VALPARAISO LEGION

POST #371

SCHOLARSHIP APPLICATION

Name:

Address:

RULES:

1. Application must be completed and returned to the Guidance Counselor by

April 1st.

2. Scholarship will be paid directly to the college. Applicants must be from the Valparaiso area.

FAMILY INFORMATION:

Father’s Name:

Mother’s Name:

Address:

Father’s Occupation & Employer:

Mother’s Occupation & Employer:

Number of Brothers:

Ages:

Number of Sisters:

Ages:

APPLICANT INFORMATION:

Class Rank: of

Grade Point Average:

What school do you plan to attend next year?

What is your intended major or field of study?

Why did you pick this field of study?

List your school and community activities:

List any special honors, awards, or leadership positions which you have received or held:

Write a brief explanation of reasons for applying for this scholarship and why you feel you would represent this organization well:

APPLICANT’S SIGNATURE

PARENT’S SIGNATURE