The Application is due by Mail: Friday, April 27, 2018 The scholarship applications must be mailed to:

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1 Dear Emma Nylen Schlarship Applicant, Enclsed, yu will find the fllwing: 1) Eligibility Requirements; and 2) Emma Nylen Schlarship Prgram Applicatin Apprximately schlarships are prvided thrugh the Bys & Girls Club f Greater Ventura Emma Nylen Trust Fund every year. Amunts awarded may vary frm as little as $ $1, In rder t be cnsidered, yu must have a GPA f at least 2.0 r higher, and either currently be r have been in the past, a resident f Ventura Cunty. The Applicatin is due by Mail: Friday, April 27, 2018 The schlarship applicatins must be mailed t: Bys & Girls Club f Greater Ventura Emma Nylen Schlarship Prgram 6020 Niclle Street, Suite D **In rder fr yur schlarship applicatin t be cnsidered, it must be hand delivered by 3:00 pm r Pstmarked n later than Friday, April 27, In additin, yu must submit the fllwing with yur applicatin: Certified, unpened transcript f yur last tw years f educatin (phtcpies, cmputer print uts, r pened transcripts will nt be accepted). Please nte, this may require bth a high schl and cllege transcript t meet the tw year requirement. One letter f recmmendatin frm ne f the fllwing: 1. Prfessinal Recmmendatin 2. Academic Recmmendatin 3. Cmmunity Vlunteer Recmmendatin Persnal Essay Statement, n mre than ne page in length, answering all f the fllwing questins: 1. What are yur career gals? 2. Hw d yur persnal values relate t yur career gals? 3. What are yur mtivatins in cntinuing yur educatin? **When applying fr the Emma Nylen Schlarship please read this packet in its entirety and plan accrdingly. Any applicatin received withut the required materials, will nt be cnsidered-n Exceptins.*** We wish yu the best f luck. Any inquiries shuld be directed t ur Crprate Office at (805) r by t denisec@bgclubventura.rg. Sincerely, Denise Claudi Schlarship Crdinatr 6020 Niclle Street, Suite D, 1

2 INTRODUCTION EMMA NYLEN TRUST SCHOLARSHIP PROGRAM Eligibility Requirements The Bys & Girls Club f Greater Ventura has had the hnr f being chsen by the late Emma Nylen t be the distributr f the funds in the Emma Nylen Charitable Trust. The purpse f the Charitable Trust, in the wrds f the Trust, is: t aid mtivated and needy students, at any level f higher educatin r training, wh find it difficult t defray the expenses f attending a schl f higher-educatin r a schl f technical r trade training, were it nt fr sme utside means f financial assistance. The Bys & Girls Club f Greater Ventura is charged with identifying and assisting these students and individuals. It is the hpe f the Bard f Directrs f the Bys & Girls Club f Greater Ventura that the funds being distributed frm this charitable trust will serve t aid thse wh wuld therwise nt receive assistance. It is als the hpe that the funds will g twards an educatin, which is helping ne achieve a higher educatin t be used in a field, which will benefit children in sme way. ELIGIBILITY The Charitable Trust is prhibited, and will nt discriminate with regards t sex, age, race, natinal rigin, religin, residence, r plitical affiliatin. It was the preference f Mrs. Nylen, thugh nt a requirement, that the recipients be yung men r wmen wh have cmpleted high schl and are under the age f thirty (30) years. It is als preferred that the recipients have been residents f Ventura Cunty at ne time. The Bys & Girls Club f Greater Ventura has established a Schlarship Cmmittee t review applicatins and identify thse eligible individuals. Final decisins will be made by the Bard f Directrs f the Bys & Girls Club f Greater Ventura. PROGRAMS The prgrams available under the Charitable Trust may be as varied as the needs f the individuals. It is the purpse f the prgrams t assist yung peple in furthering their academic and vcatinal educatin in rder t develp their ptential abilities. General categries f prgrams are as fllws: 1. Occupatinal training in a trade r technical prgrams (vcatinal arts). This prgram will assist eligible individuals thrugh grants, in whle r in part, fr tuitin, bks, supplies, and husing t a vcatinal training cllege r schl

3 preparing the applicant fr a specific ccupatin. The recipient must maintain satisfactry grades and attendance, and cmplete the prgram within the nrmal time perid. 2. Higher educatin r training fr attendance at junir clleges r fur year clleges. This prgram prvides funds tward tuitin, bks, supplies, r husing. The recipient must identify a curse f study. This recipient must maintain at least a C grade pint average and make twards degree. Any grades received belw a C may subject the recipient t disqualificatin, at the Bard f Directrs discretin. This prgram may prvide funds renewable annually. 3. Internships fr recreatin r childcare/develpment majrs already in an institutin f higher learning. Individuals wh are in such a prgram may be prvided funds fr tuitin, bks, supplies, r husing during the schl year. These individuals shall, as a requirement f receipt f funds under this prgram, cmmit t wrking as an intern during the summer mnths with an rganizatin f their chice, preferably in Ventura Cunty, which has its purpse as scial services fr children and yung adults f the cmmunity. The amunt f funds available under each f the abve prgrams is in the discretin f the Bard f Directrs f the Bys & Girls Club f Greater Ventura. It will be the plicy t, wherever pssible, pay funds directly t the prvider f services rather than the recipient under the abve prgrams. Funding under the prgrams may be fr all r a prtin f any ne particular expense r grup f expenses. This determinatin will be made by the Bard f Directrs based upn the ttal circumstances befre the Bard, including, but nt limited t, need f child, financial circumstances f family r child, ttal cst f prgram, cmpleted time fr prgram, funds available frm Trust, and number f ther respective recipients. A cpy f the applicatin is prvided. Schlarship Cmmittee f the Bys & Girls Club f Greater Ventura 6020 Niclle Street, Suite D (805)

