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Scholarship Form

SENIORS:

 

If you plan to accept a scholarship from any source, it is imperative you turn in your scholarship information to Mrs. Brumley.  This is the only way you will be recognized at your Senior Awards ceremony (Sunday, May 18th, 2014 at 2:00 p.m. in the Auditorium).

 

Please fill out and return to Mrs. Brumley in Room 2012 by Friday, May 2, 2014.  Please list all scholarships you are accepting.  ALL SCHOLARSHIPS MUST BE VERIFIED.  You must turn in PROOF of your scholarship (with this form) to be recognized.

 

Student’s Name:             _____________________________________________________________

 

1.      Name of University or Organization giving the scholarship: ___________________________________________________________________

Name of Scholarship: _________________________________________________

Total Amount of Scholarship for 4 years: __________________________________

Scholarship Contact Name & Number: ____________________________________

 

2.      Name of University or Organization giving the scholarship: ___________________________________________________________________

Name of Scholarship: _________________________________________________

Total Amount of Scholarship for 4 years: __________________________________

Scholarship Contact Name & Number: ____________________________________

 

3.      Name of University or Organization giving the scholarship: ___________________________________________________________________

Name of Scholarship: _________________________________________________

Total Amount of Scholarship for 4 years: __________________________________

Scholarship Contact Name & Number: ____________________________________

 

4.      Name of University or Organization giving the scholarship: ___________________________________________________________________

Name of Scholarship: _________________________________________________

Total Amount of Scholarship for 4 years: __________________________________

Scholarship Contact Name & Number: ____________________________________