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First Name    Last Name


  State Zip  

Phone    Email  


School Currently Attending


School you are planning to attend

Letter of Recommendation

Will you work while attending school?
Yes     No   If yes, please indicate the number of hours you plan to work:


What is the annual cost of tuition at your intended school?
Please double check with your intended school to confirm this exact tuition total. Do not include housing, meals, books, transportation. The HAB scholarship is applied to tuition only.

Annual Tuition $   Tuition Total $

So that we may evaluate your need for financial assistance,  please tell us how do you intend to finance the cost of  your tuition?

Family/Parents         $

Scholarships/Grants $

Loans                      $

Work                      $

Other                      $

Do you have a specific financial need for this scholarship that you would like us to know about?

Please provide information on other scholarships that you will be or  might be receiving, including dollar amounts:

Have you been a participant in a Broadcast Internship Program  (if yes, where, how long, what did you do):

In 350 words or less, please tell us what your goals would be in the Hawaii broadcast industry, how you plan to accomplish those goals, and any historical information about yourself that will help prepare you for this career: