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Book Grant Application For Low Income Students with a GPA of 3.25+
FresnoStudentScholarships@GMail.com
Grants generally range from $25 to $250. Incomplete & unsigned applica ons will
automa cally be rejected. We will send you a conrma on once we have received your
documents. Upon grant approval, you will hear back from us within 45 business days.
To apply, please include the documents below, and Email to the address above:
Please A,ach:
(1) This completed 3 page applica on
(2) A copy of your most recent academic transcript showing an average GPA of 3.25 or higher
(3) Proof you're enrolled in the classes in which you are applying for book grants
or if you're applying for a reimbursement, please a#ach a copy of your book receipt
Winter 2016
Spring 2017
Summer 2017
Page 1 of 3
REIMBURSEMENT PROGRAM:
We are able to reimburse you for books you have recently purchased. Please provide the basic informa on
below and also include a photo copy of your receipt with this applica on.
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of where you purchased your book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Receipt Number: ______________________________________ Photo Copy Provided: Yes
No
Full Title/Name of Book:___________________________________________________________________
Course Start Date: ______________ Cost of Book: __________
Please circle the condi on and source of where you purchased your book from:
New - Rented - Digital - Used for sale Online - Used/Local Book Store
Receipt Number: ______________________________________ Photo Copy Provided: Yes
No
Page 2 of 3
Please name one or more of the biggest struggles and/or obstacles that you have
faced and overcome on your journey to success: ______________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
What is something you have done to help society or to help another person(s) in their
me of need? _________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Restrictions
To be eligible for a grant you must meet certain academic achievement requirements,
Generally, scoring above the 75th percen le on a college admissions test, or
Maintaining a cumula ve GPA of at least 3.25
I cer fy that the informa on provided above in this 3 page applica on is true to the best of my
knowledge, including all academic a,achments. If anything is proved to be false at any stage, or if
there is any, deliberate suppression of fact, my applica on is liable to be summarily rejected and
shall be bound to refund the amount if the same is paid to me on the basis of any wrong
informa on furnished by me, besides any other ac on or penalty that may be imposed on me.
I give permission to: Fresno Student Scholarships and their agents and representa ves to verify
any and all informa on I have provided.
_____________________________________
Print Name:
_____________________________________
Signature:
Page 3 of 3
_________________________
Date: