Vicenza Community of Color: Supporting Change Agents Scholarship Application

Scholarship Application Form

Application Deadline - December 6, 2024
The Vicenza Community of Color is an organization that serves the U.S. Military community. We recognize its history of breaking cultural barriers. Therefore, as an organization, we would like to celebrate diversity and service for spouses and dependents of service members who are minorities on their journey to become change agents in their community presently and in the future.

Scholarship Award: $500 (11th & 12th graders)

Read and follow the instructions carefully prior to submitting your application. All winners will be notified on or before the 31st of December.
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation. All winners must be awarded in person where they will present their submission essay during the Vicenza Cmmunity of Color Martin Luther King Jr. Prayer breakfast in January.
Terms and Conditions*
I. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Mobile No*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*

MaleFemale
Are you a US citizen?*

YesNo
Please check your veteran status.*

Child of active-dutyChild of a VeteranSpouse of active-dutySpouse of a Veteran
Please check your status at the time of application.*

I will graduate in May 2025I will graduate in May 2026I am a dual credit studentI have attended college but have at least 32 or more college credit hoursI am a GED graduate with no college credit hoursI am an entrepreneur
Are you a first generation college student?*

Yes, I am the first among my parents or grandparents to attend college.No, one or both of my parents or grandparents have attended college.
Major Area of Study. *
Please indicate what is your major are of study
If Other, Please Identify Major Area of Study
What is your career objective?*

0/300
II. High School Information
High School Attended*
Year of High School Graduation or GED*
Most recent cumulative GPA*
High School activities, community activities, volunteer work, honors, offices held*
IV. For Transfer Students Only
Most recent college attended and cumulative transfer GPA
V. For Students Currently Enrolled at (School Name)
Approximate credit hours completed by May 2025
Current GPA
School activities, honors, offices held, etc.
VI. Extras
(School Name) administers many scholarships designed to offer aid to students that represent unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Do you plan to complete your 4-year degree?*

YesNo
Do you plan to complete your two-year degree?*

YesNo
Do you plan to transfer to another college and complete a 4-year degree?*

YesNo
Are you a GED recipient?*

YesNo
Were you born outside the USA?*

YesNo
If so, which country?*
Were your parents born outside the USA?*

YesNo
If so, which country?
In addition to a scholarship, would you like to be considered for volunteer opportunities with the Vicenza Community of Color?*

YesNo
Will you be working while attending school?*

YesNo
If so, will you work*

Full-timePart-time
VII. Essay
Your essay should be 100-200 words. Essay prompt: Martin Luther King Jr. created social change by advocating for equal rights for all regardless of color. Tell us about your experience in the Vicenza Military Community that motivates/inspires you to make change and what change would you make?
Essay*

0/200
VIII. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Signature*

Powered by Jotform SignClear
The Vicenza Community of Color is committed to equal opportunity in the services provided. The organization does not discriminate in any program, activity, or person on the basis of race, color, religion, gender, age, disability, marital status, or any other protected class. There is an understanding that the Vicenza Community of Color is an organization geared toward providing opportunities for minorities who are associated with the military community located in Vicenza, Italy.
Should be Empty:

Scholarship Application Form

I. Personal Data

II. High School Information

IV. For Transfer Students Only

V. For Students Currently Enrolled at (School Name)

VI. Extras

VII. Essay

VIII. Applicant's E-Signature