Scholarship Application
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THE AMERICAN LEGION - DEPARTMENT OF VERMONT
EDUCATION AND SCHOLARSHIP COMMITTEE
SCHOLARSHIP APPLICATION
1. NAME : Last _________________________ First _____________________ M.I.____
Street: __________________________________________________________________
City/State/Zip: ____________________________________________________________
2. Social Security #: ______________________ 3. Tel. No.: _____________________
4. Date Of Birth: _____________________ 5. Year of Graduation: _________
6. NAME AND ADDRESS OF HIGH SCHOOL NOW ATTENDING: _____________________________________________________________________
7. FAMILY & FINANCIAL INFORMATION:
8. PLEASE LIST HIGH SCHOOL OFFICES YOU HAVE HELD:
_________________________________________________________________________
_________________________________________________________________________
9. PLEASE LIST SCHOOL ACTIVITIES AND SPORTS IN WHICH YOU HAVE PARTICIPATED:
_________________________________________________________________________
_________________________________________________________________________
10. NAME & ADDRESS OF COLLEGE/UNIVERSITY YOU WILL BE ATTENDING IN THE FALL
_________________________________________________________________________
MAJOR: ____________________________________
11. PLEASE WRITE A PARAGRAPH ON WHY YOU WANT TO ATTEND THIS COLLEGE/UNIVERSITY. (Use Separate Sheet)
Complete ALL sections of this application - attach transcript and letters of recommendation. Incomplete information will result in applicant not being considered for one of our scholarships. (Use additional sheets as necessary.)
Student Signature: ___________________________________ Date: ___________
(REVISED 0998)
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