Donald Lebsack Memorial Scholarship in Computer Science

In recognition of the outstanding contributions of Dr. Donald Lebsack to the Computer Science Department.

Scholarship Application

For one or more graduating and transferring student currently enrolled in at least 8 units with a minimum 3.00 GPA in all course work completed

(with a 3.25 GPA in Computer Science Courses), and a minimum of two C.S. courses and 24 minimum units overall completed at Fullerton College. 

Members of the Computer Science Division will select the winner(s) of this award.  Applications should be submitted to the Mathematics Division by March 1st.

GENERAL INFORMATION:      

STUDENT   NAME                                                                                                          ID #  _____________                                                                                                                                                                                                                                                                                                                           STUDENT   NAME                                                                                     

                                                Last                           First                                   MI     

ADDRESS :

No. & Street _______________________________    City ____________________ State_____ZIP_________

PHONE  (         ) __________________EMAIL:________________________________________________                                

SOCIAL SECURITY #_______________________                             MAJOR: _________________________

Units completed at F.C.:   _____;  GPA: ______;  Other Colleges: units;  _____ GPA ______  

Units completed in Computer Science at F.C.______________  GPA (in Computer Science)______

Units currently enrolled in  ______When will you graduate/transfer from Fullerton College?_____________

Did you apply for graduation?   No    __       Yes        ;      Date of graduation(if applicable):  ________________

Where do you plan to attend in 2005-2006 school year?   _____________________________________                                                                           

COMMUNITY SERVICE:  List all college and community services in which you have or are currently participating.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         ACTIVITIES:  List all scholarships/honorary awards received for academic or community work (indicate nature and dates received).

ADDITIONAL INFORMATION: This section must be at least one page in length, and must be in question and answer format.

1.        Explain your reasons for applying for this scholarship.

2.        What are your educational goals and career goals?

3.        Please provide us with any additional information you feel would provide us better insight to award the most appropriate scholarship.

I authorize the Fullerton College Foundation to use any part of this information including information from my essay in a newsletter Yes ____ No _____

I authorize the Fullerton College Foundation to release this information to other organizations.   Yes ______   No ______To the best of my knowledge, the information on this application is true and complete.

Signature__________________________________________ Date______________