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2014 College TLG Scholarship Forms

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  2014 Through the Looking Glass Scholarships p. 1 of 11 2014 THROUGH THE LOOKING GLASS SCHOLARSHIP ANNOUNCEMENT AND APPLICATION Through the Looking Glass and its National Center for Parents with Disabilities and their Families are  pleased to announce new scholarships specifically for high school seniors or college students who have  parents with disabilities. A total of fifteen $1000 scholarships will be given out Fall 2014. These scholarships are part of Through the Looking Glass’  National Center for Parents with Disabilities and their Families. There are separate eligibility requirements for high school seniors and for college students: 1. High School Seniors.  To be eligible, a student must be a high school graduate (or graduating senior) by Summer 2014, have at least one parent with a disability, and be planning to attend an accredited technical or vocational school or a two- or four-year college in Fall 2014. Those planning to attend a two- or four-year college should be pursuing an AA, AS, BA or BS degree. 2. College Students . To be eligible, a student must be currently enrolled in an accredited technical or vocational school or a two- or four-year college with continued enrollment through Fall 2014, have at least one parent with a disability, and be 21 years of age or younger as of March 17, 2014 . Those enrolled in a two- or four-year college should be pursuing an AA, AS, BA or BS degree. All application materials must be postmarked by March 17, 2014. Individuals may submit only one application per award period. Selection criteria for all scholarships include academic performance, community activities and service, letter of recommendation and an essay describing the experience of growing up with a parent with a disability.  Five of the fifteen 2014 scholarships will also consider extreme financial hardship (poverty level) in addition to the above criteria. Please read the Financial Need section on the Application Form if you wish to be considered for one of the five scholarships that also consider financial need. These Scholarships are also part of a research study on young adult children of parents with disabilities.  As explained in the Consent Form below, you may be willing to participate in an optional survey about  young adult children of parents with disabilities. The additional information you submit on this survey will not affect your scholarship chances and will not be disclosed to anyone outside the project researchers; all identifying information will be removed. If you consent to participate in this optional survey, we will email you the survey after we have received your completed application. Thus far, over 1,000 students have taken this confidential survey. Please consider contributing to this important national study as your responses will really help us out!  If you have previously applied for this scholarship and still meet eligibility requirements, you may apply  for the 2014 scholarships. Please note that you must complete the new 2014 application form. Also, although we will accept previously submitted essays, we encourage everyone to submit srcinal essays . Fill-in Application begins on PAGE 4  2014 Through the Looking Glass Scholarships p. 2 of 11 APPLICATION FORM AND PROCEDURES All application materials must be completed and postmarked by Monday, March 17, 2014. Please read and follow all guidelines. Your application will be disqualified if you omit required information or ignore instructions. We encourage you to read through our FAQs on our scholarship webpage www.lookingglass.org/scholarships  before you begin the application. The FAQs answer many common questions as well as offer suggestions to help make your application stronger. PROCEDURES: 5 STEPS STEP 1. !   Go to our website www.lookingglass.org/scholarship and download the complete Application form. The Application Form has Five Parts: (1) Consent Form, (2) Scholarship Application Questions, (3) your Essay, (4) Request for School Transcripts, (5) one Letter of Recommendation form. STEP 2. !   Complete all five required parts of the Application Form. You can use Adobe Acrobat to fill out Part 2 (Scholarship Questions) and then print it out; or, you can print out the form and fill it in by hand or typewriter. Incomplete or illegible applications will be disqualified. STEP 3. You will need to mail us all of the following in one envelope, preferably 9” x 12”. !   a) Consent form signed by you. If you are under 18, you must also have a parent sign the form as well. We will not consider any applications that are not accompanied by a signed consent form. !   b) Completed scholarship application questions. !   c) A maximum 3 page (~750 words) autobiographical essay on the impact of growing up with a parent with a disability. Please note that we are also asking you to email your essay to us (see Step 4). !   d) Official high school or college transcript(s). If you are a college student, we only need your college transcript(s). !   e) One letter of recommendation (not from a parent or relative). STEP 4 !   In addition to mailing your application materials, please also email your essay to scholarships@lookingglass.org This will help facilitate reviewing your application. Use the same email address that you used on the application form. Attach the essay as a document in your email – do not paste the essay into the body of the email. Also, please put your full name in the subject line of the email, starting with your last name e.g., Smith, John Michael. STEP 5 !   