Cynthia H Kuo Scholarship

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Cynthia H Kuo Scholarship Administered by Silicon Valley Community Foundation Scholarship Amount: up to $5000 Number of Awards: Up to 5 Background: The Cynthia H. Kuo scholarship fund was established in loving memory of Cynthia by her husband, Dale Chen, and best friend, Elisa Yu. Cynthia was always passionate about caring for people. She especially liked being a part of the big Christian family, lending a helping hand to the ones in need. Before her passing, she organized a Christian fellowship to support young overseas Chinese students studying in the Bay Area who sought to worship God in the local Christian community. In order to honor Cynthia and fulfil her wishes, her friends and family established this schorship for Chinese students actively involved in the Christian faith and/or Christian youth groups. This fund was established in June 2012. Each applicant must meet all the following, ELIGIBILITY REQUIREMENTS: Chinese who are either 1 st generation in the U.S. or born overseas, planning to or currently attending a four-year college in the U.S. on a full time basis Actively involved in the Christian faith or Christian youth group Graduating high school senior or current college student Minimum GPA of 3.0 on a 4.0 scale Demonstrated financial need The scholarship manager must receive the completed application packet and all supporting materials (personal statement, letters of reference, transcripts, and financial statements) by 5 p.m. PST on Saturday, March 25, 2017 Late or incomplete applications will not be considered. Faxed or postmark date will not be considered If you have questions, please contact Dale Chen, the scholarship manager at CynthiaKuo.Scholarship@gmail.com. Send completed application and all the required attachments to Cynthia H. Kuo Scholarship P.O. Box 611585 San Jose, CA 95161

Application Instructions READ THESE INSTRUCTIONS CAREFULLY AND THOROUGHLY We recommend you send your application and all of the supporting documents to us in one envelope. 1. APPLICATION FORM Application must be complete to be considered. Attach additional pages if necessary. 2. LETTERS OF REFERENCE Provide 2-3 letters of reference only. One letter from a teacher or academic advisor; One letter from a Christian church leader such as youth pastor or youth group counselor. Letters from teachers, advisors, coaches and church leaders must be on school or company letterhead. All letters must be signed and dated. Photocopies are acceptable. 3. TRANSCRIPTS OF GRADES (Request your transcripts early as it may take 4-6 weeks) All applications must include an official high school transcript or transcripts for last two years from the academic institution where you attended. Electronic copies send from the academic institution(s) are acceptable. 4. SIGNED AND DATED PERSONAL STATEMENT (Sign and date your Personal Statement) Include a typed statement of at least 500 words, but no longer than 850 words (approximately 2-3 pages, double-spaced). In the statement, you should: Describe why you want to go to college and three personal attributes you think will help you succeed in college; Other Other 5. FINANCIAL NEED Evidence of financial need must be submitted with all application packets. If you applied for federal financial aid, enclose a copy of all pages of your Student Aid Report (SAR). This includes the summary of your answers to the FAFSA and your EFC. (Updated information regarding your FAFSA application can be found online at www.fafsa.ed.gov/). OR If you did not apply for federal financial aid, enclose a copy of the first two pages of your parent s or guardian s most recent Tax Form 1040 (or your own if you are not a dependent). For international students whose parents are overseas, statements from reference(s), parent(s), guardian and applicant stating the financial hardship the applicant is facing are acceptable.

Cynthia H Kuo Scholarship Application Form APPLICANT CONTACT INFORMATION Name: First Middle Last Permanent Address: Street City State Zip Code County of Residence: Phone Number: Cell Phone Number: Email: Date of Birth: / / EDUCATION High School Name Graduation Date / / Unweighted High School GPA: Weighted High School GPA: SAT I Scores: ACT Score: (If applicable) (If applicable) College Currently Attending (If applicable): College GPA: Class year you will be in college fall 20 (circle one): First Second Third Fourth year Education Institution you attend or plan to attend in fall 20 : 1) First Choice-Name 2) Second Choice-Name Have you been accepted at your first choice? Yes or No. If no, when do you expect to be notified? / / Have you been accepted at your second choice? Yes or No. If no, when do you expect to be notified? / / Intended major(s): Intended minor(s): Will you be attending school full-time? Yes or No (circle one) Where do you plan to live next year? On-campus, Off-campus, with parent(s), or Other (circle one)

Applicant Name: AWARDS AND HONORS List awards and honors you have received and briefly explain their significance. Attach an additional sheet if necessary. Award/Honors Received Significance Date Received SCHOOL INVOLVEMENT Please list school-related activities in which you have participated. Attach an additional sheet if necessary. Dates of Hours per Activity Position Held Involvement Month COMMUNITY & CHURCH INVOLVEMENT Please list the principal community activities in which you have been involved. Attach an additional sheet if necessary. Dates of Hours per Activity Position Held Involvement Month EMPLOYMENT Beginning with your present or most recent job, list your employment history. Dates of Hours per Activity Position Held Employment Week To what use have you put your earnings?

Applicant Name: HOUSEHOLD/ FINANCIAL INFORMATION It is strongly recommended that you fill out this section with a parent(s)/ guardian(s) if you are a dependent. Round all figures to the nearest dollar; do not enter cent amounts. Use the most recent income tax information or estimated current year values. Do not leave lines blank. Name of parent(s)/guardian(s) with whom you reside: (If you are a dependent) $ Annual cost of attendance (including tuition, fees, room & board, transportation, etc.) at the School you plan on attending $ Head(s) of household s total gross income $ Head(s) of household s total cash assets (cash, checking/savings account, stocks, home equity) $ Student s income from work (if not head of household) $ Student s total cash assets (if not head of household) Number in household your parent(s)/guardian(s) currently supports financially (including applicant) Number in household in a college degree/certificate program in 2017-2018 (including applicant) $ Amount your family has put aside to help financially support you next year $ Amount of scholarships you have already received for next year Please List Names: Please describe any special circumstance that may affect you or your family s ability to pay for college (medical, divorce, unemployment, child support, other): REQUIRED SIGNATURES : All of the information I have provided in this application is accurate and is subject to verification by the scholarship program at its discretion. Student: Date: / / Parent or Guardian: Date: / / (If applicant is a minor) Notification will be emailed by May 31, 2017 to the email address provided. Should you be awarded, a scholarship will be sent directly to your college financial aid office after Silicon Valley Community Foundation receives a scholarship recommendation. Scholarship recommendations will be submitted upon receipt of the Student Information Form and enrollment verification.

Application Checklist Did you remember to Complete and sign the enclosed application form? Include 2 letters of reference? Include an additional reference if you would like special consideration for either dance or computer science? Include a copy of the required transcript(s)? Include a signed and dated personal statement? Include financial statements? (See Financial Need section above) Remove staples from application materials?