You MUST forward the following documents with this application. (1) TWO LETTERS OF RECOMMENDATION Please submit two letters of recommendation, giving information about your character, ability to achieve the educational goal, ambition, and financial needs. Letters from the principal, viceprincipal, attendance supervisor, counselor or teacher are preferred. (2) TRANSCRIPT Include a copy of your high school transcripts. (3) ESSAY Type or write legibly an essay regarding your educational and career goals (approximately one page double-spaced). Include reasons for your choice of school, area of major and a statement of how any scholarship funds received would be used in reaching your stated goals (4) PROOF OF ACCEPTANCE to a 2- or 4-year college or university. (5) A COPY OF THIS COMPLETED APPLICATION (BOTH PAGES) _____________________________________________________ Signature ________________________ Date

J OHN & K ARIN J ELAVICH

S CHOLARSHIP

Apply Today Application Deadline April 17, 2016

The Sutter Yuba Community Foundation invites applicants to apply for a scholarship to attend an accredited college or university. This is a one-time $500 award to be granted to a graduating high school senior. This scholarship is to be awarded from an endowment grant donated by John I. and Karin Jelavich. ELIGIBILITY To be eligible for the scholarship, student applicants must 1) be a graduating senior at a high school in the Yuba-Sutter area, 2) maintain a 2.0 GPA overall, and 3) show proof of acceptance into a 2 or 4 year college or university. SUBMISSION OF APPLICATIONS Applications are available through your high school attendance or counseling office or online at www.sutteryubacommunityfoundation.org. Please submit your completed application to Sutter Yuba Community Foundation at PO Box 3165, Yuba City, CA 95992. Applications must be received by April 17, 2016. Please fill out completely. Name: __________________________________________________________ Address: _______________________________________________________ City: _________________________________________Zip: ______________ County: ________________________________________________________ Date of birth: ___________________________________________________

Current High School: ______________________________________________ Other high schools attended with dates of attendance:____________________ ________________________________________________________________ Name of college you plan to attend: ____________________________ Major subject: ___________________________________________________

Projected date of attendance:_______________________________________ Do you propose to later attend another college or university? Which one? ______________________________________________________________ For what profession are you preparing? ________________________________________________________________

______________________________________________________ List extracurricular activities that relate to your professional goals:

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