APPLICATION for....
THE CHARLENE WHITAKER SNOWMOBILE SCHOLARSHIP
THE NORTHEAST CHAPTER I.S.C. SCHOLARSHIP
MAIL TO: Snowmobile Association of Massachusetts, P.O. Box 386, Conway, MA 01341
DEADLINE: All materials must be received on or before March 1
(Please Type or print clearly) Date______
Name of Applicant; ______SS#; ______
Address; ______
City ______State______
Phone ______Email______
Name of school attended; ______
Address; ______
Date of Graduation; ______
Name of College, University or Vocational School; ______
Address; ______
Date of starting study above; ______
Major area of study; ______
Cost per year; ______
Are you employed; ______Year round; ______summer only; ______
Employers Name: ______
If not why? ______
STATEMENT OF FINANCIAL NEED FOR 1 YEAR OF EDUCATIONAL PROGRAM
Student Resources; ______Estimated Expenses; ______
Salary; ______Tuition and fees; ______
From Family; ______Books and supplies; ______
Loans, Grants –Amounts; ______Room and Board; ______
Savings; ______Transportation; ______
Other scholarships-Amount; ______other expense; ______
Total Resources; ______Total est. expense; ______
Other pertinent information; ______
Parents Names; ______
Parents Address; ______
______
Parents Occupations; Mother; ______
Father; ______
Number and ages of brothers and sisters; ______
______
Are they attending college; ______
Please give details; ______
State or Provincial Snowmobile Association; ______
Please Attach:
1. An official High School or College transcript, which ever applies.
2. Current recommendations in writing by at least two (2) teaches, dated and signed.
3. Current recommendations in writing by one or two friends, employers or clergy, dated and signed.
4. Proof of acceptance at the listed college, University or vocational school.
5. Write an essay about snowmobiling in your state. (Economy, Trails, Environment, What snowmobiling means to you) 500 words or less.
6. Include an over view of your extra curricular activity and any snowmobile associated volunteerism within the last year.
Attention: ALL INFORMATION REQUESTED ABOVE (1 THROUGH 6) MUST BE SUBMITTED IN THE SAME ENVELOPE AT THE SAME TIME OF APPLICATION OR THE APPLICATION WILL BE REJECTED.
Deadline for completed applications: MARCH 1 Late applications will not be considered.
The above statements are certified to be true and correct to the best of my knowledge.
Signed______Date______
Mail Completed Applications to: Snowmobile Association of Massachusetts, P.O. Box 386, Conway, MA 01341