The Kimbo Foundation Scholarship Application Form

Mail To: The Korea Daily For the address of each branch please refer to Application
Please indicate a region you are applying for
Los Angeles San Francisco New York Chicago Washington D.C. Atlanta *Based on location of current school

DOWNLOAD THE FOLLOWING FORM, FILL OUT COMPLETELY AND MAIL TO THE KOREA DAILY WITH ALL NECESSARY DOCUMENTS. PLEASE MAKE SURE TO INCLUDE ALL THE MATERIALS ON THE CHECK LIST. PLEASE DO NOT SEND THEM SEPARATELY. APPLICATIONS WILL NOT BE PROCESSED WITHOUT COMPLETION OF MATERIALS.

PERSONAL INFORMATION

PART 1
Name Address

LAST NO. & STREET Home MONTH DAY YEAR Cell

FIRST CITY

MIDDLE (or Korean) STATE ZIP CODE

Phone (Home & Cell) Date of Birth Social Security Number Residential Status High School

Email

Place of Birth Gender Permanent Residence Male Female

U.S. Citizen
NAME

Other (specify) ______________________________

CITY STATE

Graduation
MONTH YEAR

Cumulative GPA (High School Student)

College
NAME CITY STATE

Expected Graduation
MONTH YEAR

Cumulative GPA (College Student)

If Freshman, please fill-in GPA in High School as well

Extracurricular Activities

PLEASE LIST ANY PREVIOUS AND CURRENT EXTRACURRICULAR ACTIVITES, SUCH AS INTERNSHIP, COMMUNITY SERVICE, VOLUNT

WORK, ATHLETIC AND OR CHURCH ACTIVITIES, HOBBIES, SPECIAL SKILLS. ATTACH A SEPARATE SHEET IF NECESSARY.

ACTIVITY/ORGANIZATION

POSITION HELD/HOURS PER WEEK

SPECIAL AWARDS

DATE

Have you ever received Kimbo scholarship before? Yes No If yes, what year? _________________________ Total household income for the previous year: $_________________________________________________________

SHORT ESSAY

PART 2
Topic

Write an essay approximately 500-800 words in length (2 pages max). The reason for this scholarship
Application form Letter of recommendation-Signed required Copy of acceptance letter

CHECK LIST

PART 3

Official high school/ college transcript Essay Copy of household income tax return (2010 year) List all Extra Curricular Activites

PART 4
SIGNATURE

I affirm that the information on this application is true, accurate, and complete.
APPLICANT'S SIGNATURE DATE