William M. Maguy Scholarship Application

Carefully complete the Proteus, Inc. scholarship application. The deadline to submit the application packet is August 13, 2023 and must include; (A) this cover page, (B) a personal statement, and (C) two letters of recommendation. Applications must be received at the Proteus Administration Office, 1830 N. Dinuba Blvd., Visalia, CA 93291, or emailed to info@proteusinc.org. If you choose to mail your application, the envelope must be postmarked no later than August 13, 2023. 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:

Mailing Address:

City:

State:

Zip Code:

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* 3. Email:

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

Home Telephone:

Message Telephone:

Cellular Phone:

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* 5. What college or university will you attend during the Fall 2023 academic semester?

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* 6. Will you enroll full time?

Yes

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

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

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* 9. Number of Family members in the house hold:

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

Yes

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

Yes

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* 12. 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).

Yes

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* 13. If yes, name of staff member:

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

Yes

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 final selection of scholarship recipients will be the responsibility of the Proteus Scholarship Committee. 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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* 15. Personal statement

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 16. Letters of Recommendation 1:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 17. Letters of Recommendation 2:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 18. Applicant signature

I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief.

If Under 18, Parent/Guardian Signature: I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief.

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* 19. Date

Date / Time

Date