Laura Wheeler & Meghan O’Brien Guidance Counselors
Washington D.C. 2018 Scholarship Application Please complete all fields below and return to Mr. Sousa by November 1, 2017. Applications must be received by the due date to be considered for scholarship awards. Please note that families requesting scholarship funds must participate in fundraising efforts to qualify. Student Name: __________________________________Grade: ______________________ Parent(s)/Guardian(s): ________________________________________________________ Address:____________________________________________________________________ Home Phone: ______________Cell Phone:________________ Today’s Date: ___________
1. Fundraising plays an important role in helping students be vested in the trip. To that end, preference will be given to those who have participated in fundraising efforts (suggested minimum of at least two events). Please list the fundraising efforts that you or your family has participated in for the Washington D.C. trip: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 2. How much scholarship assistance are you requesting (dollar amount)?_____________________________________________________________ ____________________________________________________________________
3. Briefly explain the reasons for your
request:______________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Feel free to use the other side or add pages as needed. 245 Stage Road Nottingham, NH 03290 (603)679-5632 / Fax: (603)679-1617 www.nottingham.k12.nh.us
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