2. VALLEY GUARDIANS EXECUTIVE LEADER SCHOLARSHIP APPLICATION

VALLEY GUARDIANS EXECUTIVE LEADER SCHOLARSHIP APPLICATION
Scholarship Overview

The Valley Guardians Executive Leader Scholarshipis need/meritbasedundergraduate scholarship awarded texceptional high school students, living in Arizona, who need financial support to continue their dreams and success through continued education The Valley Guardians Executive Leader Scholar is unique among their peers in their desire to figure out who they are, their expertise and what they want and how to translate that into adding value to society. In addition to the life skills and leadership mentoring provided to awarded recipients, the scholarship may cover the following things: full tuition, fees, books, continued education, internships and room and board. The financial benefits of the scholarship will be shaped for each scholar to ensure they have enough mentorship and financial support to achieve their goals.

As a need/merit-based program, the Valley Guardians Executive Leader Scholarship is open to all applicants, living in Arizona, regardless of race, religion, sexual orientation, or any other background factors. Winners are selected based on three distinct criteria which demonstrate the applicants financial need, personal accountability, and past achievements.

Award: 2-4-year Undergraduate Scholarship
Selection Criteria
- Financial need. The applicant must demonstrate that they need the financial support. This can include but is not limited to (1) personal efforts to raise money through paid employment, other scholarships, FAFSA, and family members. (2) due diligence in selecting a cost-effective option for their path of continued education.
- Personal accountability. The applicant must demonstrate that they are committed to developing themselves and becoming contributors to society. This can include but is not limited to a life plan and goals; and specifically, how their training/education will contribute to that life plan.
- Past achievements. The applicant must demonstrate any exceptional achievements they have made so far in life. This can include but is not limited to (1) academic success (2) involvement in extracurricular activities (3) participation in the community and (4) contributions in the home.
Application Components:

This application includes two major sections:
- Section 1: Student Applicant Profile (page 2)
- Section 2: Financial and Household Information (page 4)
- Application deliverables:
  1. Completed application form [Section 1 and 2]
  2. Cover letter, Resume, Professional Photo
  3. Two Letters of Recommendation
  4. Transcript Certifying Academic Performance
  5. A PowerPoint presentation about you and your life plan
Application Process:

Accepting Applications: Now
Application Deadline: 3/31/2023 [Submit to Team@LeadAZ.org for evaluation by the Selection Committee].
Evaluation:
- Once application is received, you will be scheduled to meet with the Leadership Society of Arizona (LSA) for an initial interview. Incomplete applications will be disqualified.
- If you pass the interview, LSA will schedule a time for you to come to their home office and help you put your financial plan based on your needs.
- Once complete, LSA will submit your plan to the Selection Committee for evaluation and their determination.
- During April, the Selection Committee will complete their evaluation, and select candidates will be invited to virtually meet the full Selection Committee for a personal presentation and interview. Each presentation/interview is expected to be around 30 minutes.
- In May, the Selection Committee will identify their selected Finalists and LSA will begin the onboarding process.Award Announcement: Up to 8/5/2023
- Student accepted will be invited to virtually meet with Selection Committee the awarded scholarship.
Section 1: Student Applicant Profile
General Information
First and Last Name
Email
example@example.com
Phone
Address (address, city, state, zip code)
Gender
Ethnicity
Birthdate / Age

MonthDayYear
Date
Job
Monthly Income
Please give a short description to help us better get to know you (strengths/limitations, what you love, your vision and how you feel the scholarship will help you
Please provide a simple plan on the education and training needed to achieve your goals below. Plan should include a timeline.
High School Information:
High School
Designation [Public, Private, Etc.]
School Address [city, state, zip]
Current GPA
SAT/ACT Score
AP or IB Courses/Exam Score (if available)
Expected Graduation Date from High School

MonthDayYear
Date
Leadership Experience:
Are you in an existing Valley Guardians supported program?

YesNo
Have you successfully graduated from a Valley Guardians supported program?

YesNo
Which Valley Guardians or Valley Guardians Associate is nominating you?
Total Internships:
Total Hours
Have you completed a Resume?

YesNo
Community Services Hours
Gave a Presentation on Yourself

YesNo
Won a Valley Guardians supported program award:

YesNo
Employment History: please list below
1.
(MM/YY)
2.
(MM/YY)
3.
(MM/YY)
4.
(MM/YY)
Awards / Extracurriculars / Community Service:
1.
(MM/YY)
2.
(MM/YY)
3.
(MM/YY)
4.
(MM/YY)
5.
(MM/YY)
6.
(MM/YY)
7.
(MM/YY)
Section 2: Financial Information

