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Draft application form

Posted by: Pulelehua on Sat, Apr 12, 2014

Draft for Student Scholarship application

Draft form

 

Beyond these Doors, 2014

CBTS College Scholarship Application

 

(please return by e-mail or hard copy by May 15 to peggygtrout@aol.com  or at 6778 Pukoo St, Honolulu, 96825)

 

1. Name  ______________________ 2.  E-mail addr.  ______________

 

3. Member of CBTS?  Y /  N, 4.  No. yrs? ____ 5. Confirmed? Y  /  N

6. Parent’s Name  ____________________  7.  Phone # ______________

8. High School Attended __________________  9. Grade Pt Av?  ____/ 4.0

10. College/Univ Attending ___________________  11. Accepted?  Y / N

12. College Financial Aid contact information (name. addr, phone#): _____ 

_____________________________________________________________

13. Do you currently work part time?  _____ Where? ______________

14.  HS activities/honors you participated in, volunteered for,­­­­­­­­­­­­­­­­­­­­­­ or received?

______________________________________________________________

 _______ _______________________________________________________________________

15.  CBTS activities you participated in or volunteered through?  _____

  ­­_____________________________________________________________________________

 

16. Other activities (including community) you participated in? 

___________________________________________________________

 

 ___________________________________________________________________________________________

17. Please share your educational plans, your vision, and goals for your future.

 

______________________________________________________________________________________

 ______________________________________________________________________________

______________________________________________________________________________