Scholarship Reader Volunteer Form

First Name *

Last Name *

Address *

City *

State *

Zip code *

Home phone

Cell phone

Work phone

Email *

Are you currently employed? *

Yes

No

Where are you employed?

Where did you last work?

Are you retired? *

Yes

No

What type of work did you do in your career?

Are you currently a student at Lane? *

Yes

No

Have you attended Lane in the past? *

Yes

No

All dates you have attended Lane

Do you have a college degree/s? *

Yes

No

What year/s did you receive a degree?

List college/s where you received degree/s:

Do you have family members applying for scholarships? *

Yes

No

What is their relationship to you?

Are you currently employed by Lane Community College as faculty or staff? *

Yes

No

How did you hear about this volunteer opportunity? *

Why are you interested in being a scholarship reader? *

Conflict of Interest

Lane Community College Foundation believes that it is important for scholarship readers to avoid the appearance of a conflict of interest while reviewing applications and conducting any other selection committee business. Readers must be able to score and rate applicants without potential or perceived influence caused by a conflict of interest. Readers must evaluate the eligibility of applicants without bias and make their ratings based on the established objective criteria.

A conflict of interest can occur when an action of a reader or donor results in a direct financial benefit to a person closely related to the donor or reader. A conflict of interest may also occur if a reader scores the applicant without considering objective criteria for the scholarship.

No readers or members of the scholarship selection committee shall be eligible to apply for assistance from the scholarship fund.
If a family member of a reader or member of the scholarship selection committee has applied for assistance, that person will declare a conflict of interest and will not participate during the review and selection process. (“Family member” is defined as spouse, parent, child, stepchild, adopted child, niece, nephew, grandchild, step grandchild, or in-law.)
Current Lane students (or those graduating in the past 24 months), Lane faculty and staff are not eligible to review scholarships.

Foundation

Scholarship Reader Volunteer Form

Conflict of Interest

Thank you for your interest in being a LCC Scholarship Volunteer!