Sunnyvale High School Alumni Association
Scholarship Application

Print this form, complete it and then mail it to:

SHSAA Scholarship Program Committee
P.O. Box 62481
Sunnyvale, Ca. 94088-2481

Click to Print Form

Personal Information:
Applicants Name:_____________________________________________    D.O.B.:______________
Street Address:_______________________________________    SS# :_______________________
City:________________________    State:___________    Zip:__________     Phone:____________
Applicant's permanent address if different from above:
__________________________________________________________________________________
__________________________________________________________________________________
Name of SHS Alumni that Applicant is related to:_________________________________________
Street Address:____________________________________    Alumni's Class Year at SHS: 19____
City:_____________________    State:___________    Zip:__________     Phone:_______________
Applicant's relationship to the SHS Alumni listed above:__________________________ .
Financial Information:
Source of funds that will contribute to Applicant's education: (Check the items of applicant's sources of income for educational purposes)
Applicant:___     Parents:___    Other Scholarships:___     Grant Aid:___     Student Loans:___     Other:___
Explain each item checked (such as applicant's employment, how much are parents contributing, name of other scholarships received, etc....)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________.
Parent's JOINT annual gross income: (check one)
$0.00 to 19k:___     20k to 39k:___     40k to 59k:___     60k to 79k:___     80k to 99k:___     100k and over:___
Name of Applicant's Employer:______________________   Supervisor's Name:________________
Street Address:_____________________________________    Applicant's job title:_____________
City:______________________    State:___________    Zip:__________     Phone:_____________
Educational Information:
For incoming college or vocational school Freshman:
Applicant's High School name:_____________________________     Graduation Date:__________
Street Address:___________________________________________     Phone:________________
City:____________________    State:___________    Zip:__________     Applicant's G.P.A.:_____
For continuing college or vocational school students:
Applicant's College or Vocational school name:__________________________________________ 
Street Address:____________________________________________     Phone:_______________
City:____________________    State:___________    Zip:__________     Applicant's G.P.A.:_____
Semesters / Quarters completed:_______ (circle either semesters or quarters)
If you are transferring to a different college or vocational school, please provide the following:
Applicant's NEW College or Vocational school name:_____________________________________
Street Address:____________________________________________     Phone:_______________
City:____________________    State:___________    Zip:__________     Start Date:___________
Applicant's Statement:
I declare that the above information is true and complete to the best of my knowledge. If requested by the SHSAA Scholarship Committee, I agree to provide proof of any information given.
Applicicant's Signature:______________________________     Date Signed:_______________________

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