California Latino Legislative Caucus Foundation Scholarship Program

2023 CLLCF Scholarship Application

Applications will be accepted April 1st - June 1st
Personal Information
Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Gender*

MaleFemalePrefer not to say
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternate Address (if mailing address is PO BOX)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*

Area CodePhone Number
Mobile Phone

Area CodePhone Number
E-mail*
Current High School or College*
City*
Grade Level or Year*
High School Grade Level or Year in College
GPA*
Prospective College
For High School Seniors or Transfer/Graduate Students
College Major / Graduate Program*
Alternate Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
Alternate Contact's E-mail*
Who is your CA State Senator?*
Please use the link below to identify your Senator
Who is your CA State Assembly Member?*
Please use the link below to identify your Assembly Member
Please use the following website to find your CA State Senator & Assembly Member:

findyourrep.legislature.ca.gov
Personal Statements
Which personal experiences have influenced your decision to pursue higher education and how will these experiences help you with your career goals? (750 word limit)*

0/750
If selected, how will this scholarship affect you? (750 word limit)*

0/750
Extracurricular Activities
Please identify three Extracurricular Activities in which you are involved. Additional activities may be listed on your resume.
Activity 1*
Roles & Responsibilities*
Activity 2*
Roles & Responsibilites*
Activity 3*
Roles & Responsibilities*
Upload Required Files
Resume*

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Two Recommendation Letters *

Upload a File
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School Transcript*

Upload a File
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Acceptance Letter (if applicable)

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Prospective undergraduate, transfer and graduate students Cancelof
Additional Files

Upload a File
You may upload multiple files. Cancelof
Terms
Terms & Conditions
Applications will be accepted April 1st - June 1st
Should be Empty:

2023 CLLCF Scholarship Application

Personal Statements

Extracurricular Activities

Upload Required Files

Terms