
APPLICATION FORM
MONTFORD POINT MARINE ASSOCIATION SCHOLARSHIP PROGRAM
SPONSORED BY CHAPTER 12
RESPOND BY 1 JUNE 2010
(1) Any high school senior that has been accepted or enrolled in any course of study at an accredited college or university
(2) GPA of 2.0 or higher on a 4.0 scale
Name: _____________________________________________________________________
Address: ___________________________________________________________________
City: _________________________________state____________________zip___________
Phone: ____________________________________fax______________________________
High school attended_________________________________________________________
Date of graduation: ______________G.P.A_______________________________________
College or University you plan to attend__________________________________________
Email: ______________________________________________________________________
Please attach the following and submit with application
__Certified academic transcript
__ Acceptance letter from an accredited College or University you plan to attend with address
__Typed, 500 word essay (see on next page)
__ Two letters of personal recommendation.
RECOMMEDATION FOR ESSAY:
The Scholarship Committee wants to know you on a personal level and gain insight into your character. Indentify and describe what you feel are your most positive personal qualities. Where possible, refer to personal experiences in which you demonstrated these qualities.
List your co-curricular activities (sports, educational, social, civic and other) job experiences or family responsibilities in which you have undertaken positions of leadership.
Describe why you feel this specific experiences provide a basis for future leadership roles.
Please mail application to or respond by 1 June 2010
P.O
Point of Contact: Mr. Melvin Chestnut at 619-829-1064
Email: mpmachapter12@yahoo.com
Scholarship recipients will be notified by 15 July 2010
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