Date

The Towne Ctub of Lancaster Brenda Walker Education /Schotarship Chair 515 Thorngate Ptace MitLersviLte, Pa. 17551 [email protected]

This appLication aLong with your counseLor recommendation, transcript, and senior posed picture must be returned by March 7, 2017 to:

Applicant Signature

I certify that to the best of my knowledge alt the information provided on this apptication is correct

Why do you feeL you shoutd be given this scholarship?

Generat Information Required Question

The Towne Club of Lancaster

This appLication is for students pursuing a post- secondary education at a two year vocationa[/technica[ institution.

Vocationat Schotarship Apptication

Personal Information Name of appticant:_ Street address:______ City, State, Zip: Telephone number:_ E-maiL address:______ Birthdate:__________ Name of High SchooL: School address:______ School phone: Name of Principal: Name of SchooL CounseLor:________________ Number and ages of sibtings: Number of sibling in advanced schooting: List your speciaL interests and hobbies:______

List any employment/voLunteering you had:_

List the name and teLephone numbers of three character references: 1. 2.

3.

Career Information

What career are you pursuing?

Post Secondary School and Program you wish to attend?

Address of Post Secondary School:____________

Number of years to compLete the Program What is the yearly tuition?____________________ Room and Board?__________________________ Financial Information Parent/Guardian Name:_____________________ Address:

Date

Phone Parent/Guardian yearLy income______________ What other financiaL support wiLt be avaiLabLe?

Patent/Guardian signature

Names of Award recipients wilt be announced to tocat newspapers. Confidential information provided on this apptication wilt not be released.