2019 College Bound Scholarship Application
Please take a look at the image below and read carefully as the application has changed.
Application Informational Piece
Do you attend an SJUSD High School?
Student Information
SJUSD High School
Your answer
Student's Name
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
What college/university do you plan to attend for Fall 2018?
Your answer
If selected, which teacher, mentor, coach, or counselor would you like to shop with you? (Please ask if they are available in mid to late July before listing them on this application)
Your answer
His/her phone number during summer:
Your answer
Their Email:
Your answer
College Finances
Based on the FAFSA, what is your Expected Family Contribution (EFC) for college?
Your answer
Do you have a computer to take with you to college ?
Would you be the first one in your family to graduate from college?
Have you ever been in foster care or lacked stable housing*? *“Lack of stable housing” is defined as doubled up with another family, living in a hotel, transitional housing or other temporary housing due to economic hardship.
Where will you live during your freshman year?
Parent/Guardian Information (if applicable)
Parent/Guardian’s Name
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Date of birth
MM
/
DD
/
YYYY
PHOTO & INFORMATION RELEASE
I give Kids Helping Kids and San Juan Unified School District permission to use, publish, and republish
reproductions of my likeness (photographic or otherwise), and essay narratives with or without identification of me by name, for purposes of communicating the work and purpose of the scholarship program e.g. annual report, brochures, electronic presentations, newsletters, etc.
Applicant Signature (type out full name)
Your answer
Date
MM
/
DD
/
YYYY
Consent of parent or legal guardian if above individual is a minor (under 18):
Signature (type out full name)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Kids Helping Kids Sacramento. Report Abuse - Terms of Service