Brucelee Scholarship 2016 (1)

8/19/2019 Brucelee Scholarship 2016 (1)

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Bruce Lee Scholarship 2016

BRUCE LEE SCHOLARSHIP

BIOGRAPHICAL INFORMATION

Name: _______________________ ___________________ _____________________ (First) (Middle) (Last)

Permanent Address _________________________________________________________

___________________________________________________________________________

Phone: (___) ___________ E-mail: _________________________ Fax: (___) ___________

ate o! Birth ____________________________ Gender: Male_______ Female ________(Month/Date/Year)

"o#ial "e#$rit% N$m&er ______________________________________________________

Father ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' (Name/Occupation/Employment Address/Phone)

Mother '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' (Name/Occupation/Employment Address/Phone)

N$m&er o! #hildren in !amil%: _______ Their a(es: _________________________

Ho) man% in #olle(e* _______________________________________________________

Lan($a(e+s, so.en at home: _________________________________________________

Ann$al ho$sehold in#ome ___________________________________________________

C/RRENT E/CATIONAL INFORMATION

Hi(h "#hool: _______________________________________________________________

Address: ___________________________________________________________________

Phone: (___) ______________________ Fax: (____) ________________________________

GPA: ________________ 0ei(hted1Non-)ei(hted* __________________ (Please attach

transcript)

Extra#$rri#$lar a#ti2ities: _____________________________________________________

_____________________________________________________________________________

A#ademi# Honors: ____________________________________________________________

_____________________________________________________________________________

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Comm$nit% "er2i#e A#ti2ities: _________________________________________________

______________________________________________________________________________ (!nclude an additional attachment" i# necessary)

PO"T-"ECONAR3 "T/3

Colle(e+s, or /ni2ersit%+ies,: ___________________________________________________ (You ha$e applied to and/or %een accepted %y)

Address+es,: _____________________________________________________________________

______________________________________________________________________________

Phone+s,: (___) __________________________ Fax+es,: (____)

______________________________

AITIONAL INFORMATION

Ha2e %o$ re#ei2ed an% other s#holarshis1(rants* Yes______ No

______

I! 43es56 t%e o! a)ard+s, andamo$nt+s,: _________________________________________ NOTE: If you are already receiving a FULL Scolar!i" fro# your !cool$ USPAACC Educa%ion Founda%ion re!erve! %e rig% %o &i%dra&

%e a&ard

______________________________________________________________________________ (Please list any a&ards recei$ed)

LETTER" OF RECOMMENATION

0ill &e ro2ided &%:

A#ademi# "#hool Tea#her1Ad2isor: _____________________________________________

Comm$nit% "er2i#e Leader1Or(ani7er: __________________________________________

All parts of the application must be filled completely in order to qualify

!rite "#$A% if not applicable

I'PORTANT& 'ompleted application must be "o!%#ar(ed by 'arc )*$ +,)-

(ail application and supporting documents to&

BRUCE LEE SCHOLARSHIP

)S Pan Asian American 'hamber of 'ommerce *+1,2- 1.th Street/ #!/ !ashington/ ' 200,6

Supporting documents can be found on our ebsite at http//cele%rasiancon#erence'com/a%outcele%rasian/scholarships/application#orms'

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http://celebrasianconference.com/about-celebrasian/scholarships/application-forms








ue to the high olume of applications/ only selected applicants ill be informed of the

Scholarship 'ommittee3s decision by mid4April

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Brucelee Scholarship 2016 (1)

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