ࡱ> BDA7 %bjbjUU !B7|7|b!7l8<Y*>>(ffffff$ nffffffffffff2 `9v|)0YL^MILLER BREWING CO. LOS ANGELES TRADE-TECHNICAL COLLEGE EAST SAN GABRIEL VALLEY REGIONAL OCCUPATIONAL PROGRAM & TECHNICAL CENTER LINKS FOR SUCCESS SCHOLARSHIP APPLICATION Please Note: Information submitted on this application remains strictly confidential Applicant Name : _______________________________________________________________________ Last Name First Name MI Perm. Mailing : _______________________________________________________________________ Address Number Street Apartment Number _______________________________________________________________________ City State Zip Code Social Security# : ___________________________ Date of Birth : ________________________ Home Telephone# : (_________) ___________________________________ Area Code Number Parent / Guardian : _______________________________________________________________________ Names Last Name First Name MI Guardian Perm. : ________________________________________________________________________ Mailing Address Number Street Apartment Number _______________________________________________________________________ City State Zip Code Guardians : (_________) ___________________________________ Home Telephone# Area Code Number Highest Education Level or Grade Level Your Father and Mother Completed: (Fill in applicable square) FATHER MOTHER Elementary School (K-8) ( ( High School (9-12) ( ( College or Beyond ( ( Unknown ( ( In Addition To This Scholarship Application, What Other Types of Financial Aid Have You (and Your Parents/Guardian) Applied For? Student Employment YES ( NO ( Student Loans YES ( NO ( Parent Loans for Students YES ( NO ( What Is Your Total Family Size? ____________________ What Is Approximately Your Total Family Income? ( $0 - 10,000 Annually ( $40,000 - 50,000 Annually ( $10,000 - 20,000 Annually ( $50,000 - 60,000 Annually ( $20,000 - 30,000 Annually ( $60,000 - Above Annually ( $30,000 - 40,000 Annually Not Including Yourself, Has Anyone In Your Immediate Family Attended College? NO ( YES ( Completion Date: ___________________ What Is The Expected Date You (Student/Applicant) Received, Or Will Receive Your High School Diploma, either by: High School Graduation : ____________________ __________ Month Year GED Certificate : ____________________ __________ Month Year What is Your Current Grade Point Average (GPA)? _______________ What Is Your Intended Major? __________________________________________________________ Are You (Student/Applicant) Currently Working? YES ( NO ( If yes : PART-TIME (25 hours or less) ( FULL-TIME (25 hours or more) ( Do You Plan on Working FULL-TIME/PART-TIME (Circle One) Or Continue Working While Attending College? YES ( NO ( CERTIFICATION: ALL OF THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE _______________________________________________ Applicant/Student Signature Applicants Home School _______________________________________________ Parent(s)/Guardian Signature _______________________________________________ Recommending ESGVROP Teacher Staff Signature ROP Course Title and Section Thank you for applying for this scholarship and on behalf of MILLER BREWING CO., LOS ANGELES TRADE-TECHNICAL COLLEGE, and EAST SAN GABRIEL VALLEY REGIONAL OCCUPATIONAL PROGRAM & TECHNICAL CENTER we wish you success in your endeavors. MILLER BREWING CO. LOS ANGELES TRADE-TECHNICAL COLLEGE EAST SAN GABRIEL VALLEY REGIONAL OCCUPATIONAL PROGRAM SCHOLARSHIP APPLICATION Please Note: Information submitted on this application remains strictly confidential (PART 2) Describe How ROP Has Made A Difference In My Career Plans (50 words minimum): _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 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