Santa Clara County Construction Careers Association Scholarship Application Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Birthday * MM DD YYYY U.S Citizen * Yes No Email * High School Graduation Date MM DD YYYY Name of High School High School GPA Career Pathway (if any) Which academic year are you applying for? * What is your intended major? Where will you live? * On-campus With parents Off-campus Will you receive any financial assistance during the school year other than from your family or through the financial aid office? * Yes No If yes, please list the aid source and amount Have you attended a college beyond high school? * Yes No If yes, please put down college name and amount of credits taken at each. Please provide three references that can be contacted and their relationship to you. * Please put down three contacts including their name, their relationship to you, and their phone number. Please provide an explanation or reason why you should be awarded this scholarship. * Thank you!
