Middle School Summer Enrichment Scholarship Application

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Middle School Summer Enrichment Scholarship Application

SUMMER 2012

DIRECTIONS:
Please complete and mail this application along with your essay to:
Skip Watts
PO Box 2162
Boone, NC 28607
Swatts@cfi.org
828-337-7939

Application Deadline: All documents must be received by December 1, 2011.

I. STUDENT INFORMATION
First Name	Last Name

Home Address
Street

Street 2

City

State Zip

Phone (Area Code + Number)

Birth Date
MM DD YYYY

Grade Level

II. SCHOOL INFORMATION

Name of Middle School

County

Town

Name of School Counselor

Counselor Email

Are you eligible for free or reduced lunch?
Yes No

III. PARENT INFORMATION

Parent Name

IV. ESSAY

Please write a one-page essay that answers the following:

How do you think receiving this award will impact your future?

You may use the space below - it will expand as needed as you write. Or you may attach your essay as a separate page when you print this form for mailing.

Application Deadline: All documents must be received by December 1, 2011.