Kawaihoa Foundation Scholarship Program
Application
To the Applicant: Type or print
neatly in black ink.
NAME OF APPLICANT:
_________________________________________________________________________________
ADDRESS (Use home mailing address, no P.O.
Box)
STREET:
_____________________________________________________________________________________________
CITY:
__________________________________________________________STATE:
__________ ZIP: ________________
HOME PHONE: ( )
___________________________________BUSINESS PHONE: ( )
_______________________
EMAIL:
______________________________________________________________________________________________
Please list previous training and/or
experience:
SCHOOL NAME:
_______________________________________________________________________________________
INSTRUCTOR:
________________________________________________________________________________________
DESCRIPTION OF TRAINING AND/OR EXPERIENCE:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
SCHOOL NAME:
_______________________________________________________________________________________
INSTRUCTOR:
________________________________________________________________________________________
DESCRIPTION OF TRAINING AND/OR EXPERIENCE:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
SCHOOL NAME:
_______________________________________________________________________________________
INSTRUCTOR:
________________________________________________________________________________________
DESCRIPTION OF TRAINING AND/OR EXPERIENCE:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
(Use reverse side if additional space needed)
I certify to the best of my knowledge that the
information I have provided in this application is accurate. I give
the Kawaihoa Foundation Scholarship Program Director permission to contact
my previous school(s) to verify the information provided and to request
any additional information needed.
Applicant's Signature:
______________________________________Date: _____________________
Any questions should be directed to:
Kawaihoa Foundation Scholarship Program
P.O. Box 670, Kane'ohe, HI 96744
Phone: 808 292-2738
Email: hula@kawaihoa.org
Revised:
04/29/2009 |