DALC Scholarship Application

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Winners will be selected based on the following criteria:

• Evidence of commitment to education and clear thinking about educational goals.
• Likelihood of success in the higher education program chosen.
• Need for financial assistance in order to reach goal.
Due no later than June 30, 2020

Please fill out each section of the application completely.

Your name and mailing address:

Your phone number and email address:

1. Which program did you complete?

Dover Adult High School Diploma

High School Equivalency Certificate (HiSET)

Clear selection

2. What school, college, or training program do you plan to attend?

Have you enrolled yet?

Yes

Clear selection

If yes, when did you (or will you) start classes?

What program of study are you taking?

If you have not yet, when do you plan to enroll?

What program of study do you plan to take?

3. What are your personal goals for the future, and how do you see advanced education helping you reach those goals?

4. Why do you think the program of study you are interested in is a good fit for you?

5. What are the steps you will have to take to reach your goals? Consider any barriers you will have to overcome before starting this program and how you would manage them. Include things like transportation, childcare, housing, money, etc. Do you have a support system in place to help you reach your goals?

6. Please give the name of a Dover Adult Learning Center Staff member who can best provide a recommendation for you:

Please check the boxes next to each statement to indicate your agreement:

If I receive a scholarship, I am willing to provide information about my progress in the college or technical school courses I take using scholarship funds.

The information I have given in this scholarship application is true and correct to the best of my knowledge.

If you win a Rotary scholarship, would you be willing to speak to the Rotary? (not a requirement)

Your typed name is your signature. Signature and date:

Please provide contact information of someone we can contact to reach you if you move. (Name and address)

Contact's phone number and email:

Submit

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