Signer Information

Returning Applicants:

If you have a previously approved Scholarship Application with UC Scout and are applying for an additional scholarship/requesting the second semester of your initial scholarship, then you do not need to complete this entire application. You can instead complete the Returning Applicant form here.

New Applicants:

Thank you for your interest in UC Scout's On Demand Scholarship program!

Student, please provide the information below and to start your UC Scout Scholarship Application.

Please be advised that your parent/guardian and counselor will be able to view your application information before signing. Your counselor's email should contain a district or school domain (not a person email such as Gmail, Yahoo, etc.).

DO NOT include personal information such as your social security number or date of birth.

Once completed and signed by all three parties, the UC Scout team will be notified of your submission. You will separately receive an email confirmation advising your application is completed.

The application submission deadline and additional details can be found here.

Have questions about your application? Contact ucscoutscholarships@ucsc.edu.

Application Information

This application serves as an understanding between the student, their parent/guardian, school counselor, and the UC Scout team, and outlines the details of this opportunity.

UC Scout is a University of California program that provides online A-G and AP College Board approved courses to support students in meeting graduation, CSU, and UC eligibility requirements.

Award recipients will receive a $349 scholarship towards a $399 On Demand course. The student is responsible for paying a $50 technology fee per semester of a course.

On Demand courses are asynchronous independent studies and students do not interact with their classmates. Students learn the curriculum by watching pre-recorded video lectures, and submit a combination of assignments, quizzes, and tests to earn a final grade. The UC Scout teacher provides feedback and support, hosts live weekly office hours, and grades assignments. The teacher does not provide synchronous live instruction.

More information about On Demand courses can be found here.

Student Information

Student First Name	Student Last Name
Student Email	Student Phone Number
UC Scout Student ID Number	Student/Parent/Guardian Home Address
(Located in the top right corner of your student account. If you do not have an account, create one here.)

School Name, City, State and CDS code

School_Selected_Value

School Name	School City
School State

Scholarships are available to residents of California.

Grade Level

Current GPA

What is your racial/ethnic background? This does not determine your eligibility and is asked for data collection purposes.

What is your gender? This does not determine your eligibility and is asked for data collection purposes.

	Yes. I certify (promise) and agree that the answer is accurate.	No.	I am not sure.
Please refer to the Reduced Price Eligibility Scale from the California Department of Education. Please note the first table on that page is the “Free Eligibility Scale.” You will need to instead refer to the second table which is the “Reduced-price Eligibility Scale - Meals and Snacks”. Do you qualify for reduced-price meals and snacks based on the scale? To qualify for free or reduced meals, your parent(s) or guardians(s) income must be equal to or less than the amount for your household size.
Are you, your parent/guardian, or anybody in your household a recipient of or eligible for CalFresh/SNAP or MediCal/Medicaid?
Do you currently reside in Public Housing? Public Housing is provided for people with low incomes and is subsidized by public funds.
Do you have a parent/guardian who has completed a 4-year college degree or higher? A first generation college going student is one where neither parent or guardian have completed a 4-year college degree or higher.
Does your school classify you as an English Language Learner? An English Language Learner is a student whose primary language spoken at home is not English, and the student receives resources to improve their English language listening, speaking, reading, and/or writing skills.
Are you a foster youth, homeless, or shelter insecure? A yes response represents a student who is enrolled in a foster care system, or a student who lacks a regular or adequate nighttime residence.
Do you have a 504 or IEP plan, or do you receive learning accommodations? This does not determine your eligibility and is asked to ensure your accommodations are applied.

For the questions above, it may be required for you to provide income verification documents upon request. Do you have the ability to do this?

YesNo

Course Enrollment Information

What course are you interested in taking (select one course)?

UC Scout courses can be found here. Please be sure you have completed the advised ‘recommended prerequisite' for the course selected. This information can be found on the course description page. Please indicate which semester you are interested in taking (for two semester courses).

Courses must be completed on a computer, laptop, or Chromebook (not a tablet or phone). Do you have access to a reliable device and internet?

YesNoNot sure

Are you intending to use a device provided by your school?

YesNoNot sure

If selected, we will reach out to ask for a testimonial of UC Scout's scholarship program and your course experience. Do you acknowledge that you will provide this testimonial?

YesNo

Personal Narrative Statement

Please provide a personal narrative statement in the box below (150-300 word max). Please explain how your identity as one or more of the following has impacted your academic experience and success as well as the challenges that you have faced because of this:

• Low income

• First generation college going

• English language learner

• Foster youth

• Homeless, or shelter insecure student

Please note that this statement is a required part of the application.

Student Terms and Conditions

1. Students must qualify in one or more of the demographics below:

Student, parents, or anyone in the household is a recipient of or eligible for CalFresh/SNAP or Medi-Cal/Medicaid.
Reside in public housing.
Household income is at or below the levels listed on the Reduced-price Eligibility Scale Meals and Snacks table based on the household size.
Current/former foster youth or homeless/shelter insecure.
Student and siblings are the first in the family to attend college AND the student is an English language learner.

2. Students must be in 9-12th grade and have a minimum GPA of 2.5.

3. A scholarship is valid for a single course. The selected course may be a single semester or year-long (two semesters). The course catalog can be found here.

The scholarship course must begin during the term the student applies for. Term dates can be found here.
UC Scout only awards one scholarship per semester of a course per term.
If a student enrolls in a two semester course with a scholarship and completes the first semester with at least 70% or above, then they can take the second semester with a scholarship during the following term.
Please note, students who wish to take College Board’s AP exam must remit payment for the exam separately.

4. The student must abide by the Scholarship Requirements below:

Attend the weekly live session. If the live session is on a day/time the student is not available, the student must email the teacher to report on their weekly progress.
Submit at least one graded assignment per week.
Maintain and complete the course with a 70% or higher grade.

Failure to abide by these rules can result in a removal from the course and scholarship program without refund.

5. Students must abide by all UC Scout drop, transfer, and refund policies. Students must submit a Drop Request Form and notify the Scholarship Team in order to drop a course. Policies and request forms can be found here.

School Terms and Conditions

1. If the student needs the course to graduate, their school must accept UC Scout’s transcript. If the student does not need the course to graduate they can request a transcript to be sent to their college(s) of choice.

Transcript request information can be found here.

2. The student’s school must provide ‘observer’ oversight and it is recommended to have regular check-ins to monitor student progress. An ‘observer’ is a trusted guide who monitors student progress and grades and is typically a school administrator, counselor, teacher, parent/guardian, mentor, or tutor. Additionally, UC Scout recommends providing tutoring services, a free period, and/or designated space where students can work on their course.

Observer set up information can be found here.

3. The school and student understands that the midterm and final exams are proctored online.

This agreement form must be signed by the student, their parent/guardian, and school counselor. By signing this agreement, all parties acknowledge the terms, conditions, and requirements of this opportunity.

Student Agreement:

I have read the ‘Student Terms and Conditions’ items 1-5 and understand the expectations to remain in the scholarship program.

Parent/Guardian Information

Parent/Guardian Full Name

Parent/Guardian Email (must be different from student email or else you will not be able to sign the document)

Counselor Information

Counselor Full Name

Counselor Email

Student Agreement:

I have read the ‘Student Terms and Conditions’ items 1-5 and understand the expectations to remain in the scholarship program.

Scholarship Application Form

Signer Information

Application Information