Family Opportunities Program 2019 Application

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1 Family Opportunities Program 2019 Application Eligibility Requirements Applicant must be: 1. The child, spouse or other dependent of an active JSCo employee who works for JSCo at least 30 hours/week; 2. At least 17 years of age or a senior in high school; and 3. Planning to attend school during the academic year. Applicant s sponsoring employee must be: 1. In good standing as an employee; and 2. If living at a JSCo-managed property, in good standing as a resident. Prior recipients of this award are not eligible to either apply again or apply to any other JSCo Opportunities Program. Applications must be received no later than 5:00 PM on Friday, January 4, 2019 at: The John Stewart Company Attn: Family Opportunities Fund 1388 Sutter Street, 11 th Floor San Francisco, CA * OR FAXED APPLICATIONS WILL NOT BE ACCEPTED* 2019 WWW. JSCO. NET

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3 THE JOHN STEWART COMPANY FAMILY OPPORTUNITIES PROGRAM 2019 APPLICATION Please type or print clearly using only the front of each page. Do not write in the margins. Attach additional pages as needed. Fill in the entire application as completely as possible. Incomplete applications and applications received after the deadline will not be considered. I. PERSONAL INFORMATION Name: Last First Middle Date of Birth: Age: Place of Birth: City, State, Country Social Security Number: Sex: Male Female Address: Street Apt# City State Zip Home Telephone: Cell Number: Address: Race/Ethnicity (Optional, please check all that apply.) African American Latino/a Caucasian Asian American or Pacific Islander Native American or Native Alaskan Other Name of Sponsoring Employee: Property Name/Job Location: Relationship to Applicant: II. SPONSORING JSCo EMPLOYEE INFORMATION Employee Address: Street Apt# City State Zip Home Telephone: Work Telephone: Address: Household Size: I hereby certify that I am a full-time employee actively working for and in good standing with JSCo and that the applicant I am sponsoring is a valid dependent, meaning that I claim them as a dependent on my IRS tax forms. Sponsoring Employee Signature 1 Date

4 Are you currently (check all that apply): III. EDUCATIONAL HISTORY A full-time student Employed full-time Unemployed A part-time student Employed part-time Other: Are you currently attending one of the following (check only if one applies and list school below): High School 2/4-year College Graduate School Vocational School Other Please list the school you attend or have attended in the past (from High School on): 1. School & City: Degree/ Year: What you studied: GPA: Dates Attended: Full Time Part Time 2. School & City: Degree/ Year: GPA: Dates Attended: Full Time Part Time What you studied: IV. EDUCATIONAL GOALS Please provide the name of the College, University, or Vocational School you have applied to; been accepted at; plan to attend or are currently attending (verification may be requested):. School Name: School Name: School Name: City: City: City: V. EXTRA-CURRICULAR, COMMUNITY ACTIVITIES & VOLUNTEER WORK Please list your current or most recent activity first. (Service organizations, religious groups, political work, sports teams, etc.) - attach additional information if necessary. Organization/Location: Active Dates: Activity (Description): Organization/Location: Active Dates: Activity (Description): 2

5 VI. PERSONAL ESSAY Please provide us with a personal essay describing yourself, what you hope to do with your education and how you contribute (and will contribute in the future) to your family and your community (attach essay to the application). Essays should be 200 to 300 words (approximately 1 page in length). Please help us get to know you by including the following: HIGH SCHOOL APPLICANTS: a. What are your plans to further your education? b. Have you been involved in any community service programs or events? c. Have you volunteered your time to help your community in some way? d. How have activities you ve done outside of school contributed to your community? COLLEGE/VOCATIONAL APPLICANTS: a. What has led you to pursue additional education at this time? b. How will your educational pursuits affect your future? c. Have you been involved in any community service programs or events? How have your activities contributed to your community? VII. APPLICANT SIGNATURE JSCo does not discriminate on the basis of race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, veteran status, or any other consideration made unlawful by federal, state, or local laws. Please understand that there are more applicants than there are available grants. Some applicants may be more qualified than others. Accordingly, the Company must reserve the right to select, in its sole discretion, those persons whom it deems most qualified. JSCo reserves the right to change the policies and procedures of this program at its sole and absolute discretion. I certify to the best of my knowledge that I have read this application thoroughly and that all of the above statements are complete, true, and correct. Applicant Signature Date If the applicant is under 18 years old the signature of the parent or guardian is required: I certify to the best of my knowledge that I have read this application thoroughly and that all of the above statements are complete, true, and correct. Applicant s Parent or Guardian Signature Date 3

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7 Checklist We will only review complete applications. So, before you seal your envelope please check that each of the following items are included: The completed application form (pages 1-4): including: Personal Information Education Personal Essay Applicant s Signature Sponsoring Employee s signature Applications must be submitted no later than 5:00 PM on Friday, JANUARY 4, 2019 to: The John Stewart Company Attn: Family Opportunities Fund 1388 Sutter Street, 11 th Floor San Francisco, CA

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