Mary G. Webster Scholarship

SCHOLARSHIP APPLICATION


Full Name - (First, Middle, and Last Name):
Home Address:
School Address:
Home Telephone:
School Telephone:
Date of Birth:
Email Address:
Name of College or University:
Grade Point Average (3.0 GPA is the minimum):
Major:
High School:
Year Graduated:
Academic Honors (include high school and college):
Extra Curricular Activities (include high school, community, church, hobbies, etc):
Work Experience:
A statement outlining the reasons you feel you should be awarded the scholarship and your future career plans (limit 50 words):

SEE SCHOLARSHIP ELIGIBILITY REQUIREMENTS

I hereby apply for the Mary G. Webster Scholarship. If I am chosen as a finalist and/or scholarship winner, I hereby give permission to my college/university to release the requested GPA information to the President of the Association and/or chairman of the Scholarship Committee upon presentation of this application.