Full Name (English) (Korean)
Home Address
Home Telephone Date Of Birth Sex
Social Security Number Place Of Birth  
Parent's Name (English) (Korean)
Parent's Name (Enlish) (Korean)
Name Of Brothers and/or Sisters
Who Provides support for your shcool exprense
School Name & address you are attending
Are you planning go to college   Yes No  
Please indicate if you have previously received a CHPCF Scholarship Yes No  
Extracurricular Activities

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