Upper Division Scholarships

Application for 2022

California State University Fullerton

Transfer / Continuation Scholarships

Fields marked with an * are required.

Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
High School*
High School Graduation Date*
Month
Day
Year
Jr. College or Current College*
Jr. College Graduation / Transfer Date*
Month
Day
Year
Jr. College Graduation or Anticipated Completion of Current Degree
Current GPA*
Please enter a number from 2.75 to 5.0.
Minimum of 2.75 required
GPA on What Scale*
College Counselor's Name
List any honors/awards you have received. If none, enter "None."*

Click plus to add additional awards.
List any organizations and clubs of which you are a member. Show years of participation and any offices held.
Organization/Club Name Years of Participation Office Held, if any

Click plus to add additional organizations/clubs.
California State University Fullerton Information
Have you applied?*
Have you been accepted?
Anticipated Major*
Reasons for your choice of major*
Other Financial Aid
Have you applied for or been granted other scholarships or financial aid? Amounts?
Other Scholarships for which you have applied:*
Scholarship Name Amount

Click plus to enter additional scholarships for which you have applied. If you have not applied for additional scholarships enter none in Scholarship column and 0 in Amount column.
List any scholarships offered and accepted, along with the amounts of each.
Organization Awarding Scholarship Amount Awarded

Click plus to add additional scholarships. If no scholarships awarded, enter none in Organization column and 0 in Amount column.
LIst Financial Aid for which you have applied*
Organization Amount

Click plus to add additional Financial Aid applications. If you have not applied for additional Financial Aid enter none in Organization column and 0 in Amount column.
List below any Financial Aid pending, along with the amounts of each. If none, enter "0" in Amount column and "None" in Organization column.**
Organization Awarding Financial Aid Amount Pending

Click plus to add additional pending Financial Aid. If no Financial Aid pending, enter none in Organization column and zero in Amount column.
Current Household Income*
Please enter a number from 0 to 500000.
Estimated Family Contribution to your expenses.*
Are you a single parent?*
Do you plan to work during college to help pay expenses?*
Will you work this summer?*
Essays
Please complete the following two essays.
Essay No. 1: Write approximately 200 - 500 words about yourself that accurately portrays who you are. Include your background, your personal traits, your goals, and your most meaningful achievements and how they relate to your field of study.*
Essay No. 2: Write a second essay of approximately 200 - 500 words in which you address from a financial standpoint what impact this scholarship would have on your education, and state any special personal or family circumstances affecting your need for financial assistance.*
Do you have a family member who is currently a member of Assistance League of Fullerton?*
- Yes
- No
Please Note:
Assistance League of Fullerton will not divulge any information provided on this form to any other person or entity without the applicant's specific written consent. The applicant may be asked to a personal interview with the Scholarship Committee members. Convenient date and time will be arranged for both applicant and members of the Committee.
E-Signature
By submitting this application and checking the certification box below. I certify that the information included in this application is true and correct to the best of my knowledge. I authorize release of information to confirm and/or verify the contents for scholarship purposes only. In addition, I give Assistance League of Fullerton permission to publish in print, electronic, or visual format the likeness or image of me. I waive any rights of compensation or copyright ownership thereto.
Certification:*
- I certify the information as stated as above
Consent*
I agree.
I understand that if I am a recipient of this scholarship, I may be contacted to communicate my progress toward my career goals.
Date*
MM slash DD slash YYYY
Captcha

For questions about this form:

Email: scholarships@alfullerton.org
Office Phone: 714-526-5124

An email question is preferred.

Organization/Club Name	Years of Participation	Office Held, if any

Scholarship Name	Amount

Organization Awarding Scholarship	Amount Awarded

Organization	Amount

California State University Fullerton Information

Other Financial Aid

Essays

Please Note:

E-Signature

For questions about this form: