Sharon Sacks 2010 Memorial Scholarship
Award Application

(please print this page)

Personal Data:
Student Name __________________________________
Home Address __________________________________
Telephone _____________________________________

Scholastic Information: High School Transcript Required - copy accepted.
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College or Vocational Plans:
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School Activities: List school organizations, offices held and/or honors.
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Community Activities: List community activities, awards or honors
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Describe in a short paragraph why you feel that you qualify for this Scholarship (Use separate sheet if necessary).
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List two Non-Family personal references with phone numbers.
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