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Scholarship Application Form

DEADLINE APRIL 16, 2012

Scholarships will be given to graduating high school students living Orange County, California for excellent academic success, outstanding volunteer service, need, and leadership shown in school and in the community

Read all instructions before beginning application.

NAME______

ADDRESS______

CITY______ZIP______

PHONE CELL PHONE______EMAIL______

HIGH SCHOOL YOU ARE ATTENDING______

COLLEGE YOU PLAN TO ATTEND AND MAJOR______

PROFESSIONAL PLANS FOR THE FUTURE______

HIGH SCHOOL COUNSELOR ______

This application must be typed and limited to this form only. It can be scanned as is into a word processor for easy completion.

Complete the following pages spotlighting your community service and school activities in Orange County. Do not attach any additional pages for activities. NO ATTACHMENTS WILL BE CONSIDERED IN THE JUDGING. The committee will not accept anything less than a 10 point font.

Attach financial budget form.

A transcript of you high school work must be included with application.

Include with your application three letters of recommendation from persons (not relatives) who are familiar with you, your community and school activities, and your leadership skills.

MAIL FORM TO: 5239 E. Glen Arbor Anaheim, CA 92807

MUST BE POSTMARKED NO LATER THAN APRIL 16, 2012

1

2011-2012 COMMUNITY SERVICE ACTIVITIES

ACTIVITY

2

2010-2011 COMMUNITY SERVICE ACTIVITIES

ACTIVITY

3

2009-2010 COMMUNITY SERVICE ACTIVITIES

ACTIVITY

4

2008-2009 COMMUNITY SERVICE ACTIVITIES

ACTIVITY

5

SCHOOL ACTIVITIES

6

HIGHER EDUCATION BUDGET

Name of applicant ______

Please take extra care in completing this portion of your scholarship application. We have found that many graduating Senior have very little idea of the actual cost of higher education, even those who have received substantial scholarships and financial aid. Discuss this budget with your school counselor and parents. The Higher Education Budget is to be submitted as part of the application by May 1, 2011.

Expenses based on what school? ______

Annual 2011 income of family______

Comments:

Printed name

Signature: Date:______

Parent Signature ______

7

Interviews will be used as part of the selection process to determine the final scholarship recipients.

CHECK LIST FOR SCHOLARSHIP APPLICATION. BE SURE TO INCLUDE ALL PAGES INCLUDING REFERENCES, AND TRANSCRIPT WITH COMPLETED APPLICATION FORMS. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED FOR SCHOLARSHIP.

Front page completed

Community Activities pages completed

School Activities page completed

Higher Education Budget completed

Transcript included

Three personal references included

MAIL APPLICATION TO: 5239 E. Glen Arbor LaneAnaheim, CA92807

MUST BE POSTMARKED NO LATER THAN APRIL 16, 2012

WHY DO YOU VOLUNTEER?

If selected as a scholarship recipient, I agree to allow my name and biographical data to be released and to be used in any public association with the award.

I have completed this application honestly and accurately.

I understand that all information provided in connection with this application is subject to verification.

Applicant’s Signature: Date ______