Sunburst Youth Academy Scholarship Application

Sunburst Youth Academy

Scholarship Application

Please print your answers below. ALL questions must be answered. If application is illegible it will be returned to you.
1		Full Legal Name: ______________________________	Date of Birth: __________________
2		Legal Address: Street: ___________________________________________________________________ City: _________________________________ State: _____________ ZIP: ___________
3		Daytime Telephone Number: ( ) ___________________________________ Email address: _____________________________________________________
4		I will be attending the following school in the Spring 2015: ___________________________________ Address/ Phone (if available):
6		Will you be a full time student? _________________ part time? _____________________________
7		Will you be commuting to and from school? ________________________________________________ Will you live on campus? _______________________________________________________________ If you are not living on campus, where will you be living? _______________________________________
8		Cumulative Grade Point Average (GPA): __________ GPA on last report card: ____________________ Attach proof of GPA and your most recent school transcript.
9		What were your scores on the CAHSEE? ELA ______________ Math ____________ Have you taken the SAT or ACT? Yes ___________ NO ___________ Do you have your score? ______________
10		Name & address of parent(s) or legal guardian(s): Name (s): _______________________________________________________________________ Street: __________________________________________________________________________ City:_____________________ State: ___________ ZIP:_____________ Home phone of parents or legal guardians: _______________________________________
11		What trade/specialty/major do you plan to pursue as you continue your education? What goals do you have after you graduate from Sunburst? (attach a separate piece of paper if more space is needed)
12	List expenses you expect to incur per semester or quarter: (Approximate figures acceptable.) Make additional comments if needed.
A		Tuition:
B		Books:
C		Living Expenses:
D		Other:
13
		How much support do you expect from your parents: (Explain)

Answer the questions below. Use a separate sheet of paper if needed.

14	SCHOOL EXTRA-CURRICULAR ACTIVITIES: Please list school extra-curricular activities in which you have participated. Note leadership roles and dates.
15	ORGANIZATIONS/SERVICE TO COMMUNITY: Please list community organizations and services to community in which you are now active or have previously been active. Note leadership roles and dates.
16	RECOGNITIONS: Please list important awards and recognitions received. Note organizations presenting honor and date.
17	GOALS: What are the short and long term goals for your life?
18	CAREER PLANS: What are your career plans and what would you like to be doing in 10 years?

STATEMENT OF ACCURACY

I hereby affirm that all the above stated information provided by me to the Sunburst Youth Academy Scholarship Committee is true, correct and without forgery

I hereby understand that if chosen as a scholarship winner, according to Sunburst Youth Academy Center’s scholarship policy, I must provide evidence of enrollment/registration at the post-secondary institution of my choice before scholarship funds can be awarded.
Signature of scholarship applicant: _________________________________ Date: _________________
Witness_______________________________________________________ Date: ________________________