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  • KML Foundation, Inc.

    Application for Funding

  • Format: 000-000-0000.
  • Date of Birth*
     / /
  • When did you last attend school*
     - -
  • Are you a United States citizen?*
  • Have you ever applied for funding with us before?*
  • Have you applied to a specific educational institution?*
  • Have you been accepted?*
  • When will you be starting or when did you start?*
     / /
  • When do you expect to finish?*
     / /
  • Will you be attending*
  • Will you be willing to participate in a personal interview?*

  • Have you received any:

  • Loans?*
  • Scholarships?*
  • Grants?*
  • Will you be receiving financial support from parents?*
  • WIll you be receiving any of the following?*
  • Do you know of anything that would prevent your future employment?*
  • 0/0

  • Employment

    List all of your previous employers starting with the most recent employer
  • Have you ever been or are currently employed?

  • Employer 1

  • Are you still currently employed here?
  • Start*
     - -
  • End*
     - -

  • Employer 2

  • Start
     - -
  • End
     - -

  • Employer 3

  • Start
     - -
  • End
     - -

  • Employer 4

  • Start
     - -
  • End
     - -

  • Employer 5

  • Start
     - -
  • End
     - -

  • References other than relatives

  • Reference 1

  • Reference 2

  • Reference 3

  • Reference 4

  • I certify that I have not knowingly withheld any facts or circumstances in completing this application and it is further agreed that any misrepresentation by me in this application will be sufficient cause for rejection of this application. I authorize KML Foundation, Inc. to conduct an investigation of the contests of this application and will not hold anyone liable who supplies information.

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