SCHOLARSHIP AGREEMENT FORM
All contributions to Foundation scholarship funds are held as temporarily restricted, meaning that they will be released ongoing, for the purposes outlined on this form, until the funds are depleted.
Donor Contact:
Address:
Email Address: Phone:
Name of Scholarship:
Number to be awarded:
Award Amount:
Scholarship Recipient Requirements
Common criteria and/or eligibility considerations could include: academic success; leadership roles; school involvement; participation in extra-curricular activities; community service; intended major/field of study/career path; financial need; a returning student or a transferring student, etc.
Criteria for the scholarships are as follows (e.g. - Intent to transfer to a four-year institution to secure a degree in Psychology/Psychiatry, GPA, community service, active in student clubs, etc.):
faculty, staff and community members. They are responsible for evaluating all student applications and
For additional information or clarification, please contact:
Sara Marcellino, Foundation Director (510) 215-3805 | [email protected] CCC Foundation s Tax ID #94-6135368
City of San Pablo resident (jurisdictional city boundaries) Transferring to a four-year
2.5 GPA
Any major
Is your scholarship for a ☐returning student or a ☐transferring student or both? Scholarship Cycle, Selection Process and Conditions
Foundation scholarship cycle opens in the fall and applications are due early in the spring semester. Scholarship applications are reviewed by a scholarship committee, comprising faculty, staff and community
members. They are responsible for evaluating
all student applications and matching the most
appropriate recipient(s) to every
scholarship. The Scholarship Program Coordinator
informs the recipient and invites
them to attend the Scholarship Awards Ceremony. After enrollment is confirmed by the Scholarship Program Coordinator, Foundation will issue a check to the student in the full scholarship award amount.
A minimum contribut
ion and fund balance of $1,000 is required to establish and maintain a named scholarship account.
($25,000 minimum needed for endowment account).
Scholarship accounts
with a balance below $1,000 for twelve consecutive months will be considered dormant and closed. Foundation staff will make every effort to contact donor(s) twice before closing an account. Remaining funds, if any, will be moved and awarded from Foundation’s general scholarship account.
Donor Requirements
A signed scholarship agreement listing selection criteria is required to establish and disburse payments from a scholarship account.
Donation checks should be made payable
to the Contra Costa College Foundation
noting
the name of the scholarship in the memo section of the check. Gifts can be made online here: tinyurl.com/give-to-cccf-now. Funds must be received in the Foundation by November 1 each
year to offer
the scholarship in the forthcoming cycle.
For additional information or clarification, please contact:
Sara Marcellino, Foundation Director (510) 215-3805 | [email protected] CCC Foundation s Tax ID #94-6135368
Other desired qualifications (e.g. — Prefer single parent, etc.) Involved in community service, volunteerism, participation on youth commission, civic engagement Outspoken about social justice
First-generation college
Mentions an equity need
X
Donor/Custodian Name
Donor/Custodian Signature Date
Foundation Staff Name
Date Foundation Staff Signature
Additional notes:
For additional information or clarification, please contact:
Sara Marcellino, Foundation Director (510) 215-3805 | [email protected] CCC Foundation s Tax ID #94-6135368
Leslay C. Choy
08/29/2023