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:    Zip:
Phone:    Email:
 
Enter Ant-Spam Code:    
 
 
    

 

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