CCNMA: Latino Journalists of California
  CCNMA Scholarships
2012 APPLICATION

APPLICATION INSTRUCTIONS:
Please include the following materials in one envelope with your application.  Entries may be in Spanish or English.
NO FAXED MATERIALS ACCEPTED.  DO NOT SEND MATERIALS SEPARATELY (except references).  INCOMPLETE APPLICATIONS WILL BE DISQUALIFIED.
ENTRY MUST INCLUDE:
1. A completed application form.
2. An autobiographical essay (300 to 500 words) explaining your family background, including any hardships you've experienced, why you want to be a journalist, and what you believe is the role, if any, of Latino journalists in the news media.
3. Two current reference letters, including at least one from a faculty member (no family members), that speak to the applicant's journalism abilities.
4. Current official transcripts.
5. resume, include any school or professional work and internships
6. Samples of your work.  Work samples generally include articles and/or photographs published in school or community newspapers or audio/DVDs of stories broadcast on campus or cable TV or radio stations.  We are looking for samples of your journalistic abilities.
•  Print samples should not exceed five clips of published work, and must be photocopied, reduced or mounted to fit 8-1/2" x 11" dimensions.
 •  Video samples may be on DVD or digital file and may contain more than one story, but total time may not exceed 10 minutes.
•  Radio samples should be on CD, standard audio cassette or digital file and may not exceed 10 minutes.
•  Photography samples should not exceed five prints and not exceed 8" x 10".  No slides accepted.  Samples may be sent on disk.
(* If you would like materials returned, enclose a self-addressed large envelope with sufficient postage.)
Complete application packages must be received by CCNMA by April 2, 2012.  Please type all information on form, and then print, sign and mail the form.
Form can not be sent electronically.
APPLICATION DEADLINE: FRIDAY, APRIL 2, 2012.
Name:
Social Security:
Date of birth (month/date/year):
Permanent address:
City:   State:   Zip: 
Permanent phone:
Current mailing address:
City:   State:   Zip: 
Current phone:
Work phone:
E-mail:
School currently attending:
Current Grade Level (Check One):
High School Senior College Freshman  Sophomore 
Junior Senior  Graduate Student 
High School/Community College graduation date: 
Current GPA: 
College/University you plan to attend in Fall 2011: 
Expected university graduation date:  (Month/Year): 
Current or expected major: 
Honors, Awards, Scholarships:

Journalism Experience:

Are you applying for a CCNMA Chapter Scholarship?    Yes      No 
If Yes, Which Chapter?
Have you previously received a CCNMA scholarship?  Yes      No 
If so, when and how much? 
Latino subgroup (Chicano, Cuban, Puerto Rican, etc.): 
(For statistical purposes only)
Estimated school expenses (in dollars) for the 2012-2013 school year.
Tuition:  $
Room & Board:  $
Transportation:  $
Books & Supplies:  $
Miscellaneous: $

TOTAL:  $ 
Estimated sources of income in dollars for 2012-2013 school expenses:
Loans:  $ Employment:  $
Scholarship(s)/Grant(s):  $ Family:  $
Savings:   $ Other:  $ 
TOTAL:  $ 
Family's estimated 2011 annual income:  $
Applicant's estimated 2011 annual income:  $

I affirm that the foregoing is accurate in all respects, and acknowledge the following:  the awarding of funds is contingent upon providing proof of enrollment as a full-time student for the entire 2012-2013 academic year; that the amount of the award may be reduced if I enroll in a college other than the one indicated on my application or if I receive a CCNMA chapter scholarship; if I decide not to attend college for the fall semester for any reason, the award will be forfeited. If I am a non-California resident, proof of enrollment at an accredited California college or university is required or the award will be withdrawn.  I also acknowledge that if I become a finalist, an oral interview with the Scholarship Committee is required.
Signature:
Date:
Mail Application and supporting materials to:
CCNMA
 USC Annenberg School of Communication & Journalism
 727 W. 27th St., Room 201
 Los Angeles, CA  90007-3212
 Express/Overnight deliveries:
CCNMA
 USC Kerckhoff Carriage House
727 W. 27th St., Room 201
Los Angeles, CA  90007-3212
Application and supporting materials must be received in one package no later than APRIL 2 2012.