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If you have any questions about this application, please email us at ResidentEmpowerment@fresnohousing.org
VERIFICATION OF HOUSING ASSISTANCE

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* Which Fresno Housing program assistance are you currently receiving:

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* Is your household participating in the Family Self-Sufficiency Program (FSS)

If you are not the Head of the Household, what is the name of the Head of Household and social security number which receives the Housing Assistance which you are a member of the family composition.

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* Full Name (Head of Household):

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* Social Security Number: (Head of Household)

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* Permanent Address: (for Fresno Housing Assistance verification purposes only)

PERSONAL INFORMATION

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* Applicant Information:

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* Mailing Address: (if you are selected, where you would want the award/check to be mailed to?):

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* Date of Birth: (MM/DD/YYYY)

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* Social Security Number:

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* Gender:

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* Race: Check all that apply (optional)

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* Ethnicity: Are you Hispanic / Latino(a) (optional)

GENERAL INFORMATION

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* School/University applicant plans to attend in fall of 2021:

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* Applicant is applying as: (check one)

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* Applicant is applying as: 

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* Applicant was a previous awardee of the Education Advancement Scholarship

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* Applicant is a Veteran?

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* Applicant is the first person in family to attend college?

EDUCATIONAL BACKGROUND
(Enter n/a if it does not apply to you)

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* Name of High School attended:

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* Year of Graduation:

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* Overall Grade Point Average (GPA):

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* Are you a college transfer student?

EDUCATIONAL PLANS 2021/2022

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* Name of College (Planning to Attend):

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* Overall Grade Point Average (GPA):

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* Number of units for which you will enroll in the fall 2021 term

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* Expected/Declared major:

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* Anticipated career goal:

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* How did you hear about the Education Advancement Scholarship?

DOCUMENT/MATERIAL UPLOAD

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- PLEASE CLICK ON EACH LINK/SECTION TO UPLOAD THE SPECIFIC FILE MENTIONED ABOVE.
- FILE NAME MUST CONTAIN APPLICANTS NAME.

Proof of Registration:
Proof registration for fall 2021 semester (proof of spring 2022 enrollment will be required by the end of fall 2021)
Personal Statement: 
A two-page (max) typed personal statement and/or a two-to-three minute video statement in which applicant address all of the following:

Topic: Please describe a difficult situation that you overcame to accomplish a life goal.  How did you overcome obstacles and describe the impact that it has had on you to get where you are today? Describe how it has influenced your personal and/educational achievements.
Affiliations:
Please share any community work and or extra-curricular activities you are involved in (Non-profit Organizations, Clubs, Sports, etc.).
Academic Transcript: 
a) If applying as an incoming college freshman, provide a recent high school or GED transcript, including GPA
b) If applying as a continuing college student, provide the most recent and full college transcript, including GPA  

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* I certify I have uploaded ALL documents requested.
Your application may be disqualified if all documents are not uploaded.

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* I certify that all of the above information on this form is true and complete to the best of my knowledge.  I hereby give the Education Advancement Scholarship Program permission to share this information, with the exception of any confidential information, for the purpose of recruitment and public relations.  I further certify that I will be enrolled as a college student for the 2021/2022 academic year, and will use the Education Advancement Scholarship Program award toward expenses related to the attendance of a college education.

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