2010-11 Oregon Scholarship Application

Personal Information
Legal Name:

APPLICATION #:

31525 KARI
FIRST

STEPP
LAST

S
MI

Birth year: Permanent mailing address:

1984
BIRTH YEAR ONLY NUMBER, STREET AND APT NUMBER

E-mail

karistepp23@yahoo.com EUGENE
CITY

3740 MARSHALL AVE OR

STATE

97402
ZIP CELL?

Lane
COUNTY

U.S. citizen or eligible non-citizen: B

U.S. citizen

Telephones: A

541-606-8103
PRIMARY PHONE NUMBER TXT MSG?

541-461-4941
ALTERNATE PHONE NUMBER CELL? TXT MSG? DONT TEXT MESSAGE ME:

Oregon resident since September 1, 2009 :

State of legal residence:

OR

County, if you are not an Oregon resident:

High The year you did or will receive a high school diploma or GED:.......... School

Willamette High School

Eugene

2002 OR
State

Public/Private Traditional
Type of High School

High school name or GED county

GPA, SAT, ACT, GED:

City

3.00
HS GPA Unweighted/ Cumulative SAT Reading/Verbal (highest) SAT Math (highest) SAT Writing - New (highest) ACT Composite GED 4-Digit Score

GED in Progress

Worked with an ASPIRE program:

If yes, ASPIRE Advisor name: ASPIRE Site name:

College College GPA (cumulative) through Jan. 2010 : Undergraduate GPA (Continuing students calculate cumulative GPAs from transcripts.) History
College or University Attended College or University Attended College or University Attended

3.33
3/02 - 3/10
Dates Attended

Graduate GPA

Lane Community College

Name of college or university Name of college or university

95
Degree Earned Credits Earned Attending Degree Earned Credits Earned Attending

Dates Attended

Name of college or university

Dates Attended

Degree Earned

Credits Earned Attending

Finished two years at a community college by July 1, 2010 : Earned your first bachelors degree by July 1, 2010 :

STEPP, KARI S

College As of September 1, 2010, your year or standing in college will be the following:.................. Plans
College most likely to attend in 2010-11 :

Lane Community College

COLLEGE NAME

Sophomore 003196
COLLEGE CODE

Eugene
CITY

OR
STATE

Sociology
MAJOR FIELD OF STUDY

Psychology
SECOND OR DOUBLE MAJOR

31525

Next college degree after 9/01/ 2010: (AAOT, BS, MA, etc.)

A.AO.T

Next expected college graduation date after 09/01/ 2010:

06/2012
MONTH / YEAR

Career field (e.g., auto mechanic, forensics, geriatrics, social work, sports writing, teaching, etc.)

social work

during 2010-11 : Other Working 20+ hours per week during 2009-10 : Info If you, the applicant, are custodial parent of your children, provide only their ages. I am the custodial parent and these are my childrens ages: Your marital status as of today:........................................................................................ Your parents marital status as of today:....................................................................... As answered or will answer on your 2010-11 FAFSA: Highest school your father completed:................................................................. Highest school your mother completed:.............................................................. Gender: .................................................................................................................................

Single Single Middle/Jr High School High School Female

CURRENT

Publicity Release: If selected to receive a scholarship, I give permission for a publicity release.

Legal Name:

STEPP, KARI S
parent spouse/domestic partner

APPLICATION #:

Contact Information
Contact #1 Information: This is for my
LAST

31525
other (list relationship):__________________ Mother

Downer 1682 I Iron Horse Rd

Kelly
FIRST

541-461-4941
PRIMARY PHONE NUMBER CELL? TXT MSG?

Eugene
CITY

OR
STATE

STREET ADDRESS

541-337-6344
ALTERNATE PHONE NUMBER CELL? TXT MSG?

keldown5@msn.com
E-MAIL ADDRESS

Contact #2 Information: This is for my

parent

spouse/domestic partner

Step Father other (list relationship):__________________ 541-285-7989

PRIMARY PHONE NUMBER CELL? TXT MSG?

Downer
LAST

Gary
FIRST

4271 Boston Ln
STREET ADDRESS E-MAIL ADDRESS

Eugene
CITY

STATE

OR
ALTERNATE PHONE NUMBER CELL? TXT MSG?

