Kaitys Way

P.O. Box 83494 Phoenix, Az 85071 www.Kaitysway.org Phone: (602) 740-2734 Fax: (602) 564-1952 Tax ID #26-3442791 Kaitys Way BB Scholarship Amount: $600.00 Basic requirements: Student must
be a high school senior or recent High School graduate (with in last 2 years) at the time of application. attend or plan to attend a Maricopa Community College in Maricopa County, Arizona and be willing to provide proof of registration. have chosen a public service career in one of the following fields as direction of study.

Number of Recipients: 1

Education & Teaching Social Work Behavioral Health Community Health Worker

Criminal Justice Fire Fighter/EMT/Paramedic Volunteer Coordination Non Profit Management

write a 400 to 600 word essay on the topic of teen dating violence. write a 400 to 600 word essay explaining: o applicants need for the scholarship o educational goals in public service o what have you done to further your educational goals and how will this scholarship help you attain those goals o volunteer experience. complete and attach an application form. provide High School transcript. have a GPA of at least 3.0. submit a minimum of two (2) letters of recommendation but no more than three (3). o 1 letter- must be from a personal perspective o 1 letter- must be from an academic perspective

Each student may only apply once a cycle for said scholarship

P.E.A.C.E.
Patience Empathy Acceptance Caring Equality

Scholarship open date: February 1 annually Scholarship deadline for submission: May 1 annually Winner of Scholarship will be informed by no later than June 15th. The scholarship recipient and up to parents will be guests of Kaitys Way to the Kaitys Way annual Signature event, Celebrities/Heroes Step Against Teen Dating Violence, held in July where a formal announcement will take place. The winning recipient of this scholarship will be required to volunteer at least 10 hours to include planning and attending the Kaitys Way annual Signature event, Celebrities/Heroes Step Against Teen Dating Violence, held in July. Judging of the essays will be based on the following criteria:
Each essay must reflect the student's own research, writing and original thinking. Essays are required to be at least 400 words but no more than 600 and must be typed within the following criteria o 12 point font o Arial or Calibri style of type o Double spaced

Scholarship will be paid directly to the Maricopa Community College of the recipient students choice. All submissions should be post marked by no later than May 1, 2013 and sent to: Kaitys Way P.O. Box 83494 Phoenix, Az 85071 Any submissions received with a post mark later than May 1, 2013 will not be considered.

Please note, Kaitys Way employees and their families, Board members and their families, volunteers and their families are not eligible to apply for this scholarship.

Kaitys Way
P.O. Box 83494 Phoenix, Az 85071 www.Kaitysway.org Phone: (602) 740-2734 Fax: (602) 564-1952 Tax ID #26-3442791

Please type or print your answers. If application is illegible it will be returned to you. 1. 2. Last Name: First Name: Mailing Address:: Street: _________________________________________________________ City: 3. 4. 5. Daytime Telephone Number: ( Date of Birth: Month ) Day Year Number of years attended: State: ZIP:

Current High School:

6.

I will be attending the following school in the Fall of 20

: ___________________________________

Proof of acceptance or current student enrollment from the above school is required prior to the release of funds to the school.

7.

I will be entering the above-mentioned school as a: (Circle one) Freshman Sophomore

8. 9.

Grade Point Average (GPA): __________

(On a 4.0 scale)

Attach proof of GPA. Your most recent official school transcript required.

Name & address of parent(s) or legal guardian(s): Use reverse side of application if you need more space. Name (s) ______________________________________________________________________________ Street: ___________________________ City:_____________________ State: ______ ZIP:_____________ Home phone of parents or legal guardians:

10.

Name and city of other high schools attended:

Number of years attended:

P.E.A.C.E.
Patience Empathy Acceptance Caring Equality

11.

List the name of any college you have attended.

Year Began

Year Ended

Year Graduated (If applicable)

Type of Degree Received (If applicable)

12.

A. B. C. What specialty/major do you plan to major in as you continue your education?

13.

List your academic honors, awards and membership activities while in high school or college:

STATEMENT OF ACCURACY I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the Kaitys Way BB scholarship program. I hereby understand that if chosen as a scholarship winner, according to Kaitys Way BB Scholarship policy, I must provide evidence of enrollment/registration at the post-secondary institution of my choice before scholarship funds can be awarded.

Signature of scholarship applicant: _________________________________ Date: _______________________

REMEMBER The deadline for this application to be received or post marked is May 1, 2013