Updated 2/13

.../byScholarApForm.html
Application for BEN YOSHIKAWA SCHOLARSHIP
INSTRUCTIONS: Print out this page. Then legibly write (on the page)

Your Name____________________________________________ Date_____________________
SURNAME (last name), Given Name (first name)

Your Address:

Email Address_______________________________________________

Phone________________________________   DOB (mmdd, eg 1221)_________________
                                                                          SSN (last 4 digits)_______________ (used thru 2009)

Step 1
Below list 6 courses you have completed with final exam scores of 95% or higher and
100% perfect attendance rates for those same 6 classes. You may come to the Soko Gakuen
office (Room 201) to complete this application form. The coordinator may assist you.

WRITE MOST RECENT ONE FIRST.
Example:
INTERMEDIATE 1, WE . . Fall 2011 . . . . Halper . . . . . . . . . . 98% . . . . . . . 11/11(100%)
Course you completed, section, . . Term, Year . . . Instructor's name . . . . . Final exam score . . . Attendance rate

Course you completed, section, . Term, Year . . . Instructor's name . . . . . Final exam score . . . Attendance rate

Step 2
Circle either a) 5-term tuition remission plus or b) a $1000 cash award.
Which do you want?

Step 3
Attach a recommendation from one of your Soko Gakuen instructors to this application.

Step 4
Mail to:
SOKO GAKUEN
1881 Pine Street
San Francisco, CA 94109

or hand-deliver to the Soko Gakuen office.

Step 5
The coordintor will contact you to arrange the written exam /composition.

IF INCOMPLETE OR ILLEGIBLY WRITTEN, YOUR APPLICATION CAN'T BE PROCESSED.
PLEASE GIVE US 2-3 MONTHS TO PROCESS YOUR APPLICATION. Thanks for your patience.

Note:
All scholarships are subject to final approval by the Soko Gakuen Board and availability of funds.

NOTES or COMMENTS:

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