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SCHOLARSHIP APPLICATION
ROBERT V. PIRRIE MEMORIAL SCHOLARSHIP
APPLICATION FOR ROBERT V. PIRRIE MEMORIAL SCHOLARSHIP
($1,500.00 non-renewable)
Section II. Information to be supplied by Principal or Counselor:
(ALL INFORMATION REQUIRED)
By submitting this information, I agree to provide true, accurate, current and complete information as requested.
Applicant's Full Name:
This is to certify that the applicant ranked
on the first six semesters of work in a class of
seniors.
GPA:
Date of high school graduation:
(mm/dd/yy)
The applicant has taken the following college aptitude test(s):
Name of Test
Raw Score(s)
Date Tested
(mm/dd/yy)
(mm/dd/yy)
(mm/dd/yy)
(mm/dd/yy)
(mm/dd/yy)
(mm/dd/yy)
The Committee would appreciate a brief statement concerning your evaluation of this applicant's citizenship and worthiness for scholarship consideration. Thanks.
Your Full Name
:
Name of School:
Address of School:
City:
State:
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