In order to timely and accurately process your scholarship request, we have adopted the following forms and procedures:

Dear Applicant: Thank you for your interest in the Home Builders Council scholarship program and in UCI Extension s Light Construction and Development Management program. We admire you for your efforts towards continued education. In order to timely and accurately process your scholarship request, we have adopted the following forms and procedures: 1. Scholarship Application Form; to be completed in full 2. UCI Extension - LCDM Scholarship Requirements (Attachment #1); 3. UCI Extension - LCDM Enrollment Procedure (Attachment #2); 4. HBC Membership Application Form (Attachment #3); 5. UCI Extension HBC Scholarship Registration Form (Attachment #4). Please complete the attached forms and return them as directed. We strongly recommend you complete all items to the best of your ability, as your application will be our only tool for evaluating your request. PLEASE NOTE: INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. Please do not hesitate to call me if you have any questions or if you require additional information. My number is 949-646-2520. Thank you again, and good luck in the Light Construction and Development Management program. Sincerely, HOME BUILDERS COUNCIL Kathy Johnson Kathy Johnson Director, Scholarship Chair Page 1 of 1

HOME BUILDERS COUNCIL SCHOLARSHIP APPLICATION Please type or print in black ink 1. NAME (First) (Middle) (Last) 2. EMPLOYER 3. TITLE 4. ADDRESS (Street) (City/State) (Zip) 5. PHONE NO. (Work) (Home) 6. HOME ADDRESS (Street) (City/State) (Zip) 7. Are you a member of the Home Builders Council? Yes No Page 2 of 2

8. Please list the classes, including the estimated amounts, for which you are applying for this scholarship (if you are requesting more than one class, please list in order of preference). 9. What do you hope to accomplish by enrolling in this program? What are your career goals, and how does taking this class support those goals? 10. Does your employer provide any form of education assistance or reimbursement? Yes No If Yes, please define your employer s policy: Page 3 of 3

11. Explain your financial need, for this request. 12. List any real estate/construction course work you have completed to date, including the school attended and your final grade. 13. Please list any professional, trade and/or academic associations with which you are involved. Do not use acronyms. Page 4 of 4

14. Why do you feel you should receive this scholarship? PLEASE SUBMIT THE FOLLOWING WITH THIS APPLICATION A. A current professional or personal letter of recommendation. B. Copies of course catalog/class descriptions for the class (es) you wish to take. C. A completed HBC / Membership / Scholarship Application. D. A completed UCI Extension HBC Scholarship Registration Form. If you need additional space to complete your answers, you may attach additional pages. Incomplete applications will not be considered. SIGNATURE DATE If you have any questions regarding this application or the HBC, please contact: Kathy Johnson, Vital Link Orange County Tel: (949) 646-2520-6808, Email: Kathy@VitalLinkOC.org PLEASE MAIL YOUR COMPLETED APPLICATION AND MATERIALS TO: The Home Builders Council c/o Kathy Johnson at Vital Link Orange County P.O. Box 12064 Costa Mesa, CA 92627 Page 5 of 5

ATTACHMENT #1 UCI LCDM SCHOLARSHIP REQUIREMENTS 1. Each applicant must spend the minimum $125 LCDM Certificate Candidacy application fee. Mail the LCDM Certificate Candidacy fee directly to UC Irvine, Extension. 2. Each applicant will be responsible for his or her own parking permit fee, books, and materials. 3. Each applicant must be a current member of HBC or be willing to join. Applicants who are not employed by BIA member companies, and therefore cannot join HBC must pay a scholarship application fee that is good for one year. An HBC Application is provided here as Attachment #3. 4. Each applicant must complete each class with a passing grade in order to be eligible for additional scholarship funding in the next quarter. 5. Each applicant must fill out an HBC Scholarship Application each quarter in order to qualify for an HBC Scholarship. 6. Scholarship applications must be received by the following dates: Spring Quarter Instruction begins last week of March Applications due by February 28 Summer Quarter Instruction begins 3 rd week of June Applications due by May 31 Fall Quarter Instruction begins last week of September Applications due by August 31 Winter Quarter Instruction begins first week of January Applications due by December 14 Page 6 of 6

ATTACHMENT #2 UCI LCDM ENROLLMENT PROCEDURE 1. Upon receipt of your completed application materials, the HBC Board of Directors will make a decision at its next scheduled Board meeting, held on the first Monday of each month. 2. The Scholarship Chair or designee will contact you regarding the Board s decision on your application. 3. If approved, the Scholarship Chair will fax your HBC Scholarship Registration Form to the HBC Scholarship Coordinator at UCI Extension. UCI Extension will send confirmation of enrollment directly to you. 4. If you wish to buy a parking permit, contact UCI Extension at (949) 824-5414 to pay by credit card or mail a check payable to U.C. Regents to UCI Extension Student Services, PO Box 6050, Irvine, CA 92616-6050. 5. Students are responsible for obtaining their own books and materials, if required. Page 7 of 7

Building Industry Association of Southern California, Inc. 1330 South Valley Vista Dr. Diamond Bar, CA 91765 (909) 396-9993 Phone (909) 396-9846 Fax pnearhoff@biasc.org Email ATTACHMENT #3 HBC MEMBERSHIP/ SCHOLARSHIP APPLICATION FORM Billed To: Name Address City, State, Zip Phone: Fax: E-Mail: Description Total HBC Membership Dues $75.00 Scholarship Application Fee $75.00 Check Enclosed Charge my Visa/MasterCard Bill Me CC Number: Expiration Date: Name on Card: Signature: Total Amount Due: $75.00 Billing terms: Due Upon Receipt Payment should be issued to: HBC 1330 South Valley Vista Dr. Diamond Bar, CA 91765 ** THANK YOU IN ADVANCE FOR YOUR PROMPT PAYMENT ** Page 8 of 8

Attachment #4 UCI Extension HBC Scholarship Registration Form (1) Complete this form and return it with your HBC Scholarship documents. (2) Confirmation of Enrollment If approved, you will receive confirmation from UCI Extension that you have been enrolled in a course(s). Drop Policy Any student interested in dropping a course must follow all regulations held by UCI Extension or may be liable for the cost of the course. It is necessary to fax (949.824.2090) or email (cstadelm@uci.edu) a letter requesting to drop a course. Parking Permit A parking permit is required at all times to park on the UCI campus, or at the UCI Learning Center in Orange. Parking regulations are enforced 24 hours a day, seven days a week and vehicles without a permit will be cited. When you enroll in a class, you should purchase a UCI quarterly parking permit (day or evening depending on your schedule). If you wish to buy a parking permit, contact UCI Extension at (949) 824-5414 to pay by credit card or mail a check payable to U.C. Regents to UCI Extension Student Services, PO Box 6050, Irvine, CA 92616-6050. Date Social Security Number* Last Name, First, MI Street Address City, State, Zip Home Phone Employer Name: Work Street Address: Work City, State, Zip Work Phone Job Title Preferred Email Address Date of Birth Evening permit: Valid 4pm 10pm and all day Saturday and Sunday Day permit: Valid 7am 5pm and all day Saturday and Sunday Reg # Course & Title Fee Parking permits are non-refundable and nontransferable. General Policy Complete general policy information can be found in UC Irvine Extension s quarterly catalog or online at www.unex.uci.edu. Total: *By Regental authority, we request your social security number to verify your identity for accurate record keeping. Providing your Social Security Number is voluntary. Scholarship Approved: Date: Page 9 of 9