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, 2022.
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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