EUGENE M. CONNOR POST 193

 

Application Form for the Winchendon American Legion Scholarship

Please complete and mail to the Winchendon American Legion

PO Box 116

Attention Commander  (Scholarship Application)

                                                                       

                      EUGENE M. CONNOR POST 193

THE AMERICAN LEGION SCHOLARSHIP PROGRAMSCHOLARSHIP APPLICATION FORM

Must be submitted to the Legion before May 15th of each calendar year to be considered

 STUDENT INFORMATION 

Student Name ______________________________Sex:  M   F    

Today’s Date ___________ Street Address___________________________ City_____________________ State ______ 

SPONSOR INFORMATION 

LEGION MEMBER AFFILIATION (PLEASE CIRCLE):          

WHO IS YOUR SPONSOR?Father, Mother, Grandfather, Grandmother, Step Father, or Step Mother       Name of Member __________________________Legion Membership # _________________Your sponsor must have a paid membership for the current calendar year. 

What office in the Legion has your sponsor held if any? __________________________ 

 What committee’s or boards has your sponsor been on if any? ________________________ What activities or events has your sponsor volunteered to work on if any? _____________ _____________________________________________________________________________ PARENT INFORMATION 

Fathers Name _________________________ Mothers Name __________________________ Address (if different than above) ­­­­­­­­­­­­­­­­­­­_________________________________________________ Father’s Place of Employment_____________________ Job Title______________________ Mother’s Place of Employment ____________________ Job Title ______________________ 

SCHOOL INFORMATION - HIGH SCHOOL APPLICANT 

High School Attending __________________ College hoping to attend _________________ High School Rank # _____ out of _______   GPA __________ Proposed Major _________________________ Career Goal __________________________ 

NOTE – An official copy of the transcript of grades must be attached to this application.

     EXTRA CURRICULUM OR ACTIVITIES DURING THE SCHOOL YEAR 

List all activities that you participated in during school - _____________________________ 

 

 SCHOOL INFORMATION – POST HIGH SCHOOL APPLICANT

  College Attending (If currently in college) _________________________________________ College Year just completed (e.g. sophomore) _____________________ GPA ___________ Major (if known) __________________________ Degree working on ___________________ 

EXTRA CURRICULUM OR ACTIVITIES DURING THE COLLEGE YEAR 

List all activities that you participated in during school - _____________________________ 

 LIST ALL COMMUNITY SERVICE ACTIVITIES YOU VOLUNTEERED FOR 

 LIST VETERAN ORGANIZATIONS OR VET SERVICES YOU VOLUNTEERED FOR 

 PLEASE ATTACH A COPY OF THE FOLLOWING TO THIS APPLICATION:WRITE OR TYPE A FEW PARAGRAPHS AS TO WHY YOU FEEL YOU SHOULD BE AWARDED A SCHOLARSHIP FROM THE AMERICAN LEGION   ______________________________________

Student Signature __________________________________________

Parent Signature__________________________________________________ 

Mail to:           Eugene M. Connor Post 193 

                       P.O. Box 116  

                      Winchendon, MA 01475                        

 Attn: Commander - Scholarship     

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