participation in other activities.

3. Verification of Enrollment - This can be a copy of your class schedule, confirmation of registration, or other documentation issued by the college or university.
4. Academic Transcript - An official transcript (one that bears the seal of the school or other certification of authenticity) must be submitted for each school listed in the ‘Past Education’ section. This information is not required if you have not attended school in the past 5 years.
5. Two letters of recommendation - School Official, from your current or most recently attended school. Personal Reference, from a CPVA member. To properly identify your letters of recommendation, please have each author attach their letter to the appropriate form.

Review of Applications:
The CPVA Board of Directors will select award recipients based on: application completion, personal statement, academic records, letters of recommendation, and extracurricular and community activities.

Award Announcement:
Initially, you will be sent an email, if applicable, or a post card acknowledging receipt of your application. You will be notified by mid July of the Board of Director decisions. Please do not call the office, as no information will be provided. In addition, a picture would be appreciated for publicity purposes as outlined in the Release Information section of the application.

Point of Contact
All applications and questions should be directed to:
California Paralyzed Veterans of America
5901 E. 7th Street
Bldg,150 R-204
Long Beach, CA 90822
526-826-5713 Fax:562-494-5140
calpva05@aol .com www.calpva.org

CALIFORNIA PARALYZED VETERANS OF AMERICA
Educational Scholarship Program 2009 Application
Please type or print all information.
To ensure your application is reviewed appropriately make sure it is complete, neat and legible.

OFFICE USE ONLY:
TP ID ES SS

APPLICANT INFORMATION
First Name: ____________________________________ MI: ______ Last Name: ____________________________

Address: __________________ _________________________________________
City: _____________________________________________ State: _____________ Zip:
Home Phone: ________________________ Cell Phone: ______________________ Email:________________________
Date of Birth: _________________________________________Month Day Year
Applicant’s Relationship to Member: ________________________________________________

Previous CPVA Scholarship Award Recipient? No _____Yes _____ If yes, what year(s)? —

CPVA MEMBER INFORMATION
First Name: ____________________________________ MI: _______ Last Name: _________________________
Address: ______________ _______________________________________________________________
City: __________________________________________ State: Zip: _____________________
Home Phone: _______________________ Cell Phone: ______________________ Email:__________________ Date of Birth: Month Day Year

Member’s CPVA lD#: ________________________ Chapter Name: _____________________________________

CURRENT / FUTURE EDUCATION
List the school to which you have been accepted or are enrolled as a student. Use official school name, do not use abbreviations.

School:
Address:__________________________________________________________________________
City: ________________ ______________ State: _______________ Zip: __________________________
Telephone: __________________ ____________________ Email: _______________________________________
Dates Attending: from _______________________________through _________________________________________

Enrollment Status:
Full-Time Student (less then 12 credits)
Student Status:
New Student    Current Student    Graduate Level
(First year or have not attended in the past five years)
Major or Course of Study:    Expected Graduation Date: _________________
Degree Sought: Bachelor __   Associate___   Certificate___ Other

PAST EDUCATION
Beginning with the present, list all secondary and post-secondary institutions and trade schools you have attended. (Note: Leave this section blank if you have not attended school in the past five years). Attach a separate sheet if more space is required. Academic transcripts must be submitted for each school.
School:
Address:
City:    ______________State: Zip:__________
Dates Attended: GPA: School’s Passing Grade:
School: _______________ ___________________________________________
Address:    _________ ____________________________
City: State: Zip:_________
Dates Attended: GPA: School’s Passing Grade:_
School:
Address:____________________
City:__________________________
Dates Attended:    GPA:    School’s Passing Grade:

EXPERIENCE
Extracurricular Activities
List school, sports or community extracurricular activities in which you have been involved.
Activity Dates
_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

Paid or Volunteer Activities
Describe work experience and volunteer activities.
Placep; Activity; Dates;
_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

Honors and Awards
List all honors and awards you have received.
Honor/Award Name; Date
_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

APPLICATION CHECKLIST

All of the following components are due no later than June 1, 2010 (there will be no exceptions). Applications missing any of the following sections will not be considered.

Application
Personal Statement
Transcript(s) (if applicable)
Letters of Recommendation
Verification of Enrollment

RELEASE

Permission is hereby granted to school officials from the above listed schools to release scholastic records and other
requested information for consideration in the CPVA Educational Scholarship Program, with the exception of the following:

__________________________________________________________________________________________________________________
I certify that the preceding information is true and correct to the best of my knowledge. I understand that all decisions rendered by CPVA and the Scholarship Review Committee on the award and administration of scholarships are final. If I am selected as a scholarship recipient, I authorize CPVA to use photographs, statements, or general information contained in this application for publicity purposes except for the following items:
Student Signature: ______________________________________________ _____________ Date: _____________
Member Signature: Date: _____________
(if student is not a CPVA Member)

CALIFORNIA PARALYZED VETERANS ASSOCIATION

Letter of Recommendation
Personal Reference

Applicant Name:

Name: ____________________________________________________,
The above-named student is an applicant for the California Paralyzed Veterans Association Educational Scholarship Program. To complete this application, we need a carefully-considered written assessment of his/her character and ability. We are particularly interes in the applicant’s strengths, weaknesses, achievements, and any special contributions to the community at large.
This recommendation is a required element of the application and students must submit their packages by June 1, so please give immediate and serious attention to this request. Attach your appraisal letter to this form and return it to the applicant or, if you prefer, return to applicant in a sealed envelope.