UPS Scholarship 2011

US PAN ASIAN AMERICAN CHAMBER OF COMMERCE

EF
1329 18th Street, NW, Washington, DC 20036 | www.uspaacc.com
Tel: 202-296-5221 | 1-800-696-7818 | Fax: 202-296-5225 | info@uspaacc.com

UPS SCHOLARSHIP

BIOGRAPHICAL INFORMATION
Name: _______________________
(First)

___________________
(Middle)

_____________________
(Last)

2x2
Photo

Permanent Address _________________________________________________________

___________________________________________________________________________
Phone: (___) ___________E-mail: _________________________ Fax: (___) ___________
Date of Birth ____________________________ Gender: Male_______ Female ________
(Month/Date/Year)

Social Security Number______________________________________________________

Father _____________________________________________________________________
(Name/Occupation/Employment Address/Phone)

Mother ____________________________________________________________________
(Name/Occupation/Employment Address/Phone)

Number of children in family: _______

Their ages: _________________________

How many in college? _______________________________________________________

Language(s) spoken at home: _________________________________________________
Annual household income: ___________________________________________________
CURRENT EDUCATIONAL INFORMATION
High School: _______________________________________________________________
Address: ___________________________________________________________________
Phone: (___) ______________________ Fax: (____) ________________________________
GPA: ________________ Weighted/Non-weighted? __________________

(Please attach

transcript)

Extracurricular activities: _____________________________________________________

_____________________________________________________________________________
Academic Honors: ____________________________________________________________
_____________________________________________________________________________

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UPS Scholarship 2011

Community Service Activities: _________________________________________________

______________________________________________________________________________
(Include an additional attachment, if necessary)

POST-SECONDARY STUDY
College(s) or University(ies):___________________________________________________
(You have applied to and/or been accepted by)

Address(es): _____________________________________________________________________
______________________________________________________________________________
Phone(s): (___) __________________________ Fax(es): (____)
______________________________
ADDITIONAL INFORMATION
Have you received any other scholarships/grants?

Yes______ No

______
If Yes, type of award(s) and
amount(s):_________________________________________
NOTE: If you are already receiving a FULL Scholarship from your school, USPAACC Education Foundation reserves the right to withdraw
the award

______________________________________________________________________________
(Please list any awards received)
LETTERS OF RECOMMENDATION
Will be provided by:
Academic School Teacher/Advisor: _____________________________________________
Community Service Leader/Organizer: __________________________________________

All parts of the application must be filled completely in order to qualify.

Write N/A if not applicable.
IMPORTANT: Completed application must be postmarked by March 16, 2012
Mail application to:

UPS SCHOLARSHIP
US Pan Asian American Chamber of Commerce EF
1329 18th Street, NW, Washington, DC 20036

Due to the high volume of applications, only selected applicants will be informed of the
Scholarship Committees decision by mid-April.

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