San Francisco

Pui Ching Alumni Association

 

P.O. Box 33-0083 San Francisco, CA 94133-0083

 

 Scholarship Application

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(Please Type)

 

 

Place Photo Here

 

 

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1.

 

Full Name : _________________________________

                   (Last Name First)

 

2.

Name in Chinese _____________________________

 

3.

Year you will be completing 12th grade _____________________________

 

4.

* Name and class of parent or grandparent (Relation to Applicant)


_________________________________________________________________________________

 

5.

Mailing address ____________________________________________________________________

 

 

 

6.

Age ___________________

Birth Date _____________________________

 

 

7.

Name (s) of universities that you are applying for admission: (indicate which university you have been accepted and you are planning to attend)

 

 

_________________________________________________________________________________

 

 

 

_________________________________________________________________________________

 

 

8.

Planned Major Study:

 

 

 

_________________________________________________________________________________

 

 

9.

Please write an essay about yourself in no more than 500 words.  Please do not ask others for assistance.  Write it with your own handwriting.  Describe about your involvement in school and extra curricular activities, your experience with your family and your friends, hobbies, or any other items concerning your life which you would like to share with the reviewing committee.  (You may write the essay in either English or Chinese.  Use attached sheets.)

 

10.

Signature ______________________________

Date __________________________________

 

 

 

 

 

 

 

Instructions:

 

Mail a fully completed application and required documentation, post mark no later than October 15 to San Francisco Pui Ching Alumni Association, P. O. Box 33-0083, San Francisco, CA 94133-0083 with the following information.

 

 

a.  Your most recent passport size photo.

b.  High school report cards (Both 11th and first half of 12 grade)

c.  At least one letter of recommendation from your teacher or Principal

d.  S.A.T. Scores

 

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