PAT SULLIVAN/ROGER RUDDICK HONORARY SCHOLARSHIP

Established and funded by Mr. & Mrs. Aubrey Bessinger

Instructions: Return to Guidance Office by April 1

Eligibility: The applicant must be admitted to a college, junior college, technical or trade school. The applicant must be a resident of Spencer Township and must have attended four or more years at Hayden Elementary

Amount and Payment: The amount of the scholarship will be $500 and payable to the students after the student is enrolled in the school.

1.  Student Applicant Click here to enter text.

(Last Name) (First) (Middle)

2.  Parent’s Names

Father: Click here to enter text.

Mother: Click here to enter text.

3.  Applicant’s Address, City, Zip

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4.  Applicant’s Phone No. Click here to enter text.

5.  School of Applicant’s choice for which the Scholarship is requested:

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Name of School

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Address of School

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City, State, Zip Code

6.  A. Have you been accepted? Click here to enter text.

B.  What course of study will you pursue? Click here to enter text.

C.  What Degree/Certificate will you seek? Click here to enter text.

D.  What other scholarships are you seeking?

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E.  Have you been awarded any other financial aid? Click here to enter text.

7.  Current GPA ______/12.0 What is your class ranking? ______/______

8.  Please list any Academic Honors and Awards you received while in High School:

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9.  Please list any extracurricular Activities you participated in while in High School:

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10.  Please list any community Activities or Volunteer Services you have been involved in: (such as church, 4-H, Scouts, etc.)

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