Long Beach Rotary Scholarship Foundation

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2020 Basic Application

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Student Information

U.S. Citizen/Legal Resident/DACA Recipient*
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Student City*
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Student Phone Type*
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Student Lives With*
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Family Income and Resources

Upload a copy of the Expected Family Contribution (EFC) from the FAFSA Student Aid Report (SAR).*
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School Information

School Now Attending*
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College planning to attend*
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Camp Enterprise Participant
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Interact Member
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Essay Questions

Parent AND Student signature below indicates that you have verified the information requested on this application and consent to release this information to the Scholarship Foundation.

Photo Release*
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Note: The information included on this application will not be released to anyone except by written consent of parent, or student if 18 years of age.  Ed Code 49075