Please respond by 12/14/25 Please enable JavaScript in your browser to complete this form.Legal Name *FirstLastYour legal name will be used on the check.Number of Attendees(including yourself)Please let us know who you are coming withCommentSubmit Award Ceremony Saturday, December 20, 2025 @ 11 AM San Dimas Senior Citizens Center, San Dimas Cityhall 201 E Bonita Ave, San Dimas, CA 91773 Attendance at the scholarship award ceremony is mandatory.If you can’t attend, you are not eligible to receive the scholarship.