Be aware that before acceptance, documentation and a home visit may be requested to verify information provided.Program Overview: Fill totals in from individual sections below.
Total Cost of Program Choice
Total Personal Income
Total Personal Expenses
Difference (Support Needed)
Program of Choice Information:
Program Applying To
Application Acceptance Notice (MM/YY)
# of Years/Months to Complete Program
Major Interest (if college)
Trade/Vocation Interest (if other)
Expected Start Date (MM/YY)

MonthDayYear
Date
Expected Graduation Date (MM/YY)

MonthDayYear
Date
First Generation College Student

Yes:No:
Cost of Program Tuition per Year
Cost of Program Books per Year
Cost of Program Room and Board per Year
Cost of Program Books Per Year
Mode of Transportation and Cost Per Year
Cost
Transportation Mode
Transportation Mode
Total Cost of Transportation
Income [Employment, FAFSA Awards, Parent Support, Donors, Scholarships, etc.]Heading

List all expected money applicant will earn or be given over the life of the program.

	Type (Job, FAFSA Etc.)	Frequency of Payment [One Time, Monthly, Yearly, etc.]	Income
1
2
3
4
5
6
7
8
9
10

Submitted for FAFSA

YesNo
If FAFSA was not submitted, are you planning on submitting

YesNo
Total Income
$ per Semester
$ Per Year
Estimated Breakout of Monthly Personal Expenses When Attending Your Continued Trade/Vocational EducationHeading

List all expected expenses applicant will have over the life of the program.
Housing (rent, mortgage, taxes, insurance, etc.):
Utility (gas, electric, water, etc.):
Telephone and internet:
Medical (insurance, medication, visits, etc.):
Transportation (car mortgage, bus fare, gas, etc.):
What are your monthly essential personal costs (food, clothes, supplies)?
Please list any other major monthly expenses:
Item 1 details:
Item 1 expenses ($):
Item 2 details:
Item 2 expenses ($):
Item 3 details:
Item 3 expenses ($):
Item 4 details:
Item 4 expenses ($):
Total Personal Expenses:
Total Personal Expenses (Monthly):
List steps taken below, to help support yourself financially over the life of the program:

Household size (# of people living in household). Please list all household members below in order:

	# of People in Household	Household Names	Ages	Relation to Applicant
1
2
3
4
5
6

Please list any household members who are currently employed or receive income:

	Household member Name:	Employer Company and Contact Name:	Employer Phone:	Member Position:	Monthly Income
1
2
3
4

Please mark the answer that best fits your current housing situation:

ApartmentHouse RenterHouse owner (mortgage)House owner (paid off)Other
Useless but don't know if there is data attached
Total Household Monthly Income
Are you receiving government nutrition assistance (SNAP)?

YesNo
Are you receiving government healthcare assistance? (AHCCCS)

YesNo
List other sources of financial assistance or income you are receiving (unemployment, alimony, social security, etc.):
Breakout of Monthly Household Expenses (Must be filled out by parent/guardian)

Please give your estimated monthly expenses:
Housing (rent, mortgage, taxes, insurance, etc.):
Utility (gas, electric, water, etc.):
Telephone and internet:
Medical (insurance, medication, visits, etc.): $
Transportation (car mortgage, bus fare, gas, etc.): $
What are your monthly essential personal costs (food, clothes, supplies)?
Please list any other major monthly expenses:
Item 1 details:
Item 1 expenses ($):
Item 2 details:
Item 2 expenses ($):
Item 3 details:
Item 3 expenses ($):
Item 4 details:
Item 4 expenses ($):
Total Monthly Household Expenses:
FINAL SIGNATURE

I swear under penalty of perjury that the statements and documents provided about myself and persons in my home including information about school GPA, household financial information and the child applicant information are true
and correct to the best of my knowledge, and that I have not withheld information.

I, the undersigned parent, guardian, or legal representative, indicate that I have read this document and provide my consent for the application into the Valley Guardians’ Executive Leadership Program for the aforementioned child and I
represent that I am at least eighteen (18) years of age and am fully competent to sign this Release, and all household and financial information is accurate and can be verified.
Print Parent/Guardian/Representative
Student Applicant
Parent/Guardian/Representative Signature

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VALLEY GUARDIANS EXECUTIVE LEADER SCHOLARSHIP APPLICATION

Scholarship Overview

Selection Criteria

Application Components:

Application Process:

Section 1: Student Applicant Profile

General Information

High School Information:

Leadership Experience:

Employment History: please list below

Awards / Extracurriculars / Community Service:

Section 2: Financial Information

Program of Choice Information:

Mode of Transportation and Cost Per Year

Income [Employment, FAFSA Awards, Parent Support, Donors, Scholarships, etc.]Heading

Estimated Breakout of Monthly Personal Expenses When Attending Your Continued Trade/Vocational EducationHeading

Please list any other major monthly expenses:

Breakout of Monthly Household Expenses (Must be filled out by parent/guardian)

Please list any other major monthly expenses:

FINAL SIGNATURE