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ROTARY OF SUN LAKES, ARIZONA
VOCATIONAL FUND
APPLICATION FOR FINANCIAL ASSISTANCE
PERSONAL DATA:
Name: Last ________________First ___________________MI.___
Student Number:_________
Present Residence::
Street:_________________________________
City:___________________________________
State / Zip:______________________________
How long have you lived at this address_______
Telephone Number: ( ) ___-_____
Note: please give phone where you prefer
to be contacted.
When attending school, will you be at this address, how far will you live from school and how will you get to and from school? ____________________________________________
_____________________________________________
If you cannot be reached, please note the person
who should be contacted.
Name: _______________________
Telephone: ( ) ____ - ______
Marital status: Married: ___
Children / Ages: ______________________
Do the children depend upon you for support ? _____
Will the children live with you while you attend
school ? _____
APPLICANT’S INITIALS__________
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ROTARY VOCATIONAL FUND
SUN LAKES, ARIZONA
Employment:
Are you currently employed ?_____
Position or occupation ?____________________
Hours work during the week ?_______________
Will you be working while attending school ? ______
And expected salary? _______
Education Achieved To Date
High School:
Academic field of sudy:______________________________
Graduated with a Certificate ? Yes/No ( )
Graduated with a degree ?Yes/No ( )
Special Achievements, Academic or other ______________
____________________________________________
____________________________________________
College:
Name of school:____________________________________
Field of study:_____________________________________
Years Attended / degree earned _______________________
Vocational Training
Name of school:______________________________________
Field of study:_______________________________________
Years attended / certificate obtained:_____________________
APPLICANT’S INITIALS _______
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ROTARY VOCATIONAL FUND OF ARIZONA
CURRENT ACADEMIC AND
CAREER OBJECTIVES
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(Add additional pages as required to complete this section)
Certification
I certify that the information included with this application is accurate and correct to the best of my knowledge and I authorize the CGCC Financial Aid Office to release my academic, financial, or other necessary information required by a donor. In addition, I agree that Chandler-Gilbert Community College shall have the right to use and release my name if I am awarded a scholarship at CGCC in order to publicize or to otherwise promote the college to any local or national media or in any college publications and at any college events.
Only those with a lawful presence in the US may qualify for MCCCD scholarships or federal financial aid. Any information you provide about your legal status when you apply for financial aid or scholarships may be subject to mandatory reporting to federal immigration authorities under AZ law. This does not apply to applications for the private scholarship funds held in and distributed by the Maricopa Community Colleges Foundation.
By signing this application, I swear under penalty of perjury that the document(s) that I have submitted to demonstrate lawful presence in the United States are true.
You must attach acceptable documentation as evidence of lawful presence in the US with this application, such as an Arizona driver license issued after 1996. For a complete list of acceptable documents, visit the CGCC web site.
Student’s signature: Date:
Rev. 7/28/15
Deadline date to apply: September 11, 2015