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SHUI KUEN AND ALLEN CHIN
SCHOLARSHIP APPLICATION
CONTACT AND HOUSEHOLD INFORMATION
Personal Information
PARENTS' FINANCIAL DATA
STUDENT'S FINANCIAL DATA
Household Information
Other Awards
ESSAY QUESTIONS
4. OPTIONAL: Is there anything else you would like us to know, including any unusual family or personal circumstances that have affected your achievement in school, work experience, or your participation in school activities?
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I state that all of the information provided in this application is true, and, if selected as a recipient of the Shui Kuen and Allen Chin Scholarship, I agree to provide additional documentation that is required.
I also acknowledge that Curtis Chin and the Chin family members are the Benefactors of the Shui Kuen and Allen Chin Scholarship.
I affirm under penalty of perjury that I,
am not related to the Benefactors in any of the following ways: household member, family member (brother, sister, uncle, aunt, grandparent, or first cousin, or any of the listed relationships by marriage), and descendant (child or grand-child whether or not they are household members).
Furthermore, I affirm under penalty of perjury that no one in my family or household, including myself, is an employee of the Benefactors or, to the best of my knowledge, an employee of a company in which the Benefactors hold controlling interest.