ASSOCIATION FOR CAREER AND TECHNICAL EDUCATION of ARIZONA2013 SCHOLARSHIP PROGRAM APPLICATION FORM The ACTEAZ Scholarship applicant shall be a student who is enrolled in a recognized car
Trang 1ASSOCIATION FOR CAREER AND TECHNICAL EDUCATION of ARIZONA
2013 SCHOLARSHIP PROGRAM APPLICATION FORM
The ACTEAZ Scholarship applicant shall be a student who is enrolled in a recognized career and technical education program at the high school (from Funding Priority List) or a recognized career and technical
education program at the post-secondary level (may include CTE teacher preparation program) A member of ACTEAZ who teaches in the program in which the student is enrolled or another member must recommend the applicant The award(s) will be payable to the educational institution identified by the recipient(s) The award amount can range from $500.00 – $2,500.00 based upon the available funds and the number of scholarships the committee agrees to award ACTEAZreserves the right not to award scholarships or to award scholarships in a lesser or greater amount in any given year The ACTEAZ scholarship is non-renewable (meaning this
scholarship is a one-time award)
Recognition will be given at the ACTEAZ Awards Session during the Annual Conference
Directions: Applicant is required to type or word process all of the information on the application form
(additional pages may be attached and the application form may be re-keyed and completed using word processing software)
Please Mail:
ORIGINAL AND SEVEN COMPLETE COPIES OF ALL APPLICATION MATERIALS SCHOLARSHIP APPLICATIONS WILL NOT BE CONSIDERED,
OR READ, UNLESS EIGHT COPIES ARE SENT AND ALL APPLICATIONS ARE COMPLETE
POSTMARKED NO LATER THAN J ANUARY 31, 2013.
MAIL TO:
ACTEAZ - Association for Career Technical Education of Arizona
Attention: Scholarship Committee
20403 N Lake Pleasant Road Suite 117-PMB615 Peoria, Arizona 85382 The following constitutes the complete application packet All materials must be included and sent to
ACTEAZ at ONE TIME
Completed application form (ALL MATERIALS MUST BE TYPEWRITTEN OR WORD
PROCESSED EXCEPT TRANSCRIPTS AND SIGNATURES NO HANDWRITTEN
INFORMATION IS ACCEPTABLE.)
Unofficial Transcript (High School must show previous five semesters; Post-Secondary/University must
Trang 2The nominating ACTEAZ member should review the completed application packet for accuracy, details, and completeness prior to submission and to ensure that application is word processed Incomplete application packets will not be considered If any of the information is considered to be false, the
application will be disqualified Decisions of the Scholarship Committee are final ADDITIONAL
TYPED/WORD PROCESSED PAGES MAY BE ATTACHED
Specific Qualifications:
High School: Must be a graduating senior with enrollment in a CTE program on the funding priority list
Post-Secondary/University : Must have completed at least 12 semester credits
Preference will be given to applicants who are dues-paid members of and actively involved in a career and
technical education student organization(s) (CTSO: DECA/Delta Epsilon Chi, FBLA/PBL, FEA/Phi Delta Kappa, FFA, FCCLA, HOSA, Skills USA)
A member of ACTEAZ must recommend each applicant An ACTEAZ member may recommend a
maximum of two students
Selection Criteria: CTE Involvement, CTSO involvement, Letter of Interest, Résumé, Letter of
Recommendation, and Character Reference Letter (See Application Form for point values.)
Trang 32013 ACTEAZ SCHOLARSHIP PROGRAM APPLICATION
Check one: □ Secondary □ Post-Secondary
I PERSONAL INFORMATION (no points given, but must be complete and accurate)
Name _ Date _
Home Address _City _State _ZIP
Home Phone _ _
School Name
School Address City State _ZIP _
Date of Graduation CTE Program Participation
II EDUCATIONAL INFORMATION (no points given, but must be complete and accurate) List the
name, address, and your intended major of the post-secondary institution you plan to attend or wish to continue to attend If applicable, state the date you will begin classes.
College Name
College Address
No and Street/P O Box City State ZIP
Major _ Enrollment Date
III CTE INVOLVEMENT (Attach additional information if necessary) (30 points total)
A List all prior and current CTE classes and any programs completed (20 points) Make sure listed
courses are highlighted on the transcript(s) you provide as part of this application.
Comments (i.e if you were unable to complete a program because it was discontinued at your school):
Trang 4B LIST CAREER/TECHNICAL STUDENT ORGANIZATION INVOLVEMENT (10 points) Describe how
you have participated in local, regional, state, and national projects, events, conferences, and leadership positions
(National, State, Regional, Local)
Type of Activity (Project, Event, Conference, Leadership Position)
Name of Activity/
Description
Date(s)
V. LETTER OF INTEREST (30 points) (Maximum 500 words; please attach to this document)
The letter of interest that you submit is a critical component of your application Letters that are not well written include spelling and/or grammatical errors, or lack substance will impact the review of your file It is expected that you will provide a professional, well written letter that is approximately one page in length (500 words maximum) In the letter you should provide information to the Committee explaining why you are attending college, listing your career goals and aspirations, and describing how a monetary award from the ACTEAZ
Scholarship for college expenses will help you attain your goals (Please attach to this document)
VI RÉSUMÉ (10 points) (Maximum one page; please attach to this document)
Resume should include membership in organizations, academic honors, community service, and/or work
experience as relevant to student.
VII LETTERS (30 points)
Letter of Recommendation from the nominating ACTEAZ member which includes a detailed description of student’s involvement in classroom and laboratory, CTSO, work based learning experiences, and advisory
attach to this document.
Character Reference Letter from a non-relative adult (teacher, counselor, administrator, clergy, supervisor, community member, etc.) which includes a description of the relationship between the student and author and
author’s organization (as appropriate); please attach to this document.
Trang 5VII ASSURANCES/SIGNATURES This section must be signed with the appropriate signatures
to be able to proceed to the scholarship judging.
A Publicity Assurance/Initial
If you are awarded an ACTEAZ Scholarship and would like to have your local newspaper notified, please provide the full name, address and e-mail address of the newspaper:
Please initial to give permission for your name to be in newspaper articles, videos, conference materials, association websites, press releases, etc regarding this scholarship and information about student. _ Applicant Initials _ Parent initials for applicant under
18 years of age
B ACTEAZ Member Assurance/Signature
I nominate this CTE student for the ACTEAZ Scholarship and have included a nominating letter
Nominating ACTEAZ Member (print) _ Signature Phone
C Assurance/Signature
A signature below indicates you understand that the scholarship monies must be used by June
30, 2014 If not used during this timeframe, the monies will remain in the scholarship fund to use for another student All information contained is accurate
Student Signature Date Parent/Guardian Signature Date Parent/Guardian Name
Parental/Guardian Signature if under 18 years of age at the time of scholarship application submission.
Trang 6D Release of information
By asking to be considered for an ACTEAZ scholarship you are giving your consent for
ACTEAZ to release your personal information to ACTEAZ Affiliates who will be considering you for scholarships This includes, but is not limited to, your application information (resume, letter, etc.), GPA, letter of recommendation, etc Also, should you be selected to receive a scholarship, ACTEAZ or its affiliates may request updates of your progress and attendance in school Only affiliates seriously considering you for scholarships and approved by ACTEAZ may have access to this information and no information will be provided to any other outside sources
Student Signature Date Parent/Guardian Signature Date
Parental/Guardian Signature if under 18 years of age at the time of scholarship application submission.