Scholarship Application

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Scholarship Application ***************************************************************************************************

Applicants Name:

Class Rank:

Parent or Guardian Name: Mailing Address: Home Telephone Number: High School Name: Community Service and Community Involvement:

Honors and Awards:

School Offices held/Activities involved in:(9-12)

GPA:

How do you plan to finance your education

What School do you plan to attend: Area of Interest: In 200 words or less please explain a project or projects you have been involved in which has been a benefit to your community and the people who live there.

I attest that this application was completed in good faith and is, to the best of my knowledge, correct.

Signature of Applicant____________________________Date_________ Signature of Counselor___________________________Date__________