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KAREN BOSCH MEMROIAL SCHOLARSHIP FUND APPLICATION

Full Name

Address

Phone

Parent/Guardian Names

Date of Birth

Years attended Marvin Moss or Robert Mitchell Elementary

ACADEMICS:

Current GPA (4.0 Scale)

SAT/ACT Scores

Certified Copy of Transcripts

List you current second semester classes and current grade for each:

List colleges that you have applied to in order of preference of acceptance:

List any scholarships or grants that you have been awarded or offered:

VOLUNTEER, COMMUNITY, AND WORK EXPERIENCE:

List any volunteer experience:

List paid work experience:

EXTRA CURRICULAR ACTIVITES:

List and extracurricular activities, clubs, organizations in which you are involved:

List any awards, specific recognitions or leadership positions:

Please include 3 letters of recommendation from current or previous teachers, employers, coaches, mentors, or community members.

(Initial) If chosen, I give the Karen Bosch Memorial Scholarship committee permission to share my name and basic information (summary of college plans, volunteer experience, extracurricular activities, GPS) with donors.

Signature of student:

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Signature of parent/guardian (if under 18 at time of application):

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Date: