California State University, Fullerton
EOP AB 540 Book Scholarship Program
2014-2015
Application Procedure
To apply for the EOP AB 540 Book Scholarship please submit all of the following in one large envelope:
1.
Application
A completed application includes: the application, the 500-word essay, the evaluation form, one letter of
recommendation and transcripts.
2.
Essay
Attach an essay of 500 words on the following subject: What motivates you to pursue a college degree?
Describe any particular circumstances, experiences, family background, or other influences that have inspired you
to excel academically and pursue a college degree. Also include your academic plans and career goals.
Note: You must complete this essay in order for your application to be reviewed. If it is missing, your application
will be considered incomplete and will not be reviewed by the selection committee.
3.
Transcripts
Submit a copy of your transcript. The Committee is unable to use transcripts sent to the Office of Admission &
Records. We must receive a copy of your transcript with your application.

First Time Freshmen: A high school transcript that includes grades for the freshman, sophomore, and junior
years, and the first semester of the senior year.
 Transfer Students who expect to transfer more than 60 units: Transcripts from all colleges attended.
Note: Continuing CSUF students do not need to submit transcripts. However, the application, 500 word essay,
and evaluation form are required.
4.
Evaluation Form & Letter of Recommendation
An Evaluation & Letter of Recommendation must be completed by a professor, academic advisor or any person
who can provide anecdotes or examples to give the committee a more through description of the applicant. The
completed form and letter of recommendation should be placed in a sealed envelope with the author’s signature
along the seal and clear tape place over the signature. Envelops not secured in this fashion will not be accepted.
Helpful Hints for the completion of the scholarship application:
 Incomplete applications will NOT be considered. Applicants will NOT be contacted concerning incomplete
applications.
 Responses should be neat and complete.
 Grammar and spelling should be checked for accuracy.
 The completed application should clearly describe your economic, educational and environmental background,
as well as your achievements and goals.
The Cal State Fullerton EOP AB 540 Book Scholarship packet should be submitted to the address below on or before
April 11, 2014. The application may also be hand-delivered to University Hall 143
The EOP AB540 Book Scholarship Program
California State University, Fullerton
P O Box 6810
Fullerton, California 92834-6810
You are encouraged to call (657) 278-7670 to make sure your application has been received and it is complete.
California State University, Fullerton
EOP AB 540 Book Scholarship Program
2014-2015
General Information
The EOP AB 540 Book Scholarship at California State University, Fullerton, is designed to assist with the cost of books for
students considered to be AB 540 students (AB 540 eligibility to be determined by Admissions and Records office). The
book Scholarship awards $500 book scholarships to first-time freshman/first-time transfer students and continuing CSUF
students who meet the AB 540 criteria.
Scholarship recipients must meet the following requirements:

High school attendance in California for three or more years.

Graduation from a California high school or attainment of the equivalent thereof.

Registration as an entering student at, or current enrollment at, an accredited institution of higher education in
California not earlier than the fall semester or quarter of the 2014-15 academic year.

In the case of a person without immigration status, the filing of an affidavit with the institution of higher education
stating that the student has filed an application to legalize his or her immigration status, or will file an application as
soon as he or she is eligible to do so. The form may be obtained from the Admissions and Records office in
LH-114.

Meet regular CSU admission first-time-freshman requirements with at least a 2.0 GPA, as computed by
Admissions and Records or meet regular CSU admission transfer requirements with at least a 2.0 GPA in all
transferable coursework. Continuing CSUF students must also have a 2.0 GPA.

Show evidence of significant contributions to school and community activities.

