VIYA SCHOLARSHIPS

Viya Scholarships are two one-time, tuition-only scholarships of $10,000.00, awarded annually to Virgin Islands High School seniors planning to pursue a post-secondary education.

Students wishing to apply for this scholarship must provide proof of acceptance to at least one college or university of their choice, complete the application and return it to the scholarship committee by the posted deadline.

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Scholarship applications can be picked up at the school’s Guidance Counselor Office or at the

Viya Customer Experience Centers in Tutu Park on St. Thomas, Estate Diamond on St. Croix, or Starfish Marketplace on St. John. Completed applications must be returned to the Innovative Scholarship Committee by the posted deadline of Wednesday, May 31, 2017.

For additional information, contact: Jennifer Matarangas-King Vice President Public Relations|Governmental Affairs Viya 4006 Estate Diamond Christiansted, VI 00820 Telephone: (340) 712-5053

VIYA SCHOLARSHIP CHECKLIST

DATE: _________________________________________________________

NAME: _________________________________________________________

HIGH SCHOOL: __________________________________________________

TYPE OF SCHOLARSHIP: Viya

ESSAY: Yes No

REFERENCE LETTERS: 3 2 1 none

TAX INFORMATION: Yes No

HIGH SCHOOL TRANSCRIPT: Yes No

ACCEPTANCE LETTER: Yes No

APPLICATION COMPLETED: Yes No

MISSING INFORMATION: Yes No

MISSING INFORMATION: Yes No

APPLICATION FOR VIYA $10,000.00 SCHOLARSHIP

(One-Time Scholarship for Tuition Only) (Please print or type all information)

PART I: To Be Completed by Parent or Guardian

Student’s Name: ______________________________________ Date: _______________________________

Name of Father or Male Guardian: _______________________________________________________________

Mailing Address: ______________________________________________________________________________

Home Telephone: _____________________________________ Work Telephone: _____________________

Employer: ___________________________________________ Occupation: _________________________

Years at Present Employment: ___________________________

Gross Earnings This Year: _____________________ Anticipated Earnings Next Year: ___________________

Name of Mother or Female Guardian: ____________________________________________________________

Mailing Address: ______________________________________________________________________________

Home Telephone: _____________________________________ Work Telephone: _____________________

Employer: ___________________________________________ Occupation: _________________________

Years at Present Employment: ___________________________

Gross Earnings This Year: _____________________ Anticipated Earnings Next Year: ___________________

Other Family Income (excluding rental property): ___________________________________________________

Dependent children (list scholarship applicant first, continue on additional page, if necessary):

Name Age

Present

Grade

Present

School Tuition

Share Paid

by Parents

School Will Attend

Next Year

____________________ ____ ______ _______________ _________ _________ _____________________

____________________ ____ ______ _______________ _________ _________ _____________________

____________________ ____ ______ _______________ _________ _________ _____________________

____________________ ____ ______ _______________ _________ _________ _____________________

____________________ ____ ______ _______________ _________ _________ _____________________

Present Market Value of Home, If Owned: _________________ Mortgage Balance: ___________________

Present Market Value of Other Real Estate: ________________ Mortgage Balance: ___________________

Rental Income (total on all property owned) This Year: _______________________________________________

If Home Is Not Owned, Monthly Rental Paid for House or Apartment: ___________________________________

Bank Accounts (total value of savings and checking accounts): _________________________________________

Present Market Value of Other Investments (stocks, bonds, etc.): ______________________________________

Total Debt, Other than Unpaid Mortgage: _________________________________________________________

List Family Cars Owned or Leased (year, make and model):

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

What portion of applicant’s tuition can you afford to contribute annually? (dollar amount) _________________

Use the below space to further explain any of the above items or to describe unusual circumstances that might have a bearing on eligibility for scholarship aid:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_________________________________ _________________________________ Signature of Parent or Guardian Date

Note: This form, together with a copy of your most recent income tax return, should be submitted in a sealed envelope to the Guidance Counselor who will be responsible for delivering the total application.

PART II: To Be Completed by Student

List Colleges or Universities to which you have been accepted (proof of acceptance must be provided with application):

College or University Date

Applied Date

Accepted Annual Tuition Room & Board

__________________________ __________ __________ __________________ ______________________

__________________________ __________ __________ __________________ ______________________

__________________________ __________ __________ __________________ ______________________

__________________________ __________ __________ __________________ ______________________

__________________________ __________ __________ __________________ ______________________

Essay: “Why I think I should be awarded the Viya Scholarship.”

(Use reverse side, or attach additional pages if necessary.)

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_________________________________ _________________________________ Signature of Parent or Guardian Date

Required Attachments: Three (3) letters of reference, letter(s) of acceptance to college or university, SAT scores

and high school transcript.