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Age:

High schools, academies, and colleges or universities attended, with periods and dates of attendance; also dates of graduation, and degrees received, if any. (Answer fully):

Business or profession, and present position:

References:

(Names and addresses of school officers or others from whom infor

mation about you may be obtained)

Specify the summer courses in which you desire to enroll:

(It is understood that this list is subject to change)

Place and date of writing this application :

7 Applications should, if possible, be filed with the Recorder of the Faculties,

Berkeley, California, on or before June 14th. They may be sent by mail. In case of adverse action by the Faculty upon an application for admission to the Summer Session, the applicant is notified immediately, by mail; in other cases no acknowledgment or other notice is sent. Additional applica. tion forms may be obtained by addressing the Recorder of the Faculties.

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Dated at

190... To the Honorable the Board of Regents of the University of California; GENTLEMEN :

I wish to donate to the University of California certain property which I deliver to you at the time of the presentation of this letter.

As an additional evidence of my intent in the matter, I hereby state that it is my purpose to give and donate, and I do hereby give and donate to you, . THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, the following property:

(describing it specifically) to hold the same in trust in a single fund to be called the....

FUND, the income only thereof to be used for the purposes and uses of

(state purposes or department)

(Signed) Dated.

FORM OF BEQUEST TO THE UNIVERSITY. I, ...

hereby give, devise, and bequeath to THE REGENTS OF THE UNIVERSITY OF CALIFORNIA the following property:

(naming it specifically) in trust for the benefit of the UNIVERSITY OF CALIFORNIA,

(or, instead of the last clause, add) to establish and endow a fund to be called the . FUND, the income only thereof (or principal) to be used for the following purposes:

(here state purposes in full)

(or, instead of the lit clause, add) to be used for the benefit of the School of (name school, college or department).

In Witness Whereof I have hereunto set my hand this ... day of 19... A.D., at the City of

State of

(Signed) The foregoing instrument was at the date thereof by the said

.... signed and published as his (or her) last will, in the presence of us, who at his (or her) request and in his (or her) presence and in the presence of each other have hereunto subscribed our names as witnesses thereto.

(Signed)

Residing at (Signed)

Residing at

.

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