Scholarship Apply – Samarpan Hindu Temple

^*School Name:

^*Applicant Name:

^*Address:

^*Email Address:

^*Home Phone:

^*Mobile Phone:

^*Gender:

Male Female

^*Name(s) of Parents:

Parent(s)’s current work details:

^*Father:

^*Mother:

Guardian
(if applicable):

^*Indian Origin:

Yes No

^*Volunteer at Samarpan activities:

Yes No

^*Volunteer at other community activities:

Yes No

^*If yes, please describe:

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Samarpan Community Impact Scholarship