Carefully complete the Proteus, Inc. scholarship application. The deadline to submit the application packet is April 30, 2024, and must include (A) application form, (B) a personal statement, and (C) two letters of recommendation. Applications can also be delivered at the Proteus Administration Office, 1830 N. Dinuba Blvd., Visalia, CA 93291, emailed to info@proteusinc.org, or via online form. If you choose to mail your application, the envelope must be postmarked by April 30, 2024. All late, incomplete, and/or modified applications will be rejected.

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* 1. Name of Applicant:

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* 2. Mailing Address

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* 3. Email:

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* 4. Please provide at least two phone numbers where you can be reached.

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* 5. Are you currently a high school student?

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* 6. If yes

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* 7. If no, list the last school you attended:

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* 8. Are you currently a college student?

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* 9. If yes

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* 10. If no, list the last college you attended:

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* 11. What college or university will you attend during the 2023-2024 academic year?

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* 12. Will you enroll full-time?

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* 13. What is (or will be) your college major?

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* 14. What was the total family income for your household from all sources last year?

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* 15. Number of Family members in the house-hold:

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* 16. Will you receive financial assistance from your family while enrolled in college?

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* 17. Do you consider yourself a member of a low-income family?

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* 18. In the past four years have you or any member of your family worked in farm work?

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* 19. In the past four years have you or any member of your family been enrolled or received services from a Proteus Program?

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* 20. Is an immediate relative either a member of Proteus staff or Board of Directors? (Immediate relatives include wife, husband, partner, son, daughter, mother, father, brother, sister, stepparent and/or stepchild).

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* 21. If yes, name of staff member:

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* 22. Have you volunteered or been employed by Proteus Inc. during the past three years?

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* 23. Personal statement

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* 24. Letters of Recommendation 1:

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* 25. Letters of Recommendation 2:

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* 26. I certify that the information contained in this application is true, and if selected as a Proteus Scholarship Program recipient, I agree to submit an approved schedule of classes. I also understand that the Proteus Scholarship Committee will select final scholarship recipients. Proteus, Inc. has my permission to notify the college/university financial aid office of my scholarship award. I also authorize the financial aid office to discuss my financial aid award with Proteus representatives in order to determine financial need. Proteus, Inc. also has my permission to publish my name, a photo, scholarship amount, and a brief biographical sketch on all social media platforms.

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* 27. Applicant's Signature

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* 28. Date

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