Local Scholarship Application
Please Return To Office By March 3, 2008 No Later Than 4:00 P.M. - No Late Applications Accepted! Tab to fields, fill in, and print when finished.

Name: Parent/Guardian:
Present Address: SS #:

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What Institue Of Higher Learning Do You Plan To Attend?:

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ACT Composite: SAT --: FAFSA? Yes/No:

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GPA: Class Rank: Students Signature:_______________________________ Date:________________

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                         High School Activities Participated In:                  Planned Major:

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What Are Your Reasons For Seeking Financial Aid?:

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Employment During High School:

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List three people whom we might contact for additional information:

Name:

Address:

Home Ph:

Work Ph:

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Which scholarship(s) listed on the attached sheet are you applying for? (enter in second box if needed):