Tom Fletcher Memorial
Turtle Days 2011 Scholarship Application
Name __________________________ Birth Date___________ Phone (___) ___________
Address ______________________________________ City _____________Zip _______
Hobbies:_____________________________________________________________________________
Please list the most worthwhile community, civic, and volunteer activities in which you have been involved. This should include fund raising events, volunteer camp counseling, mission trips, or ongoing community projects. Please be as detailed as possible including who benefited, the amount of hours you volunteered, any awards, honors of offices you held. Please explain how these community involvement activities affected you personally and what it did for your community.
Why is your community important to you?
____________________________________________________________________________________
How do you feel that you could be more involved in your community? ____________________________
A minimum of $250 scholarship will be awarded to both a male and female from the current graduating class. By signing below, you understand that an educational scholarship could be awarded to you. If selected as a final candidate, this money will be paid to the school of your choice. If after accepting the scholarship, you desire to discontinue your education or have not started to use the scholarship within a year of receipt, you shall forfeit any unused portion of this scholarship. The scholarship award is non-transferable. All unused scholarship funds shall revert into the Tom Fletcher Memorial Turtle Days Scholarship Fund.
Signed: _____________________________________________ Date: ___________________
Please return this form before April 28, 2011 to the above address ATTN: Tracey Bultemeier
If you have any questions, please do not hesitate to call Tracey at 260-705-8950. Thank you for your time!
print application here