Strive Scholarship Online Application

You may use this online application form to submit your application materials for the 2022 Strive scholarship program. Please upload your completed submission below by the extended June 30, 2022 deadline. Contact strive.scholarship@scchousingauthority.org with any questions.

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* 1. Personal Information

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* 2. Which of these applies to you? (select only one)

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* 3. Does your family participate in the Family Self Sufficiency (FSS) program?

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* 4. Are you a previous Strive Scholarship recipient?

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* 5. Are you planning on attending one of the following?

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* 6. Please provide the name of the college/university/vocational school you are attending in Fall 2022.

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* 7. Education History: Please list your current or most recent place of study first.

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* 8. Community Activities and Volunteer Experience:

Please list any service organizations, sports teams and/or groups in which you have participated in the last 12
months.

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* 9. In a separate one-page essay, tell us:

1. What are your long-term goals after completing college or vocational training?

2. What barriers do you have to achieve these goals and whatis your plan to breakdown these barriers?

3. How could this scholarship help you meet those goals?

All essays will be judged on clarity of expression, content, composition and originality.

Please limit essay to one page maximum.

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* 10. Along with the application, one letter of recommendation is required. This letter can come from an employer, teacher, clergyperson, etc. The person writing the recommendation cannot be a family member. The recommendation should address the following questions:

1. What is your relationship to the applicant?

2. Why would you recommend this applicant for a scholarship award?

3. Is there any other information you think would be important for our consideration?

Please limit letter to one page maximum. Letter should be dated within the last 12 months.

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* 11. Consent to Release Information:

If selected as a scholarship recipient, do you give consent for the Santa Clara County Housing Authority to use your name and the information you have provided about you in media or other publicity regarding the scholarship program?

If you wish to give such consent, please indicate so below. All applications will be considered regardless of consent given or not given to release information.

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* 12. Only complete #12 if you answered "YES" to #11.

Consent to Release Information (continued):

I have provided the information contained herein to the Santa Clara County Housing Authority in connection with my Strive Scholarship application. As of the date below, I hereby assign to the Santa Clara County Housing Authority this information
for its exclusive use for public relations or communication materials, as well as any written material, photographs, videos, and/or audio recordings taken in the production of brochures, flyers, videos and radio spots at any time, and without limitations. Any exception I wish to make to this "blanket" assignment of the use of such information I have provided is set forth below on this consent form.

I hereby authorize the Santa Clara County Housing Authority to reproduce, copy, exhibit, publish or distribute any written materials, photographs, video and/or audio recordings in connection with their business operations purposes.

I understand and agree that I have not, and will not, receive any compensation for the Housing Authority's use of the materials and information described herein.

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