WWW.ASA.

EDU
DOWNTOWN BROOKLYN MIDTOWN MANHATTAN HIALEAH
81 Willoughby Street 1293 Broadway/One Herald Center 530 West 49th Street
Brooklyn, NY 11201 New York, NY 10001 Hialeah, FL 33012
Tel.: 718 - 522-9073 Tel.: 212-672-6450 Tel.: 786-279-2643

ASA COLLEGE SCHOLARSHIP APPLICATION

STUDENT INFORMATION
Name (print) : _________________________________________________________________________________
Last First
Address in the U.S. : ____________________________________________________________________________
Street Address City/State Zip/Postal Code
Telephone in the U.S. : Home ____________________________ Cellular ___________________________

Date of Birth _________________  Male  Female Social Security # ___________________________

MM/DD/YYYY

PROGRAM OF STUDY INFORMATION

Program Title: _________________________________________________________________________________
Complete Name
Program Code: __________________________________ Start Date: __________________________
MM/DD/YYYY

PREVIOUS EDUCATION
Do you have a Regents Diploma?  Yes  No
If YES, list the school name: ______________________________________________________________________
NOTE: YOU MUST ATTACH A COPY OF THE OFFICIAL HIGH SCHOOL DIPLOMA

Have you previously attanded any College or University?  Yes  No

If YES, list all colleges and universities attended: _____________________________________________________
NOTE: YOU MUST ATTACH A COPY OF THE OFFICIAL COLLEGE DIPLOMA OR A TRANSCRIPT FOR EACH

ELIGIBILITY REQUIREMENTS ARE DOCUMENTED IN THE COLLEGE CATALOG

ESSAY
Applicant must provide a 250 word essay describing interest in the chosen program, outlining his/hers educational goals
and how the scholarship will help in achieving them.

APPLICANT CERTIFICATION
I certify that the information provided here is true, correct, and complete.

Signature of Applicant Date (MM/DD/YYYY)

FOR OFFICIAL USE ONLY

High School GPA: ___________________________ Accuplacer English Score: ________________________
College GPA: _______________________________ Accuplacer Math Score: __________________________
Accuplacer ESL Score: __________________________
Faculty or Chairperson Recommendations: __________________________________________________________
_____________________________________________________________________________________________
REVIEW AND AWARD DECISION
I have reviewed this application and the documentation submitted and certify, that to the best of my knowledge and belief,
The Applicant  does  does not meet the scholarship requirements indicated in the College catalog
for the selected program.
Name and Title of the College official: ______________________________________________________________

Signature Date (MM/DD/YYYY)

 WHAT SCHOLARSHIP ARE YOU APPLYING FOR?
Please review the list of scholarships available* and select the one you want to apply for:
ASA COLLEGE ALUMNI SCHOLARSHIP
A student will be awarded up to $500 per semester, not to exceed a total of $2,000.
ASA COLLEGE ALUMNI TRANSFER TO BACHELOR’S DEGREE SCHOLARSHIP

AGPA
student will be awarded up to $1,500.00 per semester, not to exceed $6,000 in total (Students who graduated with a
of 2.00 – 2.49 will receive $1,000 per semester, and 2.5 – 4.00 will receive $1,500 per semester).
ASA COLLEGE SECOND PROGRAM SCHOLARSHIP

Student will be awarded up to $1,000 per semester, not to exceed a total of $5,000 for their second program
of study. The awarded amount will be credited to the student's account upon successful completion of the program.
ASA COLLEGE ARTHUR J. HIDALGO MEMORIAL SCHOLARSHIP
Covers full amount of tuition and fees for each semester the student is eligible.
ASA COLLEGE DONNA CLAYTOR MEMORIAL SCHOLARSHIP
Maximum award is up to $500 per semester.
ASA COLLEGE INTERNATIONAL STUDENT SCHOLARSHIP
Up to 50% of the semester’s tuition charges.
ASA COLLEGE LEGISLATOR’S SCHOLARSHIP
A student will be awarded up to $1,000 per semester, not to exeeded a total of $5,000. The award will be reflected on
the Financial Aid Eligibility Notice and will be posted to the student’s account upon completion of a semester.
ASA COLLEGE NON-RESIDENT STUDENT SCHOLARSHIP
Student will be awarded up to $1,000 per semester.
REGENTS DIPLOMA SCHOLARSHIP
Student will be awarded up to $1,000 per semester, not to exeeded a total of $5,000. Award will be reflected
on the Financial Aid Eligibility Notice and will be posted to the student’s account upon completion of a
semester.
ALUMNY LEGACY SCHOLARSHIP
Up to 25% of the semester tuition remaining after all other grant aid is applied.
TRANSFER STUDENT SCHOLARSHIP
Students with GPA of 2.5 at a previous college - up to $2,000 of the semester tuition remaining after all
other grant aid is applied.

Students with GPA of 2.0-2.49 at a previous college - up to $1,500 of the semester tuition remaining after
all other grant aid is applied.
ASA “COLLEGE NOW” SCHOLARSHIP
Up to $500 per semester.
ASA “SECOND CHANCE” PROGRAM SCHOLARSHIP
Up to 50% of the owed prior enrollment balance.
SAME YEAR HIGH SCHOOL GRADUATE SCHOLARSHIP
Up to $2,000 per semester, not to exceed $10,000.
NEW STUDENT CHALLENGE PROGRAM SCHOLARSHIP
Up to $5,000 of student’s initial (at the first enrollment) tuition liability after all grant aid is applied.
ASA COLLEGE “AMERICAN DREAMER” SCHOLARSHIP
Up to 50% per semester tuition charges.
ASA COLLEGE GRADUATION ASSISTANCE PROGRAM – COME BACK TO SCHOOL INITIATIVE

Up to $1,500 a semester, not to exceed $6,000 for a degree program; up to $3,000 for a certificate program, after all
other Financial Aid eligibility has been exhausted.

* - Student can apply and receive only one scholarship per semester.
- Please refer to the College Catalog for GPA requirements.

Disclaimer: Should the official High School diploma translation/evaluation prove to be different than what was originally
indicated on the Scholarship form, the student will be responsible for the resulting tuition adjustment.

Revised 04/12/19, Effective Spring 2019 semester

 WWW.ASA.EDU
DOWNTOWN BROOKLYN MIDTOWN MANHATTAN
81 Willoughby Street 1293 Broadway/One Herald Center
Brooklyn, NY 11201 New York, NY 10001
Tel.: 718 - 522-9073 Tel.: 212-672-6450
HIALEAH
530 West 49th Street
Hialeah, FL 33012
Tel.: 786-279-2643

ASA COLLEGE SCHOLARSHIP APPLICATION

WRITING SAMPLE
Write a two-paragraph essay about the following:

Why are you interested in this program?

What are the benefits you expect to gain from studying at ASA College?

Name (print) :
Last First Date (MM/DD/YYYY)

Signature