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Chau Family Charitable Foundation P.O. Box 2365, La Habra, CA 90632

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APPLICATION FORM

Application Period: January 6th – April 4th, 2025

P.5

Today's Date

First Name

Last Name

Home Address

Home or Cell Phone

Birth Date

Email

US Citizen

Yes

No

US Legal Resident

Yes

No

Eligible For Dream Act

Yes

No

Gender

M

F

Other

Name Of Current High School & Address

Proposed College Of Attendance (Please Check One)

East Los Angeles College

Los Angeles Trade-Tech College

Fullerton College

Pasadena City College

Long Beach City College

Rio Hondo College

Los Angeles Southwest College

Mount San Antonio College

OTHER- Please fill out college name below:

College Name

Parent's Name (Mother/Father or both or Guardian)

Applicant's Signature (I certify that all the information provided on this form is accurate.)

P.6 Additional Required Information
Please fill out:

Program of Study

Intended Educational and Career Goals

Academic Achievements (Any area)

Relevant Experiences and Accomplishments in or out of School)

Highest Educational Level for Parents :

Highest Educational Level for Siblings:

Financial Needs

**ADDITIONAL REQUIRED APPLICATION DOCUMENTS:

TRANSCRIPT FROM GRADE 9 TO FIRST SEMESTER GRADE 12
FAFSA SUBMISSION SUMMARY
OPTIONAL 250 WORD LETTER ABOUT YOURSELF AND YOUR ASPIRATION.

** SUMMIT TO cfcfscholarship@gmail.com**

DEADLINE APRIL 4, 2025

Thanks for submitting!

ENQUIRY:

Please contact: Dorothy Chau, CFCF Scholarship Fund Administrator cfcfscholarship@gmail.com

DOWNLOAD SCHOLARSHIP PACKET HERE

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APPLICATION FORM

P.5

P.6

Additional Required Information Please fill out:

Additional Required Information
Please fill out: