AVID SENIOR UCR SCHOLARSHIP 2013 APPLICATION FORM Students: Please PRINT or TYPE responses Submit application only if accepted and planning to attend UCR 1. Student Name: 2. School: 3. Home Address: 4. Home Telephone: SSN (optional): 5. Number of years in AVID (including this year): 6. Grade Point Average (please attach unofficial transcript): 7. I am the first in my immediate family to attend college (yes/no): 8. List Honors/AP courses completed or currently in progress: 9. List awards or special recognition: 10. Colleges you have applied to: 11. Colleges to which you have been accepted: 12. Student essay (one or two typed pages) Submit your UC Personal Statement OR write a short essay describing your goals, any hardships you have overcome, and the role AVID has played in your life. 13. Letters of Recommendation Submit two letters of recommendation from teachers, administrators or counselors. 14. Unofficial Transcript Mail to: SBCSS Attn: AVID 601 North E Street, San Bernardino 92415 Must be postmarked no later than March 25, 2013