Moorpark College Scholarship Application Employee/Dependent

Moorpark College Scholarship Application

Employee/Dependent
Information of Employee or Dependent Applying for Scholarship
Employee ID Number*
I am applying as a:*

Classified EmployeeSpouse, Child/Dependent, or Grandchild
Applicant First Name*
Applicant Last Name*
Applicant VCCCD Email*
example@my.vcccd.edu
Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Self (MC Classified Employee) working towards a degree or certificate:
Self (MC Classified Employee) Professional Development (provide attachment or link to program website):
Spouse, Child/Dependent or Grandchild - working towards a degree or certificate:
If you checked Spouse, Child/Dependent or Grandchild, list the name of the MC Classified Employee:

First NameLast Name
Eligibility Criteria:
- Classified Employee seeking to enroll (or currently enrolled in) a professional development course at ahigher learning accredited institution or working towards a degree or certificate.
- Spouse, Dependent(s) or Grandchild of a MC Classified Employee currently enrolled at a higher learning accredited institution working towards a degree or certificate.
1. Applicant must be an undergraduate or graduate student in a degree-seeking program

2. Full-time or Part-time (6 or more units) – transcripts must be submitted to verify enrollment.

3. GPA of 2.5 or higher
Essay Prompt

For Classified Employee:

Please describe in detail, how this scholarship award would impact your work? Explain how you will apply/incorporatewhat you have learned and integrate it with your work.

For Spouse, Dependent(s) or Grandchild of Classified Employee:

Please describe in detail, how this award will help achieve your educational goals and include specific examples if possible.
Please upload your essay & additional attachments here*

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I authorize the college to release requested information from my student records to validate scholarship eligibility, and use my name for publicity purposes if I am awarded a scholarship. I also authorize my email to be shared with the Moorpark College Foundation.
Please attach Unofficial Transcripts*

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Applicant’s Signature*

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Moorpark College Scholarship Application

Information of Employee or Dependent Applying for Scholarship