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Unformatted text preview: CAMPBELLSPORT SCHOLARSHIP FOUNDATION 114 W. Sheboygan Street Campbellsport, WI 53010-2853 *APPLICATION FORM - Due by noon on Friday, March 26, 2010 in the District Office Applicant must be a past graduate of Campbellsport High School or in the current CHS graduating class to be eligible for this scholarship. Past winners of this scholarship are not eligible. Date ____________________ I. Personal Data 1. Name ___________________________________________________________________ Last First Initial 2. Home Address _________________________________________________________________________ Number Street City/Zip 3. Telephone Number (_____)______________________ Date of Birth ______________ Age_____ Social Security Number _________________________ 4. Marital Status _________________________________ 5. Name of Parent, Guardian, or Nearest Relative ________________________________________________ Address ______________________________________________________________________________ Number Street City/Zip * 6. Attach two recent personal photographs (preferably 2" x 3"). If you are selected, they may be used for newspaper publication, etc. 7. Have you been on the Campbellsport High School Honor Roll four (4) out of your last six (6) quarters OR on the Dean’s List two (2) out of the last three (3) semesters? _____YES _____ NO II. Supplementary Data 1. Which university, college, or technical college do you expect to attend? ___________________________ _________________________________________________________________________________ ____ 2. What major or vocational goal do you plan to study during your post-secondary education? ____________ _________________________________________________________________________________ ____ 3. How much do you think it will cost you to attend the school of your choice for one year? (a) Tuition $____________________ (b) Estimate Living Expenses $____________________ (c) Total (a + b) $____________________ χ * MANDATORY 4. What efforts have you made toward saving for college expenses? (Please explain) ____________________________________________________________________________________ _________________________________________________________________________________ ___ 5. Do you plan to do outside work while attending school? (Explain briefly) ________________________ _________________________________________________________________________________...
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This note was uploaded on 01/22/2012 for the course ECON 101 taught by Professor Smith during the Spring '11 term at Art Inst. Boston.

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