HUDSON RIVER HERITAGE FOUNDERS’ SCHOLARSHIP 2017

Application

Name:______

Address:______

City, State, Zip:______

Telephone:______

Email Address:______

Name of Parent(s)/Guardian(s):______

Parents email:______

Date of Birth:______

College Attending:______

School

Activities:______

Community Activities:______

Work Experience:______

Hudson River Heritage Founders Scholarship 2017 Application (continued)

-Essay:

Why is historic preservation important to the Mid-Hudson Valley, and to the world?

(Your essay should be approximately 500 words. Please attach to this sheet.)

-Please attach your current high school transcript to this application.

Declaration: I hereby certify that the information submitted herein is correct and complete. I state that the proceeds of any scholarship received will be used for payment of fees or other expenses related to my higher education. I also authorize Hudson River Heritage to publicize my name and image and the amount of the award without limitations.

Signature of Applicant:______

Date:______

*Please Note: All applications are due by May 1, 2017. They should be mailed to: Hudson River Heritage, P.O. Box 287, Rhinebeck, NY 12572, to be received no later than May 1st.