Make sure you’ve included your email so we can let you know when we’ve received your completed application. At that time, if you have agreed to participate, you will receive an email from us with a link to our online survey. All materials must be mailed and postmarked by Monday March 17, 2014 to: Scholarship Committee, Through the Looking Glass, 3075 Adeline Street, Suite 120, Berkeley, CA 94703. Previous scholarship winners, employees, former employees and Board Members of Through the Looking Glass and their families are not eligible for these scholarships.  2014 Through the Looking Glass Scholarships p. 3 of 11 Through the Looking Glass Scholarship Application Please fill out this information as legibly as possible. Illegible answers will jeopardize your scholarship chances. PART 1 of 5 CONSENT FORM Please read the following consent form. You must sign the Consent Form and include this when mailing your completed application to Through the Looking Glass. If you are under age 18, a parent or guardian must also sign the form.   SCHOLARSHIP REVIEW  I certify that the information on this application is true and correct to the best of my knowledge, and I give my permission for the information in my Scholarship Application to be shared with Through the  Looking Glass’ Scholarship Committee. I also release to Through the Looking Glass the right to use my name, autobiographical essay and other information submitted in this application for Through the  Looking Glass publications, reports and press releases.  I understand that it is my responsibility to report any scholarship money that exceeds college costs as earned income on my Federal Income Tax Return.    RESEARCH STUDY The information you submit in this application is also part of a national research study on young adult children of parents with disabilities. This study is being conducted by Through the Looking Glass (TLG), a non-profit organization focused on families with disabilities. As part of the research study, you will also be asked to fill out an optional survey after you have submitted the scholarship application. Your name and identifying information will never be included in any publications that result from this study. Your scholarship chances will not be affected whether or not you choose to fill out the survey. Confidentiality The Scholarship Committee will not have access to the questions asked on the optional survey. Only the researchers at Through the Looking Glass who are involved in this study will have access to the survey information. Your online survey answers will be encrypted, and all survey information will be kept in locked files at Through the Looking Glass. Any research publications based on the scholarship application and the survey responses will not reveal the identity of the research participants. Benefits Your participation in this scholarship program and in the optional survey may contribute to new knowledge that reflects the perspectives of young adults who were raised by parents with disabilities. This new knowledge can promote better understanding and resources for the millions of families of  parents with disabilities.  2014 Through the Looking Glass Scholarships p. 4 of 11 Risks The major risk associated with your participation in this study is that some of the questions might be uncomfortable or stressful for you. You may choose not to answer any optional questions that cause distress or seem to be an invasion of privacy. Limits to Confidentiality  If any information is brought to the attention of the project staff that leads them to think that you might be at risk of significant harm to yourself, may harm someone else, or there is a reasonable suspicion of child, elder, or dependent adult abuse, they are required by law to report this information, including  your name, to the appropriate authorities. Questions There is an FAQ page on our website www.lookingglass.org about these scholarships and research   study. If you have additional questions about this research study, you may contact TLG’s Associate  Director  Dr. Paul Preston at  ppreston@lookingglass.org . You may also contact the Human   Participants’ Committee Chair, Dr. Alice Nemon at scholarships@lookingglass.org. WRITTEN CONSENT: ALL APPLICANTS MUST COMPLETE THIS _________________________________________________________________________ Your Name (Print or Type)  ____________________________________________________________ ____________ Your Signature  Date ____________________________________________________________ ____________ Your parent or guardian’s signature if you are under age 18  Date I am also willing to participate in an optional national survey of young adults who have a parent with a disability. If you have previously applied for a scholarship and have taken the survey, please do not take the survey again. I understand that my participation will not affect my scholarship chances. I also understand that my survey answers are confidential and will only be available to the researchers at Through the Looking Glass.   PLEASE CHECK ONE: __ Yes , I would like to take the optional survey.  __ No, I prefer not to take the optional survey. __ I already took the survey in a previous year.   TLG Consent Form, expires December 31, 2014
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