NJTESOL/NJBE, Inc.
The Héctor R. Villafañe Memorial Scholarship
fund is offering one $1000 scholarship for a Hispanic student who is or has
been enrolled in ESL or bilingual classes at the secondary level. We request that you distribute the
information to the guidance departments in the high schools in your district,
as well as to eligible students. Please
encourage them to apply. This
scholarship is specifically targeted for the Hispanic populations we serve. Héctor R. Villafañe was a strong advocate for bilingual education as
a means of empowerment for Hispanic students and actively inspired and mentored
young people to achieve their higher education and professional goals.
The applicant must be:
The application consists of five items. Each of the
five items is considered carefully in selecting the scholarship winners. Forms
for Parts I-IV are attached. Item five must also be included in order to
complete the application. Follow the directions explicitly. Incomplete
applications will not be considered. ALL documents MUST be submitted in the same envelope in order to be
considered.
*The complete essay
MUST reflect the students’ own efforts without editing by others.
The
application packet must include the following items, which will be considered
in the selection of the two scholarship winners:
Checklist
Typed, double-spaced, 500 words or less.
of NJTESOL-NJBE,
Inc.
5. Part V: Current N.J. high school official
transcript with ESL and/or _______
Bilingual classes highlighted.
DEADLINE ***Scholarship applications and all required
materials must be RECEIVED BY March 1, 2012. No exceptions. Applications without all of the required
information will not be considered. Do not send the required materials
separately. All required materials MUST be received together. Any incomplete or
late applications will NOT be considered.
Mail to:
Tina Kern
34 Colonial Woods Drive
West Orange, NJ 07052
PART I. PLEASE PRINT ALL INFORMATION IN THIS
SECTION.
Name ___________________________________________________________Phone
_____________________
(first) (last)
Address
__________________________________________________________ Zip______________________
Date of Birth
________________________ Parent/Guardian
Name__________________________________
Native Language/Country
___________________________________ Sex:
Male ___Female ____
Years in which you received
Bilingual/ESL services: From
_______________ to __________________
High School ______________________________ School Address
___________________________________
Principal _________________________________ Phone _____________________________________
Counselor ________________________________ Phone
_____________________________________
Have you applied to any colleges or universities? …………… Yes _________ No __________
If ‘yes’, which institutions:
_________________________________________________________________________
Have you been accepted at any post-secondary institution? Yes _________ No
__________
Where do you plan to attend school in September?
______________________________________________________
How long have you been in the
United States? ___________
When did you first attend
school in the U.S? Year:
__________ Grade ____________
List all ESL/EFL Classes you
took in your country: _______________________________________________________
List
extra curricular activities in the space below. Use additional
paper, if necessary.
|
ACTIVITY |
GRADE LEVEL |
YEAR |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
List membership in any local or national honor societies:
Society: ________________________________________________ Year _________
Society: ________________________________________________ Year _________
List interests and/or hobbies: ____________________________________________________________
_____________________________________________________________________________________
List work experience or volunteer
work. Include month and year. (Use another sheet of paper, if necessary.)
_____________________________________________________________________________________
Please list local
newspapers for press release: ___________________________________________________________________________________________
PART II: BIOGRAPHICAL
STATEMENT: The answer to the following
question must be handwritten clearly
by the student applicant and limited to the space provided below.
Why do you think
you should receive this scholarship? Explain. Give reasons to support your
answer. _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
PART III: INSTRUCTIONS
FOR THE ESSAY
(TO BE TYPEWRITTEN ON A SEPARATE PIECE OF PAPER)
Applications will be judged anonymously. All identifying information must be written on the back of the essay, NOT on the front. Please use a separate sheet of paper to compose your essay around the question: “What does ‘Siempre para adelante’ mean to you?” Limit the essay to 500 words. Although you may discuss and brainstorm the topic with peers and teachers during the pre-writing stage, your final draft must be yours exclusively.
The selection
committee will base the evaluation of your essay on the message contained in
your writing and the unique form in which YOU express it. In summary, the committee wants to consider
an essay for which you can claim ownership because it contains your true
feelings and thoughts. The essay
must be your work with no editing by others.
**Please
complete the following certification**
I,
____________________________________ certify that the essay and open-ended
question are my own work with no editing by others. We
give permission to NJTESOL/NJBE to edit and publish the essay with the applicant’s
name and photo if this association deems it appropriate. To the best of my knowledge, all the
information contained in the information packet is accurate.
_____________________________________________ _______________________________
Signature of Applicant Date
________________________________________
Signature of Parent/Guardian
NJTESOL/NJBE, Inc.
PART IV: The
Héctor R. Villafañe
Memorial Scholarship Recommendation
Form
School: ________________________________________________________________________
To
the teacher: The student from whom you received this form is a
candidate for a $1,000 scholarship offered by our association. The selection
committee would appreciate your candid response to the following questions.
Please place the recommendation in a sealed envelope, write your signature over
the seal and return it to the student. The student needs to include it with
his/her application materials, all of which MUST be received by March 1, 2012. Applications
received after that date, and incomplete applications will not be considered.
Why do you
recommend this student for this scholarship?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
*Teacher’s Name Email: ________________________
Signature
Date _________
Address Phone # ______________
Part
V. Transcripts (include in application packet).
All Bilingual/ESL Courses MUST be highlighted.
*Referring teacher
MUST be a member of NJTESOL-NJBE, Inc.