S.? DO NOT SUBMIT IF YOU ARE NOT A CITIZEN. If so, please mark 'Citizen' next to the box. What is your current education (including high school or your primary language)? Name of The Highest level institution you have attended. College/University of California/Univ. Of California/State University of California Yes High School/Univ. Of California/State University of California Yes No Please describe your experience working and/or volunteering in the community as it relates to your interests. Describe events, campaigns or causes (political or social) that you have been involved with while being employed at Solano, Solano/C.E.I. Yes — but you may indicate more than one Yes No If 'YES' above is 'REQUIRED' to be considered, please answer the remaining questions. We will send you your scholarship offer as soon as possible after you are selected for the position. You will receive a follow-up email with further instructions once your scholarship application is confirmed. Please include your UCLA email address in your cover letter, or, provide the following contact information: Office: Annette Buyout in Solano Hall Office#1201 Telephone: FAX: If you live outside the SF Bay Area consider requesting that we cover all the cost of your trip and the cost of your travel and lodging. The only way to request international travel and lodging is via this form. We have received a large amount of applications for this position, we cannot promise the position will be filled, but we will do our best to fill all available positions. We will send an e-mail out to all selected applicants within the next week to let you know the results of the screening. Thank you for your interest, and please make you application as soon as possible.
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PLEASE PRINT AND COMPLETE THE FOLLOWING APPLICATION. Deliver your completed application to: Annette Buyout in Solano Hall Office #1201 Deadlines: Monday, March 26, 2012, Interviews will be held on
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