4 Return cmpleted applicatin t: Bys & Girls Club f Greater Ventura Emma Nylen Schlarship Prgram 6020 Niclle Street, Suite D (805) EMMA NYLEN SCHOLARSHIP PROGRAM Schlarship Applicatin Frm STUDENT TO COMPLETE Date Received: Initials: Staff Use Only Instructins: 1.) Please print clearly in black r blue ink. 2.) This applicatin must be filled ut cmpletely r it will nt be accepted. Please give us a call fr any questins regarding the applicatin (805) Hme Student s Name: Phne: ( ) LAST FIRST MIDDLE Mbile INITIAL Phne: ( ) Address: STREET ADDRESS CITY STATE ZIP Address: DOB: / / Emplyed? Yes N Emplyer: Type f Emplyment Mnthly Earnings Address: STREET ADDRESS CITY STATE ZIP Hurs Wrked: Emplyer Phne: ( ) Marital Status Single Divrced Separated Married Widwed If married, is yur spuse emplyed? Yes N Number f Dependants? Are yu receiving financial aid fr dependents? Yes N Ages? If s, hw much per mnth? $ Are yu, r have yu been a Ventura Cunty Resident? Yes N If yes, please state which city: Are yu, r have yu been a BGCV Emplyee r Club Member? Yes Yes N (Emplyee) N (Member) 1 If yes, please state which Club:

5 Current G.P.A. EDUCATION STUDENT TO COMPLETE HIGH SCHOOL LOCATION CITY/STATE YEARS ATTENDED Year Graduated Cllege Attended? Yes N (Include trade/night/business schls) Cllege Lcatin City/State # f years attended Majr Year Graduated Are yu presently enrlled in schl? Yes N If yu have nt been accepted int a schl already, when d expect t receive acceptance? Please specify Are yu the recipient f any schlastic hnrs? Yes N Please specify List schl(s) yu plan t attend in rder f preference: Name f Schl City/State Accepted Majr Check the type f financial aid yu have applied fr, fr the schl(s) yu plan t attend: Lan: Natinal Defense Student Lan; Nursing Student Lan; Guaranteed Student Lan (specify amunt) Grants: Educatinal Opprtunity Grant, Student Nursing Grant, Pell Grant (specify amunt) Part-time Emplyment, Wrk-study, wrk grant (specify amunt) Tuitin Waiver (specify amunt) Other schlarship financial aid (specify amunt) Ttal amunt f financial aid applied fr: $ Will yu receive financial aid frm any f the fllwing surces? Vcatinal Rehabilitatin Veteran s Benefits Scial Security Other (specify) 2

6 STUDENT ESTIMATED INCOME & EXPENSES Incme and Expenses fr the Schl Year Applied fr Must be Filled in Cmpletely. STUDENT TO COMPLETE INCOME Per quarter semester year (check ne) EXPENSES Savings $ Tuitin $ Parent s Cntributin twards Schl $ Rm & Bard $ Summer Earnings $ Transprtatin $ Part-time Earnings $ Bks & Supplies $ Schlarships, lans & grants received t date $ Other needs $ Other Incme $ $ Ttal Incme $ Ttal Expenses $ Ttal Amunt Needed $ If yu cannt meet yur entire financial need, d yu still plan t g t schl? Yes N If s, hw? While at schl, will yu be maintaining yur wn residence? Yes N Applicant Signature Dated: Please attach the fllwing: Certified, unpened transcript f yur last tw years f educatin (phtcpies, print uts r pened transcripts will nt be accepted). One letter f recmmendatin frm ne f the fllwing: 1. Prfessinal Recmmendatin 2. Academic Recmmendatin 3. Cmmunity Vlunteer Recmmendatin Persnal Essay Statement, n mre than ne page in length, answering all f the fllwing questins: 1. What are yur career gals? 2. Hw d yur persnal values relate t yur career gals? 3. What are yur mtivatins in cntinuing yur educatin? Please mail yur cmpleted applicatin with attachments t: Bys & Girls Club f Greater Ventura Emma Nylen Schlarship Prgram 6020 Niclle Street, Suite D 3

7 Will yur parent(s) be spnsring yu during yur educatin? Yes N If yes, please have yur parent(s) fill ut the fllwing page. If n, yu d nt need t fill this page ut, but please include it with yur applicatin. PARENTS TO COMPLETE PARENTS CONFIDENTIAL STATEMENT (T be filled ut if Applicant is Being Spnsred by Parents) Parent Names: Address(es): Tel: ( ) - STREET CITY STATE ZIP Emplyer(s): STREET CITY STATE ZIP Tel: ( ) - ) ) NAME Emplyer ADDRESS NAME Emplyer ADDRESS Tel:( Tel:( Mnthly Earnings $ ; $ Length Of Emplyment 1) 2) Other surces f mnthly incme (list any amunts): Scial Security $ Aid t Dep. Children $ Veterans Benefits $ Other $ (Specify) Dependent children supprted: NAME AGE SCHOOL Family mnthly expenses: Rent/Mrtgage $ Miscellaneus: $ (bills, fd, etc.) Medical/Dental $ Car payments $ Other $ (Specify) Ttal Mnthly Expenses: $ I/We affirm that the freging infrmatin is true and cmplete t the best f my/ur knwledge: DATED: DATED: SIGNATURE OF PARENT SIGNATURE OF PARENT 4