STEP Application Form

Student Trafficking Education Project

“STEP” Scholarship: Application Form

Student name: _______________________________________________________________

School: _____________________________           Level in school: ____________________

Email: _______________________________          Phone: ____________________________

Brief description of activity or activities:

1.____________________________________________________________________________

2.____________________________________________________________________________

3.____________________________________________________________________________

4.____________________________________________________________________________

5.____________________________________________________________________________

If needed, list additional activities on back or attach separate page.

Documentation & verification of activity/activities:

Date___Activity        _Hours____# of attendees _________Signature & position of supervisor

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If needed, list additional activities on back or attach separate page.

Proof:  Don’t forget to submit proof of your activity/activities in addition to documentation of hours and number of attendees.  Pictures or video must show you as the audience/attendees.  Alternatively or in addition, keep online, electronic or printed evidence (newspaper article, posts, attendee evaluations, etc.) of your activity.  Submit pics/video/electronic/print proof to info@hope4justice.org

Submit signed form and documentation to Hope4Justice, 600 Front St., #502, Lynden, WA 98264 by submission deadline of April 15.  No exceptions.