Enroll at CSU, Fullerton in at least 12 units.
The Cal State Fullerton EOP AB 540 Book Scholarship packet must be submitted to the address below on or before
April 11, 2014. The application may also be hand-delivered to McCarthy Hall 103.
The EOP AB540 Book Scholarship Program
California State University, Fullerton
P O Box 6810
Fullerton, California 92834-6810
California State University, Fullerton
EOP AB 540 Book Scholarship Program
2014-2015
Instructions:
Type or complete in blue or black ink only
Personal Information:
1.
Last Name_______________________________________ First Name_________________________________________
2. Birth Date: ___________/___________/___________
3.
Campus Wide ID #. ___________-___________-___________
Permanent Address:__________________________________________________________________________________
City _____________________________ County ______________________
State ______
Zip _______________
Telephone No. _______________ Cell No. ___________________ Email ______________________________________
4.
Will you be a First Time Freshman Student at CSUF?
Expected Major?
5.
Yes
No (If no skip to #6)
_________________________________________________
Name of High School Attended ________________________________________________________________________
City _____________________________ County ______________________
6.
Will you be a New Transfer Student to CSUF?
Expected Major?
7.
Yes
Zip _______________
No (If no skip to #8)
_________________________________________________
Name of College Attended ____________________________________________________________________________
City _____________________________ County ______________________
8.
State ______
Have you filed an AB 540 affidavit?
Yes
State ______
Zip _______________
No
9. Ethnic Identification (Please enter the proper code in box):
1 - American Indian or Alaskan native
2 - African American; Black, non-Hispanic
3 - Mexican-American, Mexican, Chicano
4 - Central American
5 - South American
6 - Other Latino, Spanish, Hispanic
7 - Cuban
8 - Puerto Rican
9 - Japanese
10 - Korean
11 - Asian Indian
12 - Cambodian
13 – Thai
14 - Guamanian
15- Hawaiian
16 - Other Southeast Asian
17 - Chinese
18 - Vietnamese
19 - Laotian
10.
Do you or any other children in your family work primarily to contribute to household expenses?
11.
If you are dependent on parental or guardian support:
20 - Samoan
21 - Other Pacific Islander
22 - Filipino
23 - White
24 - Other
25- No Response
26 - Decline To State
Yes
A. Please indicate total income of parent(s)/guardian(s) who are currently supporting you: _______________________
2013 Annual Income
B. I am currently supported by:
Both Parents
Guardians
Mother only
Self-Supported
Father only
(If you checked this, please go to #12)
C. Total size of parent household: include applicant, parent(s), dependent children and other dependent(s):____________
No
12.
If you are independent of parental support:
A. How long have you lived apart from your parent(s)? ________________
B. What is your total family income?
________________________
2013 Annual Income
C. Number of dependents in household (self, children, and spouse) _________________
13.
Please indicate any economic hardship and/or inability to pay for your college expenses.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Biographical & Educational Information:
14.
Circle the highest year in school/college completed by your parents or guardians.
Mother: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17+
Father: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17+
15.
Are you the first in your immediate family to attend college?
16.
List all community activities (and estimated hrs. per wk.) in which you were involved during your high school/community college
years.
Community Activities
17.
Yes
Hours per week
No
Number of weeks per year
List all honors and awards you have received and the year that you received them.
Honors and Awards
Year Received
18. Attach an essay of 500 words on the following subject: What motivates you to pursue a college degree?
Describe any particular circumstances, experiences, family background, or other influences that have inspired you
to excel academically and pursue a college degree. Also include your academic plans and career goals.
All of the information on this form is true and complete to the best of my knowledge. I will use the AB 540 Book
Scholarships award toward educational expenses related to my attendance at California State University, Fullerton.
Signature: ______________________________________________ Date:
_______________________________________
California State University, Fullerton
EOP AB 540 Book Scholarship Program
2014-2015
Evaluation Form & Letter of Recommendation
To the Applicant:
After completing the personal information below, please give this form to an adult (not a relative) who knows you well (e.g.
teacher, counselor, minister, work supervisor, etc.) who can evaluate you on your academic preparation, school and community
involvement, and other relevant information prior to enrollment at CSU Fullerton.
Student Name: __________________________________________________________________________________________
(Last)
(First)
(M.I.)
Street Address: __________________________________________________________________________________________
City and Zip Code: _______________________________________ Telephone: (_______)______________________________
To the Evaluator:
The above-named student is applying for a CSUF scholarship given to outstanding incoming freshmen and transfer students for
the 2014-2015 academic year. The general criteria for selection are academic excellence, outstanding personal qualities,
contributions to school and community, greatest strengths and a disadvantaged background due to socioeconomic,
environmental, or educational challenges.
The evaluation consists of the completion of this form. A letter of
recommendation may also be attached.
On the scale below, please rate the applicant with a check mark under the appropriate column.
Leadership Ability
Self-discipline
Initiative
Personal Responsibility
Integrity
Consideration for Others
Creativity
Academic Potential
Maturity
Outstanding
____
____
____
____
____
____
____
____
____
Excellent
____
____
____
____
____
____
____
____
____
Good
____
____
____
____
____
____
____
____
____
Average
____
____
____
____
____
____
____
____
____
No Opinion
____
____
____
____
____
____
____
____
____
How long have you known the applicant? _____________ In what capacity?
_______________________________________________________________________________________________________
___________________________________________________________________________________________________________
_______________________________________________________________________________________________________
Why do you believe this student is deserving of this scholarship?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Evaluator Name:_________________________________________/___________________________________________
Please print or type
Signature
Title: _________________________________________
Place of Work: ________________________________________
Work Telephone: (___ )_________________________
Best time to reach you __________________________________