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Name (Please
print)________________________________________________________________________________
Date ________________
Address__________________________________________________________________________________________Zip
_________________
Home Phone_____________________________ Work Phone____________________________
Cell Phone _____________________________
E-Mail_____________________________________________________________________________
(Please check email messages frequently.)
Citizenship: U.S.Citizen ____
Permanent Resident ____ Other ____
Social Security Number____________________
College Currently Attending
______________________________________________________________________________________________
College Major or Career Goal
_____________________________________________________________________________________________
Number of college units completed ____
Current Units _____
Please attach a one page, typewritten, personal
statement which highlights your school and community activities. It should also tell
why you want to attend college, what your personal and career goals are, and how
this scholarship will assist you in achieving those goals.
PLEASE NOTE: APPLICATIONS, TRANSCRIPTS, LETTERS
OF RECOMMENDATION, ETC. WILL NOT BE RETURNED AFTER SELECTION. PLEASE
MAKE COPIES FOR YOUR OWN RECORDS.
Please mail the completed application and any applicable
supporting documents to:
Local Scholarship
Committee
AAUW Fremont Branch
P.O. Box 8254, Fremont, CA, 94537-8254
If you need help, please feel free to call us at (510)
728-9700.
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