David Montalvo Memorial Scholarship Application
DAVID MONTALVO MEMORIAL SCHOLARSHIP – APPLICATION
Application Due Date: Friday, January 29th 2016
1. Deadline for scholarship applications is Friday, January 29th 2016. Applications should be mailed
to:
Communities in Schools of the South Plains
Re: David Montalvo Memorial Scholarship
1655 Main Street, Suite 201
Lubbock, TX 79401
2. Please type your responses. If you need access to a computer please inform the CIS Site
Coordinator on your campus/district.
3. You will be contacted via phone by February if your application is selected for award.
4. If you have any questions about the application please contact: Eloisa Vigil via email at
[email protected] or phone at 806-368-8090.
PURPOSE
The purpose of this scholarship is to memorialize the passion and dedication David Montalvo had for
Communities in Schools and the students served through the program. The mission of the scholarship is
to provide financial assistance to individuals pursuing higher education. The David Montalvo Memorial
Scholarship principally targets two and four year academic programs.
FINANCIAL ASSISTANCE is based on financial need, participation in the CIS program, academic and
attendance performance, and responses to personal essays.
SCHOLARSHIP AWARDS
Communities in Schools of the South Plains, along with the Montalvo family, award scholarships on the
basis of a comprehensive process. Areas that are reviewed by the committee include, but are not limited
to the following: Participation in CIS Program, Financial Need, Grade Point Average, Attendance Record,
and Personal Essay. Communities in Schools of the South Plains pays scholarship funds directly to the
recipient’s school. Scholarships are awarded on a one-time basis. Communities in Schools of the South
Plains awards the David Montalvo Memorial Scholarship without regard to race, color, ethnicity, gender,
or sexual orientation. Scholarships awarded are based upon the availability of funds and additional
qualifying criteria.
CRITERIA
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Applicants must have participated in the Communities in Schools program and therefore meet
CIS enrollment qualifications.
Applicants must be completing or have completed high school successfully with a minimum GPA
of 2.5 on a 4.0 scale.
Applicants must be accepted as a full time student at a college or university program for the
upcoming academic semester. If scholarship money is awarded, this is the only program that will
receive the funds on behalf of the applicant.
Students must submit a copy (unofficial or official) of their most recent school transcript.
David Montalvo Memorial Scholarship Application
TIMELINE
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Applications are due to the CIS Main Office by Friday, January 29th, 2016.
Applicants will be notified if awarded a scholarship by February 2016.
Awarded scholarships will be presented during the Communities in Schools of the South Plains
Annual Crimson Gala (date for 2016: Friday, February 26th).
David Montalvo Memorial Scholarship Application
Application must be completed by applicant. Please type your responses.
1
2
Last Name: Click here to enter text.
Mailing Address:
Street: Click here to enter text.
City: Click here to enter text.
State: Click here to enter text.
Zip: Click here to enter text.
First Name: Click here to enter text.
Phone Number: Click here to enter text.
Back-Up Phone Number /Contact (please
use a number that will be active on a longterm basis): Click here to enter text.
Email Address: Click here to enter text.
3
Current High School: Click here to enter text.
4
Number of Years in CIS: Click here to enter
text.
I will be attending the following school in the
Fall of 2014: Click here to enter text.
Grade Point Average (GPA – on a 4.0 Scale):
Click here to enter text.
Attach proof of GPA; your most recent
unofficial or official school transcript is
required.
Name & Address of Parent(s) or Legal
Phone Number (s) for Parents or Legal
Guardian(s):
Guardians: Click here to enter text.
Name (s): Click here to enter text.
Street: Click here to enter text.
City: Click here to enter text.
State: Click here to enter text.
Zip: Click here to enter text.
Essay – Please limit your response to between 300 and 500 words.
What are your short and long term goals in life?
Click here to enter text.
Essay – Please limit your response to between 300 and 500 words.
Why are you the best applicant for this scholarship?
Click here to enter text.
5
6
7
8
9
Current Grade Level: Click here to enter
text.
CIS Site Coordinator: Click here to enter
text.
Address & Phone Number for School: Click
here to enter text.
Current Attendance Record: Click here to
enter text.
David Montalvo Memorial Scholarship Application
STATEMENT OF ACCURACY
I hereby affirm that all the above stated information provided by me to the David Montalvo Memorial
Scholarship Committee and Communities in Schools of the South Plains is true, correct, and without
forgery. I also consent that my picture may be taken and used for any purpose deemed necessary to
promote the David Montalvo Memorial Scholarship and CIS Program.
I hereby understand that if chosen as a scholarship winner I must provide Communities in Schools of the
South Plains with evidence of enrollment/registration at the post-secondary institution of my choice
before scholarship funds can be awarded.
Signature of Scholarship Application: ______________________________ Date: ___________________
The deadline for this application to be received by Communities in Schools of the South Plains is Friday,
January 29, 2016.