Student Scholarship Selection Form 2009-2010

Student:

Student's Home Address:

Student's Phone #:

School:

Principal:

Principal's Email:

Personal Circumstances; May have suffered through a period of poor academic performance, a poor attitude, or tough personal circumstances:

Marked Improvement; Has shown marked improvement in grades and/or personal life:

Commitment to Education; Has now made a commitment to continuing their educaiton:

Financial Assistance; Deserves but has little chance of obtaining other financial assistance:

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