2010-2011 NAAAP/Verizon

Scholarship Application Form

* Last *Mid * First * Date of Birth * GPA unweighted
Name
* Street & Number * City * Zip * Country
Mailing
Permanent
* Cell * Home * Email Address
Phone:
*Gender * Race/Ethnicity * Citizenship * Year Language spoken at home
Other
* Current College or University * Major Minor
Education
* Intended Profession - Primary Intended Profession - Secondary (if any)
Profession
* How did you hear about the NAAAP/Verizon Scholarship NAAAP Chapter/venture affiliated with
Info
Who has the most influenced your direction in life and why ? Relationship with this person
Role
Model

Describe one time you have influenced a person or an organization

Impact

Leadership Experience: Please list at most four organizations on/off campus that you are a part of?
* Name * Role/Responsibility * Duration * Location * Contact
 Organization
#1

Organization
#2

Organization
#3

Organization
#4

* From your involvement above, describe one event that you are most proud of leading and why

Special
Event

Work Experience: List last three employers and compensated responsibilities

* Name * Title/Responsibility Duration Location Contact

Company
#1
Company
#2

Company
#3

Essay: Write the following three essays in the following works sheets
Essay #1, Please explain why you should be awarded one of the four NAAAP/Verizon $3,000 Scholarships (500
words or less in Essay 1 work sheet, access by selecting at the bottom

Essay #2 NAAAP is a leadership Organization, provide three ideas NAAAP can implement to create more leaders
within the Asian American communities (200 words or less in )

Essay #3: Please explain how you plan to get involved within the Asian American community (500 words or less
)
Essay #1, Please explain why you should be awarded one of the four NAAAP/Ve
$3,000 Scholarships
(500 words or less).
r NAAAP/Verizon
Essay #2 NAAAP is a leadership Organization, provide three ideas NAAAP can impl
create more leaders within the Asian American communities
(500 words or less).
AP can implement to
nities
Essay #3: Please explain how you plan to get involved within the Asian Amer
community
(500 words or less)
Asian American
Insert your latest photo here (less than 200K file size)
 Instruction
1. Electronic submittal of this application is due by 5:00 PM on Dec. 10 to be accepted.
2. If you need assistance with this form, please contact us at scholarships@naaap.org
3. Please do not leave any field blank; you should type in/write in "n/a" if not applicable.
4. If you cannot complete the electronic form due to visual impairment or limited access to the
electronic version of the application, please contact us for manual input and mailing
instruction
5. You must respond to all 3 essay questions. There is no word minimum, only a word
maximum.
6. Use "Backspace "instead of "Delete" key for removing word(s) in essays
7. Save your file using the naming convention provide as follow

Thank you for participating in the NAAAP/Verizon Scholars program. We look forward to getting to
about you!
 

Race/Ethnicit
Rate by

y
Gender

Total
Level
BD

Last Midle First GPA

-25
Scores

Rate by
Last
0
Midle
0
First
0

12/
30/ BD
99
0
GPA

0 Gender

Race/Ethnicit
0
y

0 Level
Dec. 10 to be accepted.
holarships@naaap.org
n "n/a" if not applicable.
ment or limited access to the
anual input and mailing

minimum, only a word

s) in essays

am. We look forward to getting to read and know

Finacial
Veteran
Married

Orphan

Intended Profession
Indep

School Major
0
School
0
Major
0
Primary

0 2nd

Indep
0
Married
0
Orphan
0
Veteran
0
 Finacial
Parent
Income

HousHold

Wrk/Week

Souce #1

Type

Amount

Souce #2

Type

Amount

Souce #3

Type

Scolarship Grand, Fellowship

Amount

Loan

Type

Amount

Grants

Type

Loans & Grants

Amount

Total
 Parent
0 Income
0
0 HousHold

Wrk/Week

0 Souce #1

0 Type

0 Amount

0 Souce #2

0 Type

0 Amount

0 Souce #3

0 Type

0 Amount

0 Loan

0 Type

0 Amount

0 Grants

0 Type

0 Amount

0 Total
 Leadership Special Work
Need (xxpts)

Role Impact Experience Event Experience Essays Value

Financial

Model Statmt Org #1 Org #2 Org #3 #1 #2 #3 #1 #2

Need (xxpts)
Financial 5 pts each + the 4th
5pts 5pts as bonus (40 Each)
 Essays Value

#3
Acadami
c (20pts)

Commun
ity

Recom Lttr
(20pts)
(40 Each)

Acadami
c (20pts)

Commun
ity
(20pts)