Beruflich Dokumente
Kultur Dokumente
APPLICATION
Eligibility Criteria
Candidate:
General Instructions
Please type or print the application in black ink. This is a merit-based scholarship. Therefore,
successful candidates must submit supporting documentation to attest to their significant
accomplishments. Academic excellence, extra curricula activities, community and civic
involvement, etc. are factors considered in the awarding of this scholarship.
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Section I: Personal Information
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Community and Civic involvement and Extracurricular Activities
List service projects, volunteer work or other activities in which you demonstrated leadership while
enrolled in high school and college (Exception, EOC Participants cover the last five years).
Addendums can be submitted if desired (This section must still be completed). Please include any
community service in which you may have been involved.
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Section VI: Program Information and Certification
Name of Institution/Agency and TRiO Project: ____________________________________________
Director: __________________________ Mailing Address: _________________________________
City ______________________________ State ______ Zip Code __________Phone___________
E-mail ________________________________
Nominator: ______________________________________
Office Phone _____________________________ E-mail _________________________________
Position/Title: _____________________________________________________________________
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