Scholarship Choices: List name(s) and code(s) of the OSAC scholarships for which you qualify.
SCHOLARSHIP NAME CODE SCHOLARSHIP NAME CODE SCHOLARSHIP NAME CODE

Section 1 "Auto" Crawford David Callan Buerkle Oregon Scholarship

0 172 182 470 543 901

Membership and Employee Information:

SCHOLARSHIP MEMBER / EMPLOYEE NAME / WORKSITE RELATIONSHIP TO APPLICANT

SCHOLARSHIP

MEMBER / EMPLOYEE NAME / WORKSITE

RELATIONSHIP TO APPLICANT

SCHOLARSHIP

MEMBER / EMPLOYEE NAME / WORKSITE

RELATIONSHIP TO APPLICANT

SCHOLARSHIP

MEMBER / EMPLOYEE NAME / WORKSITE

RELATIONSHIP TO APPLICANT

SCHOLARSHIP

MEMBER / EMPLOYEE NAME / WORKSITE

RELATIONSHIP TO APPLICANT

Activities Chart: Submit your Activities Chart: One page maximum Personal Statements: Submit your four required personal statements (maximum 150 words each)
1. 2. 3. 4. Explain your career aspirations and your educational plan to meet these goals. Describe a challenge or obstacle you faced in the last ten years. What did you learn about yourself from this experience? Describe a personal accomplishment and the strengths and skills you used to achieve it. Explain how you have helped your family or made your community a better place to live. Please provide specific examples.

Transcripts: Submit your Transcripts Certification: By certifying this application, I certify the accuracy of this completed form and all accompanying documents, and, if requested, agree to provide proof of this information. I authorize OSAC to share this information with scholarship processing and review staff, donors, and selection committees for identifying students, determining eligibility, and selecting awardees.

I give permission to selection committees to contact high school and college officials for additional academic and/or financial information to be shared whith OSAC -approved researchers. I also give permission to OSAC to request and use data from my Free Application for Federal Student Aid (FAFSA) as well as data and materials from this application to determine my eligibity for OSAC scholarships.

I understand that OSAC cannot guarantee applicants will receive scholarships. Further, by certifying the application form, I agree to hold harmless, defend, and indemnify OSAC for any acts, failures to act, or omissions of the Commission, its employees, agents, volunteers, or any State of Oregon employee.

Applicant certification:

Certification on file at OSAC

For security reasons, some information that was entered on the application will not be printed on this form (e.g., SSN, full birth date).

Activity Categories A. School Activities B. Volunteer Activities (community/family) C. Paid Work History Name: STEPP, KARI S

Activities Chart
OREGON STUDENT ASSISTANCE COMMISSION S CHOLARSHIP APPLICATION
App # (5 digits) 31525 (eApp users only:)

Act Cat

Activity Title

Dates From-To

Time Spent
Hours per Wk / Mo Total Hours

Responsibility / Accomplishments

A A A A A A A A A B B B B C C C C C

Gym Member Trio Participant Lane Preview Night Diversity Training Assisted with scholarship workshop Crisis Intervention Training Student Orientation and Registration (SOAR) Campus tours Women In Transition Graduate Chrysalis drug treatment HIV Alliance Assisted Sister Margrette,Catholic Sevices Behavioral Modification Program, Peer Mentor Dollar Tree Student Services Associate, Lane Community College Scholarship Research Assistant Hunky Dory's Crew Trainer, McDonalds

03/2008 present 09/2009 present 02/2010 02/2010 02/2009 02/2009 02/2009 02/2009 01/2009 01/2009 08/2008 09/2008 08/2008 09/2008 03/2008 06/2008 03/2009 06/2009 01/2009 02/2009 03/2008 06/2008 12/2000 06/2003 04/2008 present 09/2008 present 06/2008 09/2008 12/2004 09/2005 08/2003 12/2004

4/wk 5/wk 6/wk 6/mo 1/wk 2/wk 35/wk 3/wk 4/wk 4/wk 5/wk 4/wk 91/wk 12/wk 12/wk 10/wk 30/wk 20/wk

149 120 6 6 1 2 48 3 40 36 10 32 2912 480 240 100 1200 1280

Participate in group fitness classes and independant exercise. Use services such as tutors and computer labs. Assisted staff with high school information sessions,helped with set up and take down of event. Participated in group discussions, activities and trainings regarding diversity. Assisted facilitator with presentation for students. Attended training regarding what to do during a crisis. Assisted general public with enrolling in college and registering for classes. Assisted with campus tours and showed the campus to new students. Graduated from women's program at Lane Community College, Learned career, school and life skills. Learned how to prevent and mediate a possible crisis and worked towards furthering my communication skills Worked with prevention staff at the Sana Needle Exchange and respected client privacy. Assisted with secretarial work and organized group activities. Mentored students 24/7 who are struggling mentally and emotionally. Lead group activities. Stocking shelfs and handling money transactions. Assist students as peer mentor and helped community in job and school recourse. Researched, organized, updated and posted upcoming scholarships. Customer service, Handled cash transactions. Stocked shelfs. Trained all new staff members, handled money and credit card transactions.

Oregon Student Assistance Commission; 1500 Valley River Drive, Suite 100; Eugene, OR 97401-2148; (800) 452-8807, ext. 7395 or (541) 687-7395; 09/2009

OREGON STUDENT ASSISTANCE COMMISSION SCHOLARSHIP APPLICATION

OSAC Early Bird Review February 16 - Final Deadline March 1

App # (5 digits) STEPP, KARI S Name: _____________________________________________

(eAPP users only): __________________

31525

Required Personal Statement #1 Explain your career aspirations and your educational plan to meet these goals.

I want to work in a field where I have a direct positive impact on someones life and that is why I am going to be a counselor. I will assist others so they have the support and the skills they need to be successful. I want to be the one who gives them hope while coaching them through their issues and concerns. I will use what I have learned from facing my own obstacles to assist others through their difficulties and help empower them to change their lives. I will reach this goal by getting an Associate of Arts transfer degree at Lane Community College by spring 2011, then transfer to the University of Oregon for my bachelors degree in Psychology with a minor in Sociology. I want to be the one who leads my clients to a feeling of success no matter what where they may have began.

Required Personal Statement #2 Describe a challenge or obstacle you faced in the last ten years. What did you learn about yourself from this experience?

At 22 years old I found myself in deep addiction How did I let this happen? I asked my self, with self-loathing at the pit of my stomach. I wondered to myself, Why do I always choose to learn the hard way? What I learned most about my self is that I want more out of life than drugs and addiction. My life is going to become what I decide to put into it and my life is worth putting my 100 percent. I am the one in control, creating my own future. Through out my struggles, I have learned that the biggest accomplishments can come from learning from my own mistakes and taking that experience to create something amazing and powerful from it. I learned that I have a passion for helping others; I want to be the light for others that may not be aware of their own light yet.

Oregon Student Assistance Commission; 1500 Valley River Drive, Suite 100; Eugene, OR 97401-2148; (800) 452-8807 ext 7395 or (541) 687-7395; 10/14/09

OREGON STUDENT ASSISTANCE COMMISSION SCHOLARSHIP APPLICATION

OSAC Early Bird Review February 16 - Final Deadline March 1

STEPP, KARI S Name: _____________________________________________

(eAPP users only): __________________

App # (5 digits)

31525

Required Personal Statement #3 Describe a personal accomplishment and the strengths and skills you used to achieve it.

My biggest accomplishment is that I have been able to change my perspective. I now think about how my actions will affect other people. I now recognize the need for giving back to the community instead of just taking from it. I have found that I am more productive now that I am clean and sober. I am going to college and working towards a degree that is of service to others and is rewarding and fulfilling. Three years ago I never thought it was possible. I wake up every day with a goal and a mission to continue my school and education. I make it possible by keeping my goal of helping others in mind every minute of the day and with every new doubt that passes through my mind, I overcome it by taking small and reasonable steps and reaching out to my support.

Required Personal Statement #4 Explain how you have helped your family or made your community a better place to live. Please provide specific examples.

I have made my community a better place to live by being a role model of some one who is fighting my addiction successfully and succeeding in staying clean and sober. Im putting in the work and working the steps to better my life. Its important for other addicts and recovering addicts to see success, especially at a time when they feel they have no hope. Ive worked as a peer counselor and aided in emotional support to members in my community. I have volunteered in community agencies such as HIV Alliance and Chrysalis drug treatment. I have also held service positions in my local Narcotics Anonymous (N.A.) and Alcoholics Anonymous (A.A) support groups. I am currently holding a position as a Student Service Associate at Lane Community College in which I help my community members look for jobs, register for college, and assist with career exploration.

Oregon Student Assistance Commission; 1500 Valley River Drive, Suite 100; Eugene, OR 97401-2148; (800) 452-8807 ext 7395 or (541) 687-7395; 10/14/09