Scholarship Application Form

Scholarship Applicant Form

USS Yosemite Scholarship Applicant online form to be completed by applicant and parent/guardian

Name of Applicant*
First Last
Name of Senior High School Student
Date of Birth of Applicant*
MM slash DD slash YYYY
Mailing Address of Applicant*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email address of Applicant*
Enter Email Confirm Email
Home Phone Number*
Name of Parent or Guardian*
First Last
Phone Number of Parent or Guardian, if different
Name of USS Yosemite Association Member -- Sponsor*
First Last
Applicant's Relationship with Sponsor*
Phone Number of Sponsor*
School Name*
Address of School*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Graduation*
MM slash DD slash YYYY

Enter Activities*

Name of Group or Organization	Start Date	Activity Performed	Duration

Applicant's List School Activities, Honors, Clubs, Awards, Summer Internship, etc. From the 9th Grade to Present, Click plus sign to the right to create additional lines for activities.

Statement of Understanding
I certify the information provided is complete and accurate to the best of my knowledge. Falsification of any information will cause disqualification from the scholarship process.

Private or personal information will not be shared outside of the Scholarship Committee and scholarship package information will be kept secure and destroyed after the recipient is chosen. The information collected about the winner of this scholarship award will be destroyed 6 months later.

By completing this online form both the applicant and parent/guardian authorize the release of the name of the applicant and a picture of his or her likeness for promotional usage by USS Yosemite Association for content disclosed in our newsletter, website, and social media.
Confirmation of Statement of Understanding*
- I don't concur -- Applicant & Parent/Guardian
- I concur -- Applicant & Parent/Guardian
By clicking on the radio button , I concur with the Statement of Understanding and signing below - I certify the information is correct and authorize the release of promotional content as stated above.
Signature*
Please sign your name.
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