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The Adiba Shaby Scholarship Application 2013-2014 Academic Year Please complete the application. All fields are required for eligibility. Student Information

Johnson Kayo McKinley Name _______________________________________________________________ Last First Middle
11651 Gorham Ave. #3 Los Angeles, CA 90049 Address _____________________________________________________________ Street City State ZIP Code

2889172 10 1987 Primary Telephone (___) ________________ Date of Birth ___/____/____________
424

04

[e-mail] E-mail Address: _______________________________________________________
High School Student: □ Yes □ No High School Name __________________________________________________ Cumulative GPA__________ Graduation date ________ College Student: □ Yes □ No

Loyola Marymount University School Name __________________________________________________
Cumulative GPA__________ Graduation date ________ I am a past recipient of the Adiba Shaby Scholarship: Educational Plans □ Yes □ No

05/2014

Loyola Marymount University College attending in the Fall 2013: __________________________________________
Accepted? □ Yes □ No Intended Major ________________________ □ Master □ Certificate □ Other ________________

Communication Studies

Intended Degree: □ Bachelor Financial Information Student is:

Yes Dependent* ______ Independent* _______

*As defined by your college or university. Please check with your financial aid office for your correct classification. Please use your classification to complete the following financial information.

Number of people in your household ________ Number of people in household attending college full-time next year __________ Family Gross Income Other Income $ ___________________ $ ___________________

1

Educational Expenses Tuition/Fees Books/Materials $__________ $__________

Available Income/Subsidy Scholarships/Grants $ __________ Loans Family Support Employment $ __________ $ __________ $