Click Here to Download Printer Friendly Version 

 

CALSDF SCHOLARSHIP APPLICATION

 

 

Name_____________________________________ QPA_______ Class Rank________  

 

Address ________________________________________________________________

 

_______________________________________________________________________

 

Residence ______________________________________________________________

(California Borough, Roscoe, West Pike Run, Daisytown, etc.)

 

Future Plans_____________________________________________________________

 

_______________________________________________________________________

 

Name of college, technical, or trade school to which you have been accepted

 

_______________________________________________________________________

 

Major or program of studies ________________________________________________

 

List your community service activities________________________________________

 

_______________________________________________________________________

 

_______________________________________________________________________

 

_______________________________________________________________________

 

Please list any special circumstances, hardships, or other pertinent information you would like the scholarship committee to consider______________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

 

 

 

Signature______________________________________ Date______________________