Application For Educational Grant Page 4
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6PRINCIPAL, GUIDANCE COUNSELOR OR FACULTY ADVISOR
STATEMENT
THIS STATEMENT IS REQUIRED OF HIGH SCHOOL SENIORS AND OTHER APPLICANTS WHO DID NOT
RECEIVE A HAUSS-HELMS GRANT IN 2015. IF YOU ARE A COLLEGE STUDENT AND RECEIVED A HAUSS-
HELMS GRANT IN 2015 YOU DO NOT NEED TO FURNISH THIS STATEMENT.
(Please be explicit in your comments concerning the applicant. Your statement weighs heavily in determining the
applicant's eligibility for a grant).
Date:_____________
___________________________________________
Signature
___________________________________________
Applicant's name
(H:)2016-2017 HHApp2016-2017
Page 4 of 6
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