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Blue Bear Foundation

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Blue Bear Foundation Funding Application

You may download the application and mail or email it in.

Or you may fill it out online and submit...

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Fields marked with an * are required

I affirm that I plan to pursue a career so I can improve myself and my community. I give permission to officials of my institution to release transcripts of my academic record and other information requested for consideration in the Blue Bear Foundation program. I understand that this application will be available only to qualified people who need to see it in the course of their duties. I waive the right to access letters of recommendation written on my behalf. I affirm the information contained herein is true and accurate to the best of my knowledge and belief. By typing my name I agree that this represents my signature:

*

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Last Name *

First Name *

Middle Initial *

Date of Birth *

Age *

Race/Ethnicity: Check one. If you are multiracial, you may select two or more races.

American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino
Native Hawaiian or other Pacific Islander
Multiracial
White/Caucasian

Check One *

I am a U.S. Citizen
U.S. National
Resident Alien (With Green Card or expecting citizenship)

Military Record *

Air Force
Army
Coast Guard
Marines
Navy
No Military Service

Dates of Service:

From:

To:

Still Serving

Current/Final Rank

Honorable Discharge *

Yes
No

Dishonorable Discharge *

Yes
No

If Dishonorably Discharged, please provide an explanation:

Permanent Address *

Address 2

City *

State *

Zip / Post Code *

Home Phone/Cell *

Cell Phone/Alternative

Email *

School/University Name *

Address 1 *

Address 2

City *

State *

Zip / Post Code *

Country

List High School(s) (or GED info):

List College(s)/Certificate Programs:

List college and high school activities (student government, sports, publications, school-sponsored community service programs, student-faculty committees, arts, music, etc.):

List public service and community activities (homeless services, environmental protection/conservation, advocacy activities, work with religious organizations, etc.):

List government activities (internships with government agencies, partisan political activities, ROTC/military, municipal boards and commissions):

List part-time and full-time jobs and nongovernment internships since high school graduation.

Applicant's Income

0 - $15,000 / yr
$15,000 - $25,000 / yr
$25,000 - $35,000 / yr
$35,000 - $45,000 / yr
$45,000 - $55,000 / yr

BASIC NEED CALCULATION Use the following format to provide the information requested.

Budget for tuition, fees, books, supplies

Other Financial Needs

Applicant’s scholarships, grants, and other awards

Other Sources of Income

Support System:
Please briefly describe your immediate family dynamic:

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Career Goals:
Attach 1 paragraph detailing your greatest achievement so far and 1 paragraph detailing what you believe will be your greatest achievement in the future. Indicate how your studies in accounting/finance relate to the overall
achievement of your objectives.

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REFERENCES
Please provide a two or three references on character and leadership potential.

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