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 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 __________________________
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