Submission Form 57 th Assembly District College & Career Fair Essay Contest A panel of judges will select the scholarship recipients based on a scoring of the submitted personal insight statements. Student’s Name: ___________________________________________________ Address: _________________________________________________________ City, State, Zip: ____________________________________________________ Email: _________________________ Personal Cell Phone: __________________ High School Name: _______________________ Home Phone: ________________ Grade Level (must be senior): ______________ Personal Insight Statements: The 57 th Assembly District College & Career Fair Essay Contest aspires to give 57 th District High School Seniors the opportunity to compete for a merit-based scholarship while also assisting students in refining their mandatory college application personal insight statements, a key part of the UC and CSU application processes. Students are asked to respond to both of the below prompts provided by the University of California Please submit entries to https://a57.asmdc.org/AD57-2017Essay or A[email protected] with submission form. For more information or resource material, please contact us at: DISTRICT OFFICE: 13181 Crossroads Parkway North, Suite 160, Industry, CA 91746 Phone: (562) 692-5858 • Fax: (562) 695-5852 E-MAIL: [email protected] WEBSITE: www.asmdc.org/calderon FACEBOOK: http://www.facebook.com/AssemblymemberIanCalderon