Educational Grant Application

Name_______________________________________

Telephone ___________________

Address _____________________________________

City ___________________ Zip _______

Email___________________________________________

Cell Phone #_______________________

Clear Form

High School ____________________________________ Grade Point Average ____________ College Major ___________________________________SJSU Student I.D. # _____________________ Extra Curricular Activities (clubs, student government, volunteer, sports, music experience, etc.)

Yearly Income of:

Father ________________________ Mother___________________________

Father’s occupation _________________________ Mother’s occupation_____________________ Number in family __________________________ Number in college ______________________ Your own sources of income or savings to supplement your college expenses: Are you applying for other Financial Aid? Yes ____ No _____ ____ ____ ____ ____

Attach two (2) letters of recommendation. One must be from a classroom instructor. Include student statement, addressing academic objectives, obstacles or challenges faced in pursuing your education, future goals Include a copy of your official high school transcript Include print-out of your MY SJSU admission status

Signature of Applicant: _______________________________________________ Date: ______________

Please Return This Completed Application to Your Guidance Office by March 31, 2017