SCHOLARSHIP APPLICATION

DEADLINE IS SEPTEMBER 30th, 2018 Application Instructions: 1. The deadline for the 2018-2019 scholarship is September 30st, 2018 2. Complete all sections of the application with valid information 3. Attach financial documents and the most recent transcript 4. Scan and email completed application to scholarwine@gmail.com or mail to: Scholarship Selection Committee 4177 Hidden Valley Lane, San Jose CA 95127 (Contact scholarwine@gmail.com with any questions)

Purpose

The purpose of this scholarship is to mitigate or cover the costs of higher education for students who may be in a situation of financial distress and/or unable to afford the costs of higher education without assistance.

Eligibility

In order to qualify for our scholarship program, students must be able to demonstrate financial need. Academic competency and personal character may also be considered when evaluating candidates. No other factors – such as race, religion, nationality, ethnicity, etc. – shall be considered when selecting candidates for scholarship. .

SECTION A: Personal Information
SECTION B: EDUCATION INFORMATION
SECTION C: FINANCIAL INFORMATION

Outstanding Loans (Please list all creditors, amounts, date due, and relation to creditors)

Estimated Income & Expenses

Pell Grant

SECTION D: SERVICE & CHARACTER

Below are two short essay prompts. Please use the space provided or attach an additional sheet if needed. You may also attach up to two character references from appropriate individuals such as coaches, teachers, employers, mentors, community leaders, etc.

I certify that this information is true and correct to the best of my knowledge. Falsification of information could jeopardize the award of Scholar Wine’s Scholarship. Also, I give permission for any college or school to release to the Scholar Wine Scholarship any information necessary to process my application to the Program.

By Clicking this box I understand this and I am aregging to this like it is my signature

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