Apply Now

What type of Scholarship are you applying for?

After completing this application, please submit copies of parent’s two most recent TAX FORMS (1040 forms AND W2’S or 1099’s). Please email this information to our secure email () or fax these forms to 310-943-2401.

Merit Based Scholarship

Financial Need Scholarship

Both

Contact Information

Email *

First Name *

Last Name *

Nickname *

Street Address 1 *

Street Address 2 *

Phone Type

Phone Number

Phone 2 Type

Phone 2 Number

City *

State *

Postal Code *

Personal Information

ESSAY: A brief (300-500 word) PERSONAL STATEMENT telling the reasons why you would like to attend our program and feel you deserve a scholarship*

ONE LETTER OF RECOMMENDATION (from a teacher, coach, pastor, mentor, employer, etc.)

My Letter of Recommendation will be faxed in to 310-943-2401 (This allows your teachers/professor/etc to subit letters to us directly.)

SCHOOL TRANSCRIPT (unofficial or last report card is fine)*

Fall 2012 School Name *

Fall 2012 School Year (i.e. 10th, 11th, 12th, College Freshman) *

If other, please specify

How did you hear about us?

If other, please specify

Short Response (Please limit to 300 characters)

What are some things you'd like to accomplish with school? *

What are your professional interests and/or aspirations? *

What are you really passionate about? *

What are your extracurricular activities / hobbies / interests? *

What would you like to get out of the program? *

Do you know anyone else attending the program? If so, please list their name & your relationship to them. *

If you could have a one-on-one session with a mentor, from what profession would he or she be in? *