CCNMA: Latino Journalists of California
INLAND CHAPTER
Scholarship Application - 2008

Deadline:  Postmarked by April 1, 2008
Name:
      Social Security #: 
Current Address:
   Apt.. #:
City:
  State:   Zip: 
Current Phone #:
      Work Phone #: 
Email:
Permanent Address:
  Apt. #:
City:
 State:   Zip: 
Permanent Phone #:
Current School/College:
Current grade level:
(Check one):  
High School Senior  College Freshman  Sophomore 
Junior  Senior  Graduate Student 
High School/Community College graduation date:      CURRENT GPA:
College/University you plan to attend in Fall 2008: 
MAJOR: 
Honors, Awards, Scholarships: 
Have you previously won a CCNMA Inland Chapter scholarship?  Yes      No 
If so, when and how much? 
Are you applying for the state CCNMA statewide scholarship?  Yes      No 
Ethnicity: (For statistical purposes only)

Please provide an estimate of school expenses (in dollars) for 2008-2009 school year.
Tuition:  $  Room and Board:  $ 
Transportation:  $  Books/Supplies: $ 
Miscellaneous: $ 
TOTAL:  $ 
Estimated sources of income for school:
Loans:  $  Employment:  $ 
Scholarship(s)/Grant(s):  $  Family:  $ 
Savings:  $  Other:  $ 
TOTAL:  $ 
Applicant's or family's 2007 annual income:  $ 
I affirm this application is accurate. I understand I must enroll in college in for the Fall 2008 semester to receive the award, otherwise it will be withdrawn. I understand that the amount may be reduced if I attend a college other than the one listed and that the amount may be lowered if I win a CCNMA statewide scholarship.
Signature:
Date:
Send completed package, postmarked by April 1, 2008 to:
CCNMA Inland Chapter Scholarships
P.O. Box 20300
Riverside, CA  92516-0300
Questions? Call Inland Chapter Vice President Claudia Bustamante at (310) 940-3519 or send an e-mail to ccnmainland@hotmail.com.