2020 FH Application Application Deadline: March 15 Step 1 of 3 33% Read MeThis application is ONLY for the children or spouses of CHP Fallen Heroes. To access the General Scholarship Program Application please visit our scholarship page at www.chp11-99.org/scholarships.Biographical InfoApplicant Name* First Middle Last Birthdate*mm/dd/yyyy Date Format: MM slash DD slash YYYY Gender*FemaleMaleEthnicity*ArabAsian/Pacific IslanderAfrican-American/BlackCaucasian/WhiteHispanicLatinoMulti-ethnicPrefer not to answerName of Fallen Hero*(parent our spouse who was killed in the line of duty) First Last Applicant's Relationship to Fallen Hero*DaughterSonSpouse/WidowApplicant Hometown City (in CA)*County*Alameda CountyAlpine CountyAmador CountyButte CountyCalaveras CountyColusa CountyContra Costa CountyDel Norte CountyEl Dorado CountyFresno CountyGlenn CountyHumboldt CountyImperial CountyInyo CountyKern CountyKings CountyLake CountyLassen CountyLos Angeles CountyMadera CountyMarin CountyMariposa CountyMendocino CountyMerced CountyModoc CountyMono CountyMonterey CountyNapa CountyNevada CountyOrange CountyPlacer CountyPlumas CountyRiverside CountySacramento CountySan Benito CountySan Bernardino CountySan Diego CountySan FranciscoSan Joaquin CountySan Luis Obispo CountySan Mateo CountySanta Barbara CountySanta Clara CountySanta Cruz CountyShasta CountySierra CountySiskiyou CountySolano CountySonoma CountyStanislaus CountySutter CountyTehama CountyTrinity CountyTulare CountyTuolumne CountyVentura CountyYolo CountyYuba County Intended School/InstitutionName of School*Enter the name of the school or institution you plan to attend for the Fall 2020 - Summer 2021 academic year.School Type*Community/Jr. CollegeTrade/Technical/Vocational SchoolUniversityFederal School Code*(typically 6 digits) If you do not know your school's code, you may look it up in the Federal School Code Search on the FAFSA web site at https://fafsa.ed.govSchool City*School State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAcademic StatusStatus for 2020-2021 Academic Year*Freshman/First YearSophomore/Second YearJunior/Third YearSenior/Fourth YearGraduate StudentCumulative College GPA*Must be 2.7 or higher to qualify unless attending a trade/technical/vocational schoolMajor or EmphasisACTION REQUIRED - Official Transcript*Please order an Official Transcript for the most recent academic institution you attended. Must be received no later than April 15, 2020 via mail or digital service. I have ordered or will order an Official Transcript from my school. Transcript Format/Method of Delivery*Digital - Attn Bri Esquivel, 11-99 Scholarship Coordinator, scholarship@chp11-99.orgMail (must be in a school-sealed envelope) - Send to 11-99 Scholarship Program, 2244 N State College Blvd, Fullerton, CA 92831When can we expect to receive your official transcript?* Date Format: MM slash DD slash YYYY Financial InfoEstimated Total Tuition Cost for year (Fall '20 - Summer '21)*Please enter a number greater than or equal to 0.Estimated Total On-Campus Cost for year (Fall '20 - Summer '21)*Enter dollar amountEstimated Total Books & Fees Cost for year (Fall '20 - Summer '21)*Enter dollar amount Applicant Contact InformationEmail* Enter Email Confirm Email Phone*Phone Type*CellHomeBusiness/OfficePersonal StatementESSAY - Why are you seeking to further your education and how do you plan to utilize it?*(250-350 words)Introduction Video Link*Please create an introductory video of yourself for the Scholarship Committee. The video should NOT be professional or post-produced/edited. An amateur, 60-second video taken on a smart phone or laptop camera will be sufficient. Save the link to be pasted below here. YouTube or Vimeo only.
