Scholarship Application Form

FALEO San Diego

PO Box 12749

San Diego, CA 92112

faleosd.jerichosalvador@gmail.com

www.faleosandiego.org
2023 Jonathan "JD" DeGuzman Scholarship Application
Applicant Information:
Full Name*

First NameLast Name
E-mail
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent or Guardian Name:
Parent or Guardian E-mail:
example@example.com
Name of High School or College:
Awards, Special Recognitions, or achievements:
Current activities, sports, clubs, or associations you are apart of:
Future Academic or Career Goals:
Provide your community involvement or other volunteer experience:

Please provide two professional references (i.e. employers, teachers, counselors, etc.):

	Full Name	Address	Contact Number	Relationship
1
2

All the following items must be included with this application in order to be considered:

a) High School or College Transcript (unofficial is acceptable)
b) Please include a head and shoulder photo which will be included in the program.
c) A 500-word essay on “What Have You Done to Improve Your Community? (Please use MLA format)
File Upload

Upload your photo, transcript, and essay here
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CERTIFICATION AND WAIVER
I certify that all information I provide on this scholarship application is true and correct. In consideration of this scholarship award, I understand that I must provide official academic transcripts to the Scholarship Committee. These official records will be included with this scholarship application. I understand that this information will be used strictly for verification purposes. I will also provide documentation regarding proof of enrollment at the college/university that I am/will be attending. I also understand that submitting an incomplete scholarship application may delay the processing. If this delay goes past the deadline date I understand my application will be null and void.
Any misrepresentation of facts, untruthfulness, incompleteness of information, and /or intent to deceive SHALL disqualify this application without appeal. I am aware that the FALEO Scholarship Committee's decision is final and NOT subject to appeal.
Finalists will be notified by telephone and/or e-mail.

Application Due:

5PM Monday 09/18/23!

The selected scholarship recipient
should be able to attend the FALEO-SD scholarship on Saturday, October 7th,
2023. The luncheon will be held at the Coronado Community Center located on
1845 Strand Way Coronado, CA 92118.
Should be Empty:

2023 Jonathan "JD" DeGuzman Scholarship Application

Applicant Information: