Scholarship Application Form

Deadline is April 1 of each year

Applicant Name

Age

Home Address

Address Line 1

City

State

Zip Code

Your Address During School Year (if different from home)

Address Line 1

City

State

Zip Code

Primary Phone

Other Phone

School Email

High School (if a Senior)

Graduation Date

College (Entering or Attending)

Student ID number

Anticipated Year of Graduation

Degree Expected

Full Address of Financial Aid Office of your college

Address Line 1

Address Line 2

City

State

Zip Code

Photographic Major

Your Website Address (if available)

Letters of recommendation, references as Adobe Acrobat (.pdf) files in an Archive (.zip)

The applicant should submit current letters of recommendation, references and other such statements concerning work, school and professional achievements. These should be from teachers, professors, clergy and other associates who know and have worked with the applicant.

Your Interest and Accomplishments in Photography in Adobe Acrobat (.pdf) *

A letter written by the applicant should be submitted. This letter should tell us about you, the student — what you have done in the photographic field, what you have done academically, what your goals are, how you plan to achieve them and what other interests you may have. We would like to get some insight about the applicant through this letter.

Official letter on school and major as a single Adobe Acrobat (.pdf) or Image (.jpg)

Submit a statement, attested to by an official of the school being attended, declaring that the student has been accepted into the degree program and what degree will be conferred.

Financial need as a single Adobe Acrobat (.pdf)

Submit a brief statement of need for financial assistance. Do not submit family income, tax statements or other confidential information.

Mini-Portfolio of 15 to 20 individual JPEG photos in an Archive (.zip) *

Please submit 15 to 20 images of your work so we can review a mini-portfolio of your work. Images you send should be of the quality you would send to a prospective employer. They should show your skills as a photographer, your interests and your creativity. Individual images should not exceed 500K.

Note:

Official sealed transcript must be sent to: Antoinette Gombeda, APSA, HonNEC, Scholarship Chair, 817 Chickadee Lane, Stratford, CT 06614

Sponsoring NECCC Club Info

Sponsoring NECCC CLub

Individual Club Member Sponsor

references Acrobat Sponsoring

Primary Phone

Other Phone

Address

Address Line 1

City

State

Zip Code

NECCC Representative

Keep total attachment size below 15MBs.

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