‘Āinahau o kaleponi hawaiian civic club mary Ann Aki Cain Kalama Perpetual Scholarship Fund

‘ĀINAHAU O KALEPONI HAWAIIAN CIVIC CLUB

Mary Ann Aki Cain Kalama Perpetual Scholarship Fund

• 
  This application shall be provided to any member of ‘Āinahau o Kaleponi Hawaiian Civil Club upon request.
  
• 
  This application shall remain viable for one calendar year.
  
• 
  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:

1. 
   Are you a participating member of ‘Āinahau o Kaleponi Hawaiian Civil Club (“AOKHCC”) in good standing? Yes _____ No ______
   

2. 
   What contributions have you provided to AOKHCC in the field of arts/culture or native language in the past year?
   

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

3. 
   What contributions did you kokua (donate service) to AOKHCC in the past year?
   

______________________________________________________________________

______________________________________________________________________

4. 
   How will AOKHCC support your request for funding this event?
   

______________________________________________________________________

______________________________________________________________________

5. 
   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: $	Parking : $
Registration Fee: $	Shuttle: $
Accommodations: $	Number of Days: $
Air Fare: $	Cost per Day: $
Car Rental: $	Mileage: $

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 [e-mail].

Revised 2014