Chabot - Las Positas College
Chicano Latino Education Assocation
(CLEA)


              
NOTE!

Please do not use
this application form to send in.

Re-type onto WORD.
2005-2006
Scholarship Application
First Name:___________________________� Last Name:___________________________
Address:___________________________________________________________________
Student I.D. (SS#) _______________Phone Number (s): (___)________________________
Email Address:
Will you be enrolled in six or more units in Fall 2005?_________
Cumulative Grade Point Average (G.P.A.):_________
What are your educational goals?________________________________________________
Will you need to work while in college?�� Yes____/hrs per week��� No___
1. Please list past or current extracurricular activities. (Provide dates).
____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2.� Please list any awards and or, honors you have received:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
3. Please answer the following essay questions 3 and 4 on separate sheets
      of paper.� Limit each essay to no more than 1-page in length,
      double-space and size 12  font.
a.  What does the Chicano Latino experience mean to you?

b.  How will achieving your educational goals benefit the Chicano/
     Latino Community?
4. Letter of Recommendation - One letter of recommendation is required.
5. Transcripts - Please submit copies of college transcripts (unofficial is o.k.)
     A High School transcript is required if no previous college work.
Signature__________________________________�� Date__________________
YOUR APPLICATION AND SUPPORTING DOCUMENTS MUST BE POSTMARKED BY APRIL 5, 2005
ALL APPLICANTS WILL BE NOTIFIED OF OUR DECISION BY MAY 1ST.
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