Lt Ken Ballard Memorial Scholarship Application- 2009

Application Deadline: April 30, 2009 

APPLICANT INFORMATION

SECTION 1

Full name:                                                                                                                                       

Address:                                                                                                                                           

City, State, Zip:                                                                                                                                

Phone:                                                 E-mail:                                                                              _  

G.P.A (as of 1.1.09) :                                                                                                                       

SECTION 2 (Attach a separate page)

Based on the scholarship overview and criteria, in 500 words or less, please summarize why you feel you should receive this scholarship.

SECTION 3

Please attach 2 letters of recommendation

SECTION 4

High School Transcript                                           Attached   YES                         No                               

Letter of College/University acceptance*          Attached   YES                         No

I VERIFY THAT ALL STATEMENTS AND INFORMATION CONTAINED IN THIS APPLICATION ARE COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE 

_________________________________________________________________________________________________________________   Applicant’s Signature                                                                                                                   Date

Submit the completed application no later than April 30, 2009 to:

Email:  kensmomkm@gmail.com (Subject Line: Scholarship Application)

Scholarship winner will be notified in late May 2009. 

*Scholarship will be sent to your college/university upon proof of registration.