ACPD-Gerry Bertier Scholarship Application

Applicant Information
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Gerry Bertier Scholarship 2014 Application
IMPORTANT - You must be a City of Alexandria resident or a student at a school located in the City of Alexandria to apply. All Gerry Bertier Scholarship applications must be received by April 30, 2014.
Please use this as a checklist, checking each box to ensure the apllication is complete. *This question is required.
Questions about the scholarship and completed applications should be directed to Mike Hatfield at mike.hatfield@alexandriava.gov or 703.746.3148, Virginia Relay 711.
APPLICANT INFORMATION
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PERSONAL STATEMENT
REFERENCES : Please provide three references. At least one is required. References may be from any of the following: teacher, counselor, mentor, or work supervisor. *This question is required.
REFERENCES : Please provide three references. At least one is required. References may be from any of the following: teacher, counselor, mentor, or work supervisor. *This question is required.Name of Reference and RelationshipTelephone NumberEmail Address
Reference 1
Reference 2
Reference 3
ACKNOWLEDGEMENT
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Gerry Bertier Scholarship Award Guidelines

  1. The applicant must be:
    1. A person with a physical, sensory, or cognitive disability who is pursuing post-secondary education and
    2. A resident of the City of Alexandria or a student at a school located in the City of Alexandria

  2. The award will be:
    1. Up to $1,000 per recipient per year.
    2. Available for tuition, room, board, supplies, or fees.
    3. Payable to the post-secondary institution.
    4. Usable over the length of the recipient's post-secondary educational career.
    5. Non-transferable
    6. Forfeited to the extent that the funds are not used prior to completion or termination of the recipient's post-secondary educational career.

  3. The recipient shall:
    1. Attend the ACPD Awards ceremony to receive the scholarship or shall be represented at the Awards Ceremony by an alternate.
    2. Provide feedback to the ACPD on the process for applying for the scholarship and the collection of the proceeds of the award.

  4. Each application will be reviewed for the following criteria:
    1. Academic and extra curricular achievement.
    2. Plans to give back to the community.
    3. References.
    4. Financial need.
    5. Previous Bertier Scholarship awards.
The City of Alexandria is committed to compliance with the Americans with Disabilities Act. To request a reasonable accommodation or this material in an alternative format, please e-mail mike.hatfield@alexandriava.gov or call 703.746.3148, Virginia Relay 711.