Prusch Farm Park Scholarship Application
Name ___________________________________________________________________________________________
Permanent address ___________________________________ _________________________________________
Mailing Address _________________________________________________________________________________
City Zip code
Email _________________________________________________@___________________________________________
Telephone _________________________________________________________________________________________
High School Graduated from, city and year ________________________________________________________.
Awards & honors:__________________________________________________________________________________
_____________________________________________________________________________________________________________
College or University currently attending ___________________________________________________________
City ________________________________________________________________. State________________________________
Major _____________________________________________________. Minor _______________________________________
Units completed ____________________. Expected Graduation Date __________________________________
Previous colleges and/or Universities _______________________________________________________________
Desired Career __________________________________________________________________________________________
Signed ______________________________________________________Date_____________________
Please mail signed application no later than June 30, 2020 to: Prusch Farm Park Foundation,
ATTN: Scholarship Program,
647 South King Road, San Jose, California. 95116
or email to: Pruschfarmpark@gmail.com
www.pruschFarmPark.org
Name ___________________________________________________________________________________________
Permanent address ___________________________________ _________________________________________
Mailing Address _________________________________________________________________________________
City Zip code
Email _________________________________________________@___________________________________________
Telephone _________________________________________________________________________________________
High School Graduated from, city and year ________________________________________________________.
Awards & honors:__________________________________________________________________________________
_____________________________________________________________________________________________________________
College or University currently attending ___________________________________________________________
City ________________________________________________________________. State________________________________
Major _____________________________________________________. Minor _______________________________________
Units completed ____________________. Expected Graduation Date __________________________________
Previous colleges and/or Universities _______________________________________________________________
Desired Career __________________________________________________________________________________________
Signed ______________________________________________________Date_____________________
Please mail signed application no later than June 30, 2020 to: Prusch Farm Park Foundation,
ATTN: Scholarship Program,
647 South King Road, San Jose, California. 95116
or email to: Pruschfarmpark@gmail.com
www.pruschFarmPark.org
