CALIFORNIA JAPANESE AMERICAN ALUMNI ASSOCIATION
Scholarship Application Form
Please read the application instructions for a description of awards and eligibility requirements before completing this application. The deadline for submitting this application is April 15, 2008.
1. PERSONAL INFORMATION
Name: (Last, First, MI):
Soc. sec. no.:
E-mail addresses:
Date of birth:
Birthplace:
Qualifying Japanese ancestry:
Please list all e-mail addresses above where we can contact you if we have questions regarding your application.
Current Residence:
Address:
Phone:
City:
State:
Zip:
Permanent Residence:
Address:
Phone:
City:
State:
Zip:
Notification of the results of scholarship committee review will be mailed to your permanent residence unless otherwise indicated by you.
2. EDUCATION
High School:
Year graduated:
City:
State:
Current University:
School year:
Major:
Degree Sought:
Year of completion:
Campus next Fall:
School year:
Major:
Degree Sought:
Year of completion:
attended to date
