PROCESS:

Scholarship Name:

Amount of Scholarship:

Minimum:

Maximum:

Contact Information

Contact Name:

Address:

City:

State:

Zip Code:

Phone:

Email:

Academic Year Scholarship will begin:

How many students will be awarded per year:

Address to send scholarship applications for selecting winner(s):

Address:

City:

State:

Zip Code:

Phone:

Email:

Is the scholarship campus specific? Yes No

If so, please indicate which campus:

Yuba
Woodland
Clearlake

Is this to be a one-time scholarship? Yes No

Is this to be a perpetual scholarship? Yes No

Is the scholarship to be listed in the Scholarship Directory? Yes No
(If so, please see below)

When will the student receive the disbursement?

Full Payment at the beginning of the school year? Yes No

Split payments, one at the beginning of each semester? Yes No

The Foundation deadline for students to apply is April 1st.

Is another date requested? Yes No

Please indicate in the box provided:

The Foundation has application packets for the students. Is there another packet the donor wished to use? Yes No

Is the donor willing to permit modification to the criteria? Yes No

If so, does the donor wish to be notified of any changes? Yes No

Does the donor wish to be notified of scholarship winners? Yes No

CRITERIA:

All scholarship selections are subject to review by the Office of Financial Aid

Is the scholarship for an incoming student? Yes No

Is the scholarship for a continuing student? Yes No

Is the scholarship for a transferring student? Yes No

Is there a requirement for a major or career choice? Yes No

If so, please specify:

Is there a grade point average (GPA) requirement? Yes No

If so, please specify:

Is the recipient required to be a full-time student? Yes No

If not, is there a required unit minimum? Yes No

If so, please specify:

SCHOLARSHIP DESCRIPTION:

If the donor wishes the scholarship to be listed in the Yuba Community College Scholarship Directory, please use the space below to provide a brief essay. Keeping as close to 125 words, state the name for which the scholarship is named, as well as the basic criteria for selection. The district may edit some of the wording for purposes of maintaining consistency in the entire directory. (No response is necessary if you do not wish to have the scholarship listed in the directory.)