CCD Scholarship Application Form

The Community Celebrating Diversity Scholarship

The Community Celebrating Diversity Scholarship is funded by the corporate sponsors of the annual Dr. Martin Luther King Jr. celebration and Community Celebrating Diversity (CCD).

Under this program, CCD sponsors five $2,500 scholarships to high school graduates who show promise of continued excellence in an effort to recognize and promote student excellence and achievement. The scholarships will be awarded thusly: two for pursuing a STEM degree and three for general education. These scholarships are for study at post-secondary institutions of higher education in Arizona. Student recipients under this program are known as “Community Scholars”.
Description:

The scholarships can be utilized for the “cost of attendance” at any postsecondary institution of higher education in Arizona. Postsecondary is defined as a two-year college, technical, vocational, or 4-year university. Awards will be granted on the basis of academic achievement, demonstrated community service, financial need, and an essay on the importance of respecting diversity.
Selection Criteria:

The selection criteria and procedures are designed to ensure that all eligible students receive consideration without regards to race, color, national origin, sex, religion, disability, sexual orientation, or economic background.

The following selection criteria are utilized in identifying “Community Scholars”:
- The eligible student must be a full-time resident of Arizona and has community involvement in Scottsdale.
- The eligible student must be a U.S. citizen, or provide evidence that he or she is a permanent resident of the United States.
- The eligible student must be a graduating high school senior with a minimum GPA of 2.8 on a 4.0 scale.
Award Selection

Scholarship recipients will be selected on a competitive basis using a combination of criteria, including financial need, community service involvement, academic performance, leadership and essay.

Award recipients will be notified by 5/3/2021. A recognition ceremony is tentatively scheduled for 5/12/2021.
Please select which application you are applying for (select one): *

STEM Scholarship General Education Scholarship
Application Process
The eligible student must submit the online Community Celebrating Diversity Scholarship application to receive consideration for a scholarship. The application must include the following information:
- Student application including, all required fields, a summary of involvement with the Scottsdale community, leadership activities, honors/awards, and any work experience
- An essay focusing on how your leadership and community service has had a positive impact on fostering diversity within the Scottsdale community
- Official transcript
- Two letters of recommendation
DEADLINE FOR THE APPLICATION IS MARCH 22ND, 2021.

BASIC INFORMATION
Student's Full / Legal Name *

First Name Last Name
Student Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student Phone Number *

Area Code Phone Number
Student E-mail *
Are you a U.S. Citizen? *
Student Birth Date *

Month Day Year

Academics
High School Name *
High School Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Anticipated Graduation Date *

Month Day Year
Date
Unweighted GPA (4.0 Scale) *
Weighted GPA (5.0 Scale) *
Please attached a copy of your latest transcript: *

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Schools to which you are applying
School 1 *
School 2
School 3
Major(s) You Are Considering

In order of preference, list the major(s) you are considering:
Major 1 *
Major 2

ESSAY QUESTION

Please answer the following in no more than 500 words.
In order to complete your application, please provide a 500-word or less essay on the importance of respecting diversity and how your leadership and community service has had a positive impact on fostering diversity within the Scottsdale community: *

0/500

REFERENCES:

Please list one educator and at one community member who has provided a recommendation letter for a scholarship.
Reference 1: Educator or School Representative (Position, Phone Number) *
Reference 2: Community Member (Position, Phone Number) *
Please attached your letters of recommendation: *

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SCHOOL, COMMUNITY ACTIVITIES, WORK, EXPERIENCE, SPORTS, AWARDS, ETC:

List name of club, etc. and years of participation. If you volunteered, list the name of organization and estimate the number of hours, weeks, and years that you volunteered. If you worked, list the company, hours per week, and length of time.
Please use N/A if the field does not apply to you.
School Activities 1 *
School Activities 2
School Leadership Activities
Community Service / Volunteer Activities 1 (inside of school) *
Community Service / Volunteer Activities 2 (outside of school) *
Community Service / Volunteer Activities 3 (outside of school)
Sports Participation 1 *
Sports Participation 2
Sports Participation 3
School / Community Awards and Honors (no matter how small) - CSF, GSE, National Honor Society, Girl/Boy Scouts, 4-H, Governor’s Scholar, etc. *
School / Community Awards and Honors 2
School / Community Awards and Honors 3
EMPLOYMENT 1: List past and present work and length of time employed. *
EMPLOYMENT 2: List past and present work and length of time employed.
EMPLOYMENT 3: List past and present work and length of time employed.

NEEDS BASED SCHOLARSHIP INFORMATION
Directions
Please describe, in a short paragraph, the circumstances surrounding request for financial assistance for college, so we can better understand any unfulfilled financial need. (Please explain any unusual circumstances such as emergency expenses, medical bills, seasonal work, family unemployment, etc.) *
SCHOLARSHIP RECEIVED TO DATE 1
AMOUNT 1
SCHOLARSHIP RECEIVED TO DATE 2
AMOUNT 2

REMINDER AND CERTIFICATION
Reminder

Have you filled out the application in its entirety? Have you attached the two letters of recommendation? Have you completed your essay? Have you attached your transcript?
Certification

By typing my name below, I certify that the above information is accurate and correct to the best of my knowledge. I authorize the CCD Scholarship Committee access to my records to verify the above information.
Student Signature (Please Type Name): *
If you are having any technical difficulties filling out this form please contact Joe Rusin at jrusin@healthworldeducation.org or 480-205-8620.
Should be Empty:

The Community Celebrating Diversity Scholarship

Description:

Selection Criteria:

Award Selection

BASIC INFORMATION

Academics

Schools to which you are applying

Major(s) You Are Considering

ESSAY QUESTION

REFERENCES:

SCHOOL, COMMUNITY ACTIVITIES, WORK, EXPERIENCE, SPORTS, AWARDS, ETC:

NEEDS BASED SCHOLARSHIP INFORMATION

Directions

REMINDER AND CERTIFICATION