Scholarship Main Page | Please Print This Page and Send via Mail, Fax, e-mail to:

P. O. BOX 1244, PALATINE, IL. 60078, (847) 359-5PCS, Fax (847) 359-1107; Email: info@PCSChicago.org

PCS $500 SCHOLARSHIP FORM - 2002

(   ) High School Seniors (   ) College Undergraduates

Full Name (please print): __________________________________________________________

Address:________________________________________________________________________

City:_______________________________________State: ____. Zip:_________________.

Telephone # (_____)______-__________. Social Security No.:_____________________.

Date of Birth:__________________________. E-mail: ____________________________

Name of Father/Mother: _____________________________________________________

Academic Goals: ___________________________________________________________

Name of University/College/High School:_______________________________________.

All applicants must respond to the following:

For PCS Office 
use by Judges
 

Max.

Score

  

Cummulative GPA:________________Major_______________.

15

    

Community Involvement: (Use back side of this form if needed)

General:

10

    

PCS:

15

    

Other Punjabi:

5

    

Write & enclose a short essay about 2 or more of the following questions:

1. Why do you think you deserve this scholarship ?

8

    

2. How could you help the community (Punjabi and/or local) ?

8

    

3. If you were a PCS Board of Director what would you change & why ?

9

    

Interview: (Optional, if required to be decided by the Judges)

      

Punjabi Speaking

10

    

Punjabi Writing (Please attach half a page sample of Punjabi writing)

10

    

Other General

10

    

What programs by P. C. S. would you like to see to be developed for children/youth/adults/senior citizens ?

________________________________________________________________________________________

________________________________________________________________________________________.