ࡱ>  Qbjbjߍ 4d8X/tx(! " .......,u0'3:.###:.$.$$$#^ .$# .$$V(-@--dq#h- -.0/t-T4$4-$-0###:.:.$###/4######### F:   Scholarship Application Form CHINESE CULTURAL SOCIETY OF STOCKTON School Year 2011-2012 Instructions: This is a voluntary and confidential scholarship application form to be used by the scholarship committee of the Chinese Cultural Society of Stockton (CCSS). Please file a completed application and supporting documents with your school scholarship chairperson by Monday, March 5, 2012. Family Name  FORMTEXT       Given name  FORMTEXT       Gender  FORMTEXT       Name written in Chinese, if known  FORMTEXT       Languages spoken  FORMTEXT       Home address (no./street/city/state/zip)  FORMTEXT       Home phone  FORMTEXT       Cell phone  FORMTEXT       E-mail address  FORMTEXT       Best way to contact you  FORMTEXT       Date of birth  FORMTEXT       Age  FORMTEXT       Place of birth  FORMTEXT       Parents/Guardian: Relationship Name in English Written in Chinese Occupation  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       School  FORMTEXT       GPA: Weighted/Unweighted (circle one)  FORMTEXT       Rank in class  FORMTEXT       Proposed major field of study  FORMTEXT       Proposed future career or vocation  FORMTEXT       What degree(s) do you plan to obtain?  FORMTEXT       What college do you plan to attend? First choice  FORMTEXT       Second choice  FORMTEXT       Third choice  FORMTEXT       Work experience (paid): Place Duties Hours/Week List years and months worked  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Describe any unique personal circumstances  FORMTEXT       Activity Record: List each activity under the appropriate heading. Mark  X in grade column to show year of participation. Indicate any leadership positions held. List awards and honors earned in that activity. 9101112STUDENT GOVERNMENT (Include leadership positions, awards, honors) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      9BWZgo } B V Z \ p r      ( * ~pjhhNCh @UjhNCh @UjxhNCh @U jhNCh @UmHnHujhNCh @U hNCh @jhNCh @U h^h @h^h @>* hT6 ho66 h @6h @ h @5 ho65h"gWh @5,BXYZ | ~ . 2 &JRgd @`gd @$a$gd @* 0 P T V j l n x z ~    * , . 8 : < D X \ ^ r 񴬨ve^ h?h @ jh^h @UmHnHujh^h @Ujh^h @Ujh @UmHnHujTh @Uh @jh @U hL#h @ h @>* jhNCh @UmHnHujhNCh @U hNCh @jhNCh @Uh^h @>* h^h @#r t v      * , 2 L P R f h j t v z | ƿαέƭΟƿΑέ~ƿjh^h @U h @>*jh^h @Uj.h^h @Uh @jh^h @U hL#h @h^h @>* h^h @ jh^h @UmHnHujh^h @UjBh^h @U/ >B`bx "$8:<FHRThƿƿƷί|qjdh @Ujh @Uj|h @Ujh @UmHnHujh @Uh @jh @UhL#h @>* hL#h @h^h @>* h^h @ jh^h @UmHnHujh^h @Ujh^h @U,hjlvx|~"$(*>@BLNTVjlnxzڹڮڣژڍj h @Uj h @Uj h @Uj h @Uj6 h @Ujh @UjNh @Uh @jh @UmHnHujh @Ujh @U7TVPR*,24f (hjgd @$&,.BDFPRVbfh|~ $(*>@BLNRj:h @Uj h @U hL#h @jN h @UhL#h @>*j h @Ujf h @Uj h @Ujh @UmHnHujh @Uj| h @Uh @6R&(,vz|   "$.06PTVjlnxzjh @Ujh @Ujh @U h @>*jh @Uj(h @Ujh @UmHnHujh @Uh @jh @U hL#h @hL#h @>*8*,dfh|~(*>@BLNRThjlvxjh @Ujh @Uj>h @Ujh @UjVh @Ujh @Ujh @UmHnHujxh @Ujh @UhL#h @>*h @9 $&(24NPdfhrt.02<>jh @Uj4h @Ujh @UjVh @Ujh @Ujnh @Ujh @Ujh @UmHnHujh @Ujh @Uh @8>@BVXZdfj>@TVXbdpr@@@@Ujh @Ujh @Ujh @Ujh @U h7Nh @ hQh @jh @UhL#h @>*jh @UmHnHujh @Ujh @Uh @44 $Ifgd @ $$Ifa$gd @gd @ 468:<>fNEEEEE $Ifgd @kd$$IflrD%(q t0%644 lafhjlnpNEEEEE $Ifgd @kd'$$IflrD%q t0%644 laNEEEEE $Ifgd @kd*$$IflrD%q t0%644 laNEEEEE $Ifgd @kd;$$IflrD%q t0%644 la@@@@@NBBBB9 $Ifgd @ $$Ifa$gd @kdL$$IflrD%q t0%644 la101112CLUBS (Include leadership positions, awards, honors.) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      9101112SPORTS (Include leadership positions, awards, honors.) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      9101112ACADEMIC TEAMS (Include leadership positions, awards, honors.) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      9101112VISUAL AND PERFORMING ARTS, JOURNALISM (Include leadership positions, awards, honors.) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      9101112Community involvement, volunteer work (Include yr/mo.) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      9101112Special interests, hobbies, talents, skills FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Other awards, honors, and notable experiences  FORMTEXT       Signature of Applicant  FORMTEXT       Date  FORMTEXT       Signature of Parent/Guardian  FORMTEXT       Date  FORMTEXT       Please remember to include with this application form: __ One letter of recommendation __ An official transcript __ Two essays Essay #1: Describe in 250 words or less your proudest achievement. Optional: Attach a photograph, drawing, or published article.  FORMTEXT       Essay #2: Describe in 250 words or less three aspects of your life in which your Chinese heritage has played a role. If possible, sign your name in Chinese characters.  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