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INFORMATION SHEET
Eastside Grange has set aside $500 in funds to be used for educational scholarship for one graduating senior
who can fulfill the following criteria.
THE APPLICANT
1. Can be a member of Eastside Grange OR the child or grandchild of an Eastside Grange member OR
2. A former student of any of the following elementary school districts:
Cayuse Prairie
Deer Park
Creston
Fair-Mont-Egan
METHOD OF SELECTION
Selection of scholarship winner will be made by members of the Eastside Grange Executive Committee. The
selection will be based on information submitted on the application form, letters of recommendation and grade
point average. Such things as Grange Activity, financial need, scholastic ability, community involvement, school
activities and completeness of the application. 50% of consideration will be given to financial need.
METHOD OF AWARDING
Decisions as to the scholarship winner will be made on or before May 7 annually. The awarded funds will be
made payable to the student upon receipt of a copy of his/her registration.
NAME_____________________________________________________________AGE____________
ADDRESS_________________________________________________________________________
TELEPHONE NUMBER_____________________
NAME OF PARENTS/GUARDIAN
________________________________________ _____________________________________
LEVEL OF EDUCATION
________________________________________ _____________________________________
OCCUPATION
________________________________________ _____________________________________
APPLICANTS WORK RECORD LAST FOUR YEARS. LIST EMPLOYER AND NATURE OF WORK.
ARE YOU, AT THE TIME OF THIS APPLICATION, A RECIPIENT OF ANY SCHOLARSHIPS OR FINANCIAL
AID? IF YES, LIST SOURCE AND AMOUNT.
LIST REALISTIC AND SPECIFIC CONTRIBUTIONS FOR THE UPCOMING ACADEMIC YEAR.
PARENTS ___________________________
****************************
*ROOM ___________________________
*BOARD ___________________________
TRANSPORTATION ___________________________
SUBMIT A ONE TO THREE PAGE RESUME OF YOUR FUTURE PLANS AND OTHER PARTINENT
INFORMATION FOR THE SELECTION COMMITTEE
Reminder: include your most recent high school official transcript with your application