Title (required) Ms.Mr.

Last Name (required)

First Name (required)

Initial Middle Name (if applicable). Please enter initial letters only.

Full Name (required). For Vietnamese-American students, please add accent marks to your name, e.g. Khanh-An Nguyen should be Khánh-An Nguyễn.

Email 1 (required)

Email 2 (optional)

Email 3 (optional)

Primary phone number (required). Please enter your phone number in the format XXX-XXX-XXXX, e.g. 703-888-9090

Secondary phone number (optional)

Address (required)

City (required)

State (required)
CA

Zip Code (required)

Please select Applicant Type (required)
Vietnamese-American (US Citizen, US Permanent Resident)

What scholarship program will you apply? (required)
Undergraduate

Please select the university you will be attending. (required)
University of California, Los Angeles (UCLA)University of California, Irvine (UCI)California State University, Long Beach (CSULB)California State University, Fullerton (CSUF)California Polytechnic State University, Pomona (CPP)

What school year will you be in 2024-2025? (required)
FreshmanSophomoreJuniorSenior

Current school type (required)
High SchoolUniversityCommunity CollegeNot currently enrolled

Citizenship status (required)
U.S. CitizenPermanent Resident

College/University Major (required). Freshmen in 2024-2025 can enter "Undeclared Major" and submit the major later in June.

College/University Student ID (required, Not High School ID ). High school students can enter "Don't have yet" and provide the student ID later.

Expected College Graduation Date (required, Not High School Graduation Date )

Tuition Fee/Cost per semester ($). Please enter number only. (required)

Financial Need per semester ($). Please enter number only. (required)

Your resume (required)

Your Official Transcript (required)

Your Personal Essay (required)

Your Financial Statement Form - Provided Above (required)

Letters of Recommendation required (upload if they are available or email to thekimmyduongfoundation@gmail.com):

1st Letter (if available)

2nd Letter (if available)

3rd Letter (if available)