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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______________________