04.01.2014 Views

elizabeth g. dorsett memorial scholarship - Girl Scouts of Eastern ...

elizabeth g. dorsett memorial scholarship - Girl Scouts of Eastern ...

elizabeth g. dorsett memorial scholarship - Girl