The Thom Mendoza Education Scholarship Application

Name: ____________________________ Home Phone (     ) ____________

Address: __________________________ Work Phone (     ) _____________

City: _____________________________   Zip Code: ___________________

Grade Point Average (GPA): _________________

High School Attended: __________________________________________

College/University you plan to attend: ______________________________

Brief explanation of your community and high school achievements:

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How will this scholarship help you?

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Please Submit the following with your application:

·        High School Transcripts

·        Letters of Recommendation

·        Personal Statement

Applicant Signature: _____________________________Date _____________

Attn: The Thom Mendoza Education Scholarship P.O.BOX 5721 Riverside, CA 92517