‘ĀINAHAU O KALEPONI HAWAIIAN CIVIC CLUB
Mary Ann Aki Cain Kalama Perpetual Scholarship Fund
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This application shall be provided to any member of ‘Āinahau o Kaleponi Hawaiian Civil Club upon request.
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This application shall remain viable for one calendar year.
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It shall be submitted to the Scholarship Chair, if possible, no later than 60 days prior to the event.
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At the discretion of the scholarship committee, past awards to the applicant may be considered.
PERSONAL INFORMATION:
Name: ____________________________________ Phone: _________________________
Address: ____________________________________________________________________
Email: ____________________________________
Title of Event and Subject Matter: __________________________________________________
(Please attach flyer as well)
______________________________________________________________________________
Date of Event: ______________________ Presenter: _________________________________________
Location: ____________________________________________________________________________
QUESTIONNAIRE:
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Are you a participating member of ‘Āinahau o Kaleponi Hawaiian Civil Club (“AOKHCC”) in good standing? Yes _____ No ______
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What contributions have you provided to AOKHCC in the field of arts/culture or native language in the past year?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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What contributions did you kokua (donate service) to AOKHCC in the past year?
______________________________________________________________________
______________________________________________________________________
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How will AOKHCC support your request for funding this event?
______________________________________________________________________
______________________________________________________________________
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Why should ‘AOKHCC support your request for funding this event?
______________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Please provide a cost breakdown
Budget for this event
(You may submit your answers on a separate sheet)
Total Cost: $
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Parking : $
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Registration Fee: $
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Shuttle: $
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Accommodations: $
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Number of Days: $
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Air Fare: $
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Cost per Day: $
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Car Rental: $
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Mileage: $
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Signature: _____________________________________________________ Date: _________________
Please submit application and a letter of recommendation to:
‘Ainahau o Kaleponi Hawaiian Civic Club
Scholarship Committee Chairperson
12534 Valley View Street #343
Garden Grove, CA 92845
For more information, please contact AOKHCC Scholarship Chairperson, Edye Hill at edyehill@yahoo.com.
Revised 2014
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