THE ANNA BREMER SCHOLARSHIP
sponsored by the
MORRIS RADIO CLUB
2000 - 2001 Academic Year
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APPLICATION DEADLINE IS MARCH 31, 2001
Submission Instructions:
| Applicant: |
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Scholarship Committee
Morris Radio Club
P.O. Box 88
Whippany, NJ 07981-0088
for signature of concurrence and attachment of transcript information. Please include any information on school or civic activities that you think should be included during the evaluation.
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Application for
THE ANNA BREMER SCHOLARSHIP
sponsored by the
MORRIS RADIO CLUB
Full Name:__________________________________________ Call:_____________
Address:___________________________ Tel. No.:________________________
___________________________ Date of Birth:___________________
High School:___________________________________________________________
Address:___________________________ Tel. No.:________________________
___________________________
Guidance Counselor:____________________________________________________
Date of Graduation:____________________
Intended Institution of
Post High School Study:________________________________________________
Area of Concentration:_________________________________________________
Other Activities, Interests and Accomplishments:
Signature of Applicant:_________________________ Date:_________________
Signature of
Guidance Counselor:_____________________________ Date:_________________