Application for Grant Continuing/Returning Students Name:____________________________ Date of Birth: ________________________ Mailing Address:___________________________________________ Contact Phone Number:_______________________ E-Mail____________________ College/University attending at this time:___________________________________ Academic Standing and Status: _______________________________ Current GPA:________ Are you a first generation college student?
Yes
No
What is the highest level of education your parents have received? ____________________________________________ What EOYDC program(s) have you participated in and for how long? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________ How has this participation benefited you? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ______________________________________________
Will you be continuing your education at your current school? Yes
No
If not, what school will you be attending? _____________________________________ What are your educational and career goals? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________ What examples of your leadership ability can you share? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________
How have your college experiences grown your leadership ability?______________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ___________________________________________________ Please indicate your specific use for this grant money: ____________________________________________________________________________ ____________________________________________________________________________ __________________________________________________________
Return this completed form NO LATER THAN APRIL 30TH, 2015 11:59 PM Submit your most recent transcript, proof of enrollment for the following school year/acceptance letter to new school (if you are transferring) to: Pathway-to-College and Career Manager c/o East Oakland Youth Development Center, 8200 International Blvd. Oakland, CA 94621
NO LATER THAN MAY 30TH, 2015 6 PM
It is best to submit all documents electronically to
[email protected] You can do so by: 1. Taking a photo of the document with your phone 2. E-Mail it to yourself 3. Download it to a computer (if you are not using a personal computer, be sure to save these files to a personal usb drive to keep your information protected.) 4. Save it as a .pdf file.
