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PCAA Outstanding High School Gradua=
te
Award Application Form
APPLICANT
(IN CHINESE AND IN ENGLISH): ___________________________________
PARENTS
OR LEGAL GUARDIAN: ____________________
ARE
YOUR PARENTS OR LEGAL GUARDIAN PENINSULA** RESIDENTS? YES/NO
ARE
YOUR PARENTS OR LEGAL GUARDIAN PCAA MEMBERS IN THE LAST 3 YRS: YES/NO
HOME
ADDRESS: __________________________________________
________________________________________________________
________________________________________________________
PHONE: ________________________
GRADUATING
HIGH SCHOOL:___________________DATE OF GRADUATION CEREMONY:_______
NAME OF
THE COUNSELOR: _________________________________________________
HIGH
SCHOOL CUMULATIVE GPA (4.0 SCALE): ________________________________
SAT
SCORES: CRITICAL READING ________ MATHEMATICS _________ WRITING _________
HIGH
SCHOOL CLASS RANK: _____ OUT OF ______ (OR PERCENTILE STANDING _____)
FIELD
OF STUDY APPLICANT PLANS TO PURSUE: ______________________________
COLLEGE
OR UNIVERSITY APPLICANT PLANS TO ATTEND: ______________________
NUMBER
OF YEARS LIVING IN THE US: ________ FROM ____ TO ______
NUMBER
OF YEARS ATTENDING THE PCAA CHINESE SCHOOL: ________ FROM ____ TO ____
IF YOU
ARE NOT CURRENT STUDENT AT PCAA CHINESE SCHOOL, PLEASE LIST THE LAST
CHINESE
SCHOOL YOU ATTENDED _____________________________ WHEN _____________
SPECIAL
RECOGNITION RECEIVED FOR ACADEMIC EXCELLENCE IN HIGH SCHOOL, SUCH AS
SCHOLARSHIP
OR HONORS INCLUDING AP EXAMINATION SCORES, LISTED IN DESCENDING
ORDER
OF IMPORTANCE:
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
OUTSTANDING
EXTRACURRICULAR ACHIEVEMENTS IN MUSIC, ATHLETICS, STUDENT GOVERNMENT,
PUBLICATIONS,
DEBATING, DRAMA, ETC. LISTED IN DESCENDING ORDER OF IMPORTANCE,
WITH
SPECIFICATIONS ON THE LEVEL OF RECOGNITION BEING AT NATIONAL, STATE OR LOCA=
L:
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
LIST OF COMMUNITY SERVICES PERFORMED WITH SPECIFICATIONS ON THE NAME OF RECIPIENT <= o:p>
PERSONS
OR ORGANIZATIONS, THE START AND END DATES, AND AVERAGE MONTHLY HOURS
CONTRIBUTED:
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
LIST OF
ACHIEVEMENTS IN CHINESE LANGUAGE PROFICIENCY, e.g. AP IN CHINESE, SAT
IN CHINESE, OR OTHER DEMONSTRATIONS OF VERBAL OR WRITTEN CHINESE PROFICIENCY:<= o:p>
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
__________________________________________________________________________=
___
ON A
SEPERATE SHEET OR PAPER, PICK ONE OF THE TOPICS FROM THE FOLLOWING
LIST
AND WRITE AN ESSAY IN APPROXIMATELY 300-500 WORDS IN EITHER CHINESE
OR
ENGLISH(PREFERABLY IN CHINESE).
* HOW CAN I SERVE OR
PARTICIPATE IN THE CHINESE COMMUNITY ACTIVITIES?
* HOW DOES THE CHINESE
CULTURE AND CHINESE EDUCATION IMPACT MY GROWTH?
* MY KNOWLEDGE AND
UNDERSTANDING OF THE CHINESE CULTURE.
* MY LEARNING EXPERIEN=
CE IN
THE PENINSULA CHINESE SCHOOL(PCS)
* THE MOST IMPORTANT T=
HING
OR EVENT IN MY LIFE AND ITS INFLUENCES.
I
CERTIFY THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND
CURRENT.
APPLICATION CANNOT BE CONSIDERED UNLESS ALL APPLICABLE ITEMS
ARE
COMPLETED BY THE APPLICANT.
___________________________________ =
______________
=
APPLICANT SIGNATURE =
&nb=
sp; =
DATE
(**:
Peninsula is the region that covers Hampton, Newport News, York County,
Poquoson and Williamsburg)