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 to: Prusch Farm Park Foundation,
ATTN: Scholarship Program,
Post Office Box 3710
San Jose, California 95156
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 to: Prusch Farm Park Foundation,
ATTN: Scholarship Program,
Post Office Box 3710
San Jose, California 95156
or email to: Pruschfarmpark@gmail.com
www.pruschFarmPark.org
