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Renewal Scholarship Application

 

 

Deadline for submitting this application is March 15th
Mail to: The Beth Brown Memorial Foundation, C/O Mary Neal Miller, Chairman
312 West Baird Street, P. O. Box 647, West Liberty, Ohio 43357

Name: (as registered at your school):_______________________________________________SSN:___________________________

Current/Campus Address:___________________________________________________________________________________________

Permanent/Parent Address (Indicate parent(s) name if applicable):_______________________________________________________________________________________________________

Home Phone: (______) __________________Cell Phone: (_______) ________________  Email address:__________________________

College Attending: ___________________________________ Course of Study:__________________________________

Credit Hours Completed: _______________Credit hours remaining:_______________ Anticipated Graduation Date: ________________

Current GPA: ________________ (include  transcript)

Please list other scholarships for which you have applied, their amounts and whether or not the scholarship
          has been awarded to you. If you have not been informed at this time, please indicate this with uncertain.

Scholarship/Financial Aid

Amount

Awarded (Y/N/?)

  ____________________________________________________________

  ______________

  ______________

  ____________________________________________________________

  ______________

  ______________

  ____________________________________________________________

  ______________

  ______________

  ____________________________________________________________

  ______________

  ______________

  ____________________________________________________________

  ______________

  ______________

  Please explain the extent of your need for scholarship assistance (add pages as needed):

 

 

 

 

 

 

 NOTE: For consideration you must meet the deadline of March 15th including having your three letters of recommendation; transcripts and a complete application.   No incomplete applications will be considered

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