Honoree Request Form

March 22, 2016

Submit the following form to be an Honoree at our upcoming event. You must be obtaining a high school diploma or G.E.D. from a continuation or adult education school to qualify. One distinguished college graduation will be honored as well. Please fill out the form as complete as possible. Upon completion, you will automatically become a possible recipient of our scholarship.







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2550 Somersville Rd, Unit 42, Antioch, CA  94509   |   925-481-2104

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