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 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. ACTEAZ reserves 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 JANUARY 31, 2013. MAIL TO:

ACTEAZ - Association for Career Technical Education of ArizonaAttention: Scholarship Committee

20403 N. Lake Pleasant RoadSuite 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 show grades for at least 12 semester credits). Courses listed in section III/A of the application should be highlighted on the transcript.

Letter of Interest (500 word maximum) A résumé (one page maximum) Letter of recommendation from the nominating ACTEAZ member (two page maximum) Character reference letter from a non-relative adult (one page maximum)

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The 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.)

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2013 ACTEAZ SCHOLARSHIP PROGRAM APPLICATIONCheck 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.Class Semester Institution Grade

Programs Completed Date

Comments (i.e. if you were unable to complete a program because it was discontinued at your school):

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B. 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. Please include dates.

CTSO CTSO Level (National, State, Regional, Local)

Type of Activity (Project, Event,

Conference, Leadership Position)

Name of Activity/Descripti

on

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 councils. Maximum two pages written on official letterhead from the author’s organization; please 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 their assessment of the student's strengths. Maximum one page written on official letterhead from the author’s organization (as appropriate); please attach to this document.

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VII. ASSURANCES/SIGNATURES This section must be signed with the appropriate signatures to be able to proceed to the scholarship judging.

A. Publicity Assurance/InitialIf 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 nominatingletter.

Nominating ACTEAZ Member (print) _

Signature __ Phone ____________

C. Assurance/SignatureA 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.

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D. Release of informationBy 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.

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