STEPHENSON FAMILY SCHOLARSHIP APPLICATION FORM
RETURNING STUDENTS -- YEAR 2, 3, OR 4
STUDENT APPLICATION - STUDENT MAJORING IN HEALTH RELATED OR BUSINESS FIELD
Only full time students are eligible -- minimum of 12 credit hours. Please type or print legibly, using ink. Failure to complete all information required will result in disqualification of applicant.
Return this form no later than April 2, 2012, to
Murray School Stephenson Scholarship 216 Sherman St Murray, Ia. 50174
or email to msfscholarships@gmail.com
Put personal information on this sheet only. A number will be assigned each application and selection will be made with no knowledge of the individual identity of the applicants.
Student Name
Address
City State Zip
Telephone Number
By submitting this application, I certify that all information is true and accurate.
Date
Stephenson Family Scholarship Application Form Returning Students -- Year 2, 3, or 4
Educational Institution you are attending
Will you be attending the same institution next year?
If no, what college will you attend
Address of institution
Year in college next year
Major course of study
Cost of one year at this school:
Tuition Room and Board Books Miscellaneous (Please list)
College Activities, Awards, Honors (Please indicate if you have served in a leadership role.)
Have you done any volunteer work? If so, please describe.
What responsibility will you take in paying for your own college?
Include an official college transcript for your first year of college.
Provide 2 letters of recommendation from your college instructors using the 2012-Stephenson-Returning-Student-Recommendation-Form
In a short statement (300 words or less) please explain why you are deserving of this scholarship.