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Recyclers News Press
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) _________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________