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Deadline for Submission November 21st 2!1" Please contact your #ifeST$PS Director of Social Services %ith any &uestions' (enny )hou *+2+,-.2/0.-1
Return all information to: LifeSTEPS, 4041 Bridge Street, Fair Oaks, C P&one: !1#'!#"'0110 Fa(: !1#'!#"'010$
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Complete the attached application for prior recipients form" Attach most college+university or vocational program transcripts, including courses currently enrolled" Attach completed Verification of ,esidence form" ,ead and sign terms of agreement" Provide proof of acceptance and class schedule for the )pring !-./ semester"
Please direct all in0uiries regarding the Partnership for Hope )cholarship *und to 1enny Chou 26!63#4!5 64#7" 2$T72N >672 )6:P#$T$D P4)8$T T6' Partnership for Hope Scholarship Fund c@o #ifeST$PS 3!31 ;ridge Street Fair 6aAs )4 .-+21
Return all information to: LifeSTEPS, 4041 Bridge Street, Fair Oaks, C P&one: !1#'!#"'0110 Fa(: !1#'!#"'010$
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*irst :ame
M9
)tudent 9d;
City Email
)tate +
Ethnicity 5 ?ptional' Alas%an :ative+American 9ndian Asian >lac%+African American Hispanic+Latino Pacific 9slander @hite+Caucasian Un%no$n ?ther 2 :ame of AMCAL Housing Management manager on5site :ame of )chool Currently or Last Attended )chool Address City )tate 3
Return all information to: LifeSTEPS, 4041 Bridge Street, Fair Oaks, C P&one: !1#'!#"'0110 Fa(: !1#'!#"'010$
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@hen determining a$ard amounts, the )cholarship Committee $ill revie$ the annual udget of the family, the student and the type of institution attending" (he committee is comprised of individuals appointed y the Life)(EP) EBecutive &irector"
2e&uested 4mount of Partnership for Hope Scholarship Fund Scholarship DEEEEEEEEEEE Prior 4%ard 4mount*s, of Partnership for Hope Scholarship Fund Scholarship DEEEEEEEEEEE MaBimum a$ards availa le per scholarship application cycle are' UC system' C6,#-Private system' CF,#-C)U system' C!,7-Community college system' C6#MaBimum a$ards $ill e a$arded sparingly, if at all, as $e are trying to serve as many students as possi le" Applicant :ame' Property :ame'
2eapplication Spring 2!13
Return all information to: LifeSTEPS, 4041 Bridge Street, Fair Oaks, C P&one: !1#'!#"'0110 Fa(: !1#'!#"'010$
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55. S)H66# 4)T5<5T5$S 2 y class year, list mem erships in clu s, participation in athletics, special classes and activities, positions held, etc"3' A)ME mem er C))A mem er
555. )6::7N5T> 4)T5<5T5$S 2Civic committees, church groups, scouts, tutoring, charita le groups, proAect5sponsored activities, etc"3' Committee or 8roup :ame Contact :ame and Phone
5<. $:P#6>:$NT 28ive Ao title, responsi ilities, name of employer, etc"3' MC )tonehouse translator Applicant :ame' Property :ame' Andre >arcley
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!" Ho$ has receiving funds from the Partnership for Hope )cholarship *und made an impact on your lifeI ,eceiving funds from the Partnership for Hope )cholarship *und can really impact my life" )ince in the college the cost of living eBpenses, tuition fee, rent fees are really high" 9 have to get a loan from the government" Ho$ever, it still cannot cover all the costs" 9f 9 can get the scholarship, it $ill really help me financially and 9 $ould li%e to dedicate all my %no$ledge to help our community"
Return all information to: LifeSTEPS, 4041 Bridge Street, Fair Oaks, C P&one: !1#'!#"'0110 Fa(: !1#'!#"'010$
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Return all information to: LifeSTEPS, 4041 Bridge Street, Fair Oaks, C P&one: !1#'!#"'0110 Fa(: !1#'!#"'010$
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<$25F5)4T56N 6F 2$S5D$N)$
(o e eligi le for a Partnership for Hope )cholarship *und a$ard, the applicant must be a current resident of an 4:)4# affordable housing community %here #ifeST$PS provides social services for at least + months. (o certify your status, please have the Property :anager complete this form for you Applicant :ame' 5 hereby certify that the above named applicant is a resident of'
)ignature &ate Prior 4:)4# affordable housing communities' Property :ame Property :ame &ates ,esided' *rom &ates ,esided' *rom
(o (o
:ote' 9nclude this form $ith your scholarship application" 4pplication must be received by November 21st 2!1".
Return all information to: LifeSTEPS, 4041 Bridge Street, Fair Oaks, C P&one: !1#'!#"'0110 Fa(: !1#'!#"'010$
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Return all information to: LifeSTEPS, 4041 Bridge Street, Fair Oaks, C P&one: !1#'!#"'0110 Fa(: !1#'!#"'010$
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