KarMel Scholarship Application 2008
PERSONAL INFORMATION
KarMel Scholarship Application 2008 |
First Name: |
Last Name: |
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Home
Address: |
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City: |
State: |
Zip: |
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Phone: |
Email: |
Gender: |
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Birth
Date: |
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EDUCATIONAL INFORMATION
Current Status: |
High School Student |
College Student |
Planning to Go Back to School |
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School Currently Attending (if applicable): |
SCHOLARSHIP DETAILS
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You can submit 1, 2 or 3 submissions in the “Written”
category.
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You can submit 1, 2 or 3 submissions in the “Artistic” category.
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You can submit a maximum of 6 submissions.
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You can submit to either or both categories.
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Do not put your written submission into the application. Attach it as a separate file or document.
WRITTEN CATEGORY
Title of Submission Description of Submission (be as
detailed as possible)
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ARTISTIC CATEGORY
Title of Submission Description of Submission (be as
detailed as possible)
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2) |
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3) |
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MISC INFORMATION
Check the box, if you DO NOT
want your name posted next to your submission on the website.
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How did you hear about the scholarship? (Check
all that apply.)
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Scholarship Search Website |
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GSA/PFLAG |
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Career Center |
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Other _____________ |
CERTIFICATION
My signature
below attests:
1. To the
accuracy of the information supplied above.
2. That the material submitted is my sole and original work.
3. That the
Karmel Scholarship may retain and publish my submission in any and all media
now known or hereafter developed for
non-commercial
and commercial purposes alike, and I expressly waive compensation.
4. All candidates agree to indemnify KarMel Scholarship entirely of any Copyright, Trademark, or other infringement if the situation arises.
5. To my understanding of the purposes, rules,
guidelines and conditions of the KarMel Scholarship and to my acceptance of
them.
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Signature of Applicant * |
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Date * |
