APPLICATION PACKET CHECK-OFF LIST

MARK EACH FOR COMPLETE PACKET

________YES, I am a resident of the State of Oregon, >as defined by Oregon Administrative
Rules Chapter 580 Division 10, Board of Higher Education. (initial here) For more information, click here.

________My most recent GRADE TRANSCRIPT, showing minimum GPA of 2.5, or if lower,
document showing acceptance by a college.

________My Outline Form Chronological Summary of Participation in Asian American Cultural
Activities, including details specified in Application Procedures.

________At least one (1) Letter of Endorsement according to terms stated above, describing
Asian American community & cultural interest and involvement.

________250 word personal essay on Asian American plans & interest.

________Application Sign Up Form

________Completed Check-Off List & signed Certification Agreement

________Self-Addressed and stamped, return envelope.

AGREEMENT AND CERTIFICATION

I hereby agree to fulfill the basic requirements and abide by the conditions set forth as
described in the application documents, if I should become a recipient of an AAFO, Asian
American Foundation of Oregon Scholarship grant.

I also certify that the statements furnished in this application are true and correct.

_______________________________
Applicant's Signature

_______________________________
Date