Application for the
James A. Dodge Memorial Scholarship
Please print and complete the scholarship application form and attach 3 letters of recommendation.Once completed, mail to: James A. Dodge Memorial Scholarship, 1762 Todd Way, Meridian, ID. 83646. Applications due July 30, 2012.
- Application must be typed or neatly printed.
- Recommendation letters must be on letterhead when applicable.
1. Full name
2. Present Mailing Address
Street
City
State and Zip Code
3. Email Address:
4. Date of Birth:
Place of Birth:
5. Citizenship:
6. List name and location of high school(s) attended and year of graduation:
7. List colleges or universities you have been accepted to, or have or will apply to:
8. List all scholastic and academic honors you have received:
9. List and briefly describe three non-academic activities that have been important to you:
10. Have you completed a FAFSA or other Financial Aid form?
11. List names and addresses of your parents:
12. Were you employed during high school?
If so, please complete the information below.
Dates Employer Position Hours/week
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13. Please give information about your personal interests. Please include any community service you are actively involved in or have completed. (attach a separate sheet if necessary.)
14. Please include three letters of recommendation. Letters must be on letterhead, dated, signed and written within the last 2 years.