Scholarship

Edmonton-Metcalfe County Chamber of Commerce $500 Memorial Scholarship

This application must be submitted to the Edmonton-Metcalfe County Chamber of Commerce office by April 1, 2015. Mail to PO Box 42, Edmonton, KY 42129.

Name _________________________________________________________   Phone ________________________________

SSN ________ – _______ – ______________   Email ___________________________________________________________

Address _______________________________________________________________________________________________

Birthdate ______ / ______ / __________    Age _________

Parent’s /Guardian’s Name(s) ______________________________________________________________________________

Current GPA ____________    Current Rank in Class ____________    ACT Score ____________

Intended Major __________________________________________________________________________________________

College, University, or Technical School of Choice ____________________________________________________________

Current Club Memberships ________________________________________________________________________________

Hobbies ________________________________________________________________________________________________

List other scholarships you will receive or have applied for _____________________________________________________

________________________________________________________________________________________________________

On a separate sheet of paper, write one paragraph detailing your future plans.