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Recyclers News Press

Page 15

IOWA AUTO REYCLERS

SCHOLARSHIP APPLICATION

NAME:

___________________________________________________________________________________

(First)

(Middle)

(Last)

MAILING ADDRESS: ___________________________________________________________________

HOME PHONE: ________________________ E-MAIL ADDRESS: ___________________________

DATE OF BIRTH: _________________________

GENDER: MALE / FEMALE

CURRENTLY ATTENDING: _____________________________________________________________

(INDICATE HIGH SCHOOL OR OTHER SCHOOL)

HIGH SCHOOL HONORS, AWARDS, AND ACTIVITIES: ______________________________________

____________________________________________________________________________________

____________________________________________________________________________________

COMMUNITY SERVICE AWARDS AND ACTIVITIES: ________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

STATE YOUR FINANCIAL NEED, WHAT PORTION OF EDUCATION FUNDED BY YOURSELF:

____________________________________________________________________________________

SCHOLASTIC INFORMATION:

ACT TEST SCORE _____________________SAT TEST SCORE _______________________________

RANK IN CLASS ________ OF _____________ CURRENT GPA: _____________________________

HONORS AND AWARDS (STATE NATURE AND YEAR OF AWARD OR HONOR): _________________

____________________________________________________________________________________

OFFICES AND POSITIONS OF LEADERSHIP (STATE NAME OF ORGANIZATION AND YEAR, EX:

BAND 9, 10) _________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

WHAT ARE YOUR SHORT AND LONG-TERM CAREER OBJECTIVES? _________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________