Colonel Zadok Magruder High School
5939 Muncaster Mill Road
Rockville, Maryland 20855
2011/2012
MAGRUDER ATHLETIC BOOSTER CLUB
SPENCER DATT MEMORIAL SCHOLARSHIP APPLICATION
Name: ________________________________________________________________Address:_______________________________________________________________ _______________________________________________________________
Phone: __________________________ Cell Phone: ___________________________
Male: __________________ Female: __________________
G.P.A.: (End of 1st Semester Senior Year) __________________________
Student Service Learning Hours Earned: (End of Third Marking Period) ___________Parent/Guardian Member of Magruder Athletic Booster Club_____ Yes ____ No Athletic or other Achievements:
· As a separate attachment, please describe in 200 words or less your most significant athletic or other achievement while attending Magruder
Students will submit a copy of their third marking period report card. (Please attach.)
Indicate Your Post-High School Plans:
______________________________________________________________________________
Indicate any additional information which you believe would be relevant in considering your application for the scholarship:
______________________________________________________________________________