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Scholarship Questionnaire
Scholarship Questionnaire
Please fill this out and an Upward Bound Student Assistant will reach out to you with personalized scholarships.
1.
Full Name *
2.
Full Address (Street, Unit, City, Zip) *
*
3.
Student's email address
(Required.)
*
4.
Parent's/Guardian's email address
(Required.)
*
5.
Current School
(Required.)
Centennial
Compton
Cabrillo
Dominguez
Gardena
Jordan
Paramount
John Glenn
Other (please specify)
*
6.
Grade
(Required.)
Freshmen
Sophomore
Junior
Seniors
Undergraduate Student
7.
What is your GPA?
4.1 or above
3.6 - 4.0
3.1 - 3.5
2.6 - 3.0
2.1 - 2.5
2.0 or below
*
8.
Prospective School
(Required.)
choice 1
choice 2
choice 3
*
9.
Major (Current or Projected)
(Required.)
*
10.
List of Hobbies/ Special Interest
(Required.)
11.
List of Organizations or Affiliations
12.
Do any of your family members have any military affiliation?
Yes
No
13.
If yes to the above list dates active, branch, rank, type of discharge and if other than honorable discharge explain.
14.
Hardships or Barriers (e.g. Low Income, First Generation, Disability, History of low academic performance,...)