Application Form Questions:

Email

Eligibility Criteria for 2023 Scholarship Program

Applicants are eligible to submit an application for the 2023 Casa Hispana Scholarship Program, only if they meet ALL criteria within the following questions.

Please select “YES” ONLY if you are a resident of one of the following counties: Calumet, Outagamie, Winnebago

·       YES – I am a resident
of one of the following counties: Calumet, Outagamie, Winnebago

·       NO

Do you require an F-1 Visa? Foreign Academic Student Visa to study in the United States

·       YES 

·       NO

I am at least 50% Hispanic/Latinx.

·       YES 

·       NO

Applicant Information

·        First Name

·        Last Name

·        Phone Number

·        Address

·        City

·        County

·        State

·        Zip Code

Information about school you are currently attending (If there is no current school you are attending, please provide information of the previous school you attended.)

·        School Name

·        School Address

·        Cumulative GPA at school currently attending (numeric) Minimum student grade point average (GPA) of C or the numerical equivalent. Please note that the GPA is only one measure of academic excellence and that it is only one of the criteria used by the scholarship committee in assessing one’s academic performance. Equally important is the applicant’s motivation, demonstrated improvement in his/her academic performance resulting from overcoming challenges and barriers to academic excellence, and the level of difficulty of

the applicant’s coursework.

Background Info

Hispanic Heritage (select the category that most clearly characterizes your heritage)

·        Mexican

·        Central American

·        Caribbean

·        South American

·        Spanish

·        Other

What languages do you speak? (Specify proficiency as beginner, intermediate, advanced)

What languages to you read/write? (Specify proficiency as beginner, intermediate, advanced)

2023 – 2024 Academic Information

Info about the school you will be attending the 2023-2024 academic year 

·        School Name

·        School Address

·        College Major

·        College Minor

·        Expected Graduation Date

Awards, Recognition, Volunteerism, Leadership

Honors, awards, or recognition

List any honors, awards or recognition you have received for scholastic or other achievement and the dates you received them (Include name of honor or award, organization honoring you, reason for recognition, year awarded.)

Extra-curricular activities

Tell us about extra-curricular activities in which you have participated during school. Include sports, clubs, yearbook, newsletter, debate team, offices held in student government, service to family (as in caring for siblings, relatives), etc. Per activity state your role, dates of involvement (from – to), the number of hours per week, and any other information you’d like to share.

Community Service & Volunteer Activities

A description of the community service and volunteer activities. List any community volunteer activities in which you have participated and describe your specific role in these organizations including the years when you participated. Per activity state your role, dates of involvement (from – to), the number of hours per week, and any other information you’d like to share.

Employment

Employment History

List your employers, if applicable. For each employer, list name of employer, position, start date, end date, full time or part time.

Financial Information

Explain how you are planning to pay for your education. For example: financial aid, work, scholarships, savings, and other contributions.

Documents

Casa Hispana requires some documentation to verify your eligibility for the scholarship. Please attach a scanned copy or good quality (legible) photo of the documents requested.

School Transcript – current transcript from a high school, college or a previous school

Acceptance letters – Proof of acceptance to a technical college, university or certificate program. If you are currently enrolled in university, please attach a scanned version of your current registrar’s courses.

Letters of Recommendations (at least 2 required)         

At least one must be academic. You must open link and copy and paste the URL, and share it electronically with those who will provide you with a recommendation. Recommendations will only be accepted online. [Recommendation Form Link]

Individuals providing you with a recommendation must not be a family member. You MUST receive at least 2 recommendations, and at least one of them must be academic (from a teacher, guidance counselor, coach), the other one may be from an employer, supervisor, etc. We need recommendations that give specific examples of performance or character that were observed.  

If we do not receive at least 2 recommendations by the deadline, your application will be marked “Incomplete”, and will be disqualified from the process. You will need to send the following link to the individuals who will be submitting recommendations for you. [Recommendation Form Link]

Essay

Please answer the following questions in a clear and concise manner.

Essay Question One: Tell us about your background – In 500-1,000 words, share about your family history (including parents/guardian, siblings), heritage, life, and/or work/school experiences that have influenced you as a Hispanic/Latinx leader in your community. 

Essay Question Two: Leadership Essay – In 300-500 words, share how the Casa Hispana Scholarship will contribute to your success as a future Hispanic/Latinx leader in your community?

Essay Question Three: In 250-300 words, what is your biggest accomplishment and what were the resources you used to accomplish this?

Signature

I hereby certify, by typing my full name below, that all information provided by me on this scholarship application is true and complete to the best of my knowledge. I understand that any falsification or significant omissions of information may result in disqualification from consideration for this scholarship. I acknowledge that the discovery of such falsification or significant omissions may constitute sufficient grounds for revocation of any scholarship award granted.