Due date: Wednesday, April 27th, 2022 Personal InformationName* First Name Middle Last Name Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell PhoneEmail Career InformationName of College Currently AttendingCalifornia State University San MarcosSan Diego State UniversityCumulative Grade Point Average What is your decided college major? What is your intended career? Work ExperienceWork ExperienceName of BusinessDates (from/to)Average hours per monthPosition / Responsibilities Please list any work experience over the past 3 years.Internships, clubs, community service, awards & honorsRelevant Experience/ActivitiesName of OrganizationDates (from/to)Average hours per monthActivities / Positions Please list any internships, clubs or other relevant involvement during the past 3 years.Honors and Award Achievements Please list any honors or awards you have received in the past 3 years.Personal StatementEducational & Career GoalsIn the space below, please describe your educational experience and career goals. (500 word maximum) Student SignatureMy signature serves as permission for the Coastal Community Foundation to publish my name and photos in the event I receive a scholarship. Furthermore, I agree to release and hold harmless the Foundation.Date MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
