HACKENSACK AMERICAN LEGION AUXILIARY
UNIT 202 SCHOLARSHIP APPLICATION
NAME:___________________________________________________________________
ADDRESS:_______________________________________________________________
CITY:_________________________________STATE:________________ZIP:_________
DATE OF BIRTH:____________________TELEPHONE:__________________________
1. Date of graduation from High School:_______________________________________
2. Are you a member of the Hackensack Auxiliary?_______________________________
3. Name of school that you plan to attend:_____________________________________
Student ID#___________________________________________________________
School Address:_______________________________________________________
City:______________________________State:_________________Zip:_________
4. Course of Study:______________________________________________________
5. Date you will start school:________________________________________________
Please tell us a little about yourself and your plans for the future. You can write it on a separate piece of paper and attach it to this form. Also include a copy of your school acceptance letter.
Deadline for applying is April 1, 2023.
In the event you do not complete the first semester, any unused funds will be requested to be returned.
If you have questions, contact Sue Peterson at 218-675-6086.
Signature of Applicant:__________________________________Date:_____________
Return to: American Legion Auxiliary, Unit 202
Attn: Auxiliary Scholarship Committee
PO Box 414
Hackensack, MN 56452
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