Batavia United Methodist Church

DENISE DALLNER MEMORIAL SCHOLARSHIP

BATAVIA UNITED METHODIST CHURCH

Batavia, Iowa

APPLICATION FOR DENISE DALLNER MEMORIAL SCHOLARSHIP FOR THE YEAR OF 2011.

This scholarship of $200.00 is made possible through an endowment in memory of Denise Dallner, who graduated from Fairfield High School in May, 1997, and died November 6, 1997. Application is open to any senior of Cardinal or Fairfield High School. The recipient will be selected by a committee from the Batavia United Methodist Church.

PLEASE COMPLETE THE FOLLOWING:

NAME ______

ADDRESS______

PARENT’S NAME ______

SCHOOL YOU PLAN TO ATTEND______

SUBJECT YOU HOPE TO STUDY______

GRADE POINT AVERAGE ______CLASS RANK______

Please include a letter of recommendation form a teacher and one from a friend or neighbor (other than another student).

Send the completed application along with your letters of recommendation, by April 1, 2011 of this year to:

Batavia United Methodist Church

1021 160th Street

Batavia, Iowa 52533

You must be a graduate of Fairfield High School to be eligible for this scholarship.