Name:
Address:
Telephone:
Member's Name:
Father's Name:
Address:
Job Title and Place of Employment:
Mother's Name:
Address:
Job Title and place of Employment:
Number of Dependent children and ages:
School you will be attending:
Address:
Annual total cost:
Field of study:
Address:
Please enclose the following:
1. Photo copy of last report card and school transcript.
2. Two character references written by non-family.
3. 50 to 100 word paragraph about yourself, hobbies, clubs, future ambitions...
Application for scholarship must be postmarked by March 1st.
Recipient (s) will be notified in April.
This is a second semester scholarship. The money will be mailed to your school
on confirmation from the school that you are returning, and in good standing.
Please mail to: Southern Maine Sno-Goers
P.O. Box 1083
Sanford, Maine 04073
Attention. Scholarship Committee
Justin Harvey Memorial Scholarship
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