Amelia A. Adams Scholarship
The Amelia Ann Adams Scholarship, originally funded by Amelia Adams, seeks to encourage young and mature
students entering into or pursuing a career in education, social services, or social justice. Additionally, this
scholarship is available to those who are seeking to enhance their skills and or knowledge through professional or career development workshops and/or continuing education opportunities.

For more information about the Amelia Ann Adams Whole Life Center please visit:

This is a voluntary and confidential scholarship process to be used by the Amelia Ann Adams Whole Life Center . scholarship committee. In order to fully understand and evaluate each application, please
provide all information requested.

Scholarship Awards Information:
-Up to $500 for new, current or returning students to attend a college or university
-Up to $500 to support professional development opportunities

DEADLINE: Monday, August 31, 2020. All applications and letters of recommendation must be submitted by
11:59pm PST on Monday, August 31, 2020.

Letters of recommendation may be submitted from the recommender directly to the scholarship committee by email at

All official transcripts must be mailed and all letters of recommendations submitted via postal mail or email and must be postmarked by Monday, August 31, 2020.
Mailing Address:
The AAA Whole Life Center
c/o Scholarship Program
6702 Inglewood Ave. Suite K
Stockton, CA 95207

For the Amelia Ann Adams Scholarship:
Email address *
Clear selection
Email Address: *
Please share your applicant classification: *
Please share your degree or professional development focus *
For college bound applicants:
Clear selection
Name *
Home Address *
Mailing Address (if different than your home address)
Phone Number *
Date of Birth *
Ethnicity *
Cumulative GPA (graduating high school seniors, currently enrolled or reentering students).
Gender *
I receive all or most of my financial support from *
Applicant occupation (if self-supporting in any way)
Name of Father (Guardian)
Name of Mother (Guardian)
Total Annual Income - (subject to verification) *
Number of dependent children living in the household *
Number of dependent children attending college
Please list all of your school based activities, community based activities, honors and recognition received within your high school, college and/or career experience. *
Personal Statement 1: Who or what has been the greatest influence in your personal life and why? (400 word minimum) *
Personal Statement 2: Describe any extraordinary circumstances in your life that you have had to overcome and what lessons will you carry with you as you pursue your academic or professional goals. (400 word minimum) *
Personal Statement 3: for applicants who are pursuing professional development: Please describe the professional development opportunity along with date(s), professional credit (if applicable), cost, and other sources of funding. What will you gain from participating in the professional development opportunity, who will it benefit (in addition to you) and what are your anticipated next steps after the learning has concluded? (350 word minimum)
You are required to provide 2 letters of recommendation. Will you submit them through postal mail or will you have your recommenders to submit via email? Due date:8/31/20 *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of The Amelia Ann Adams Whole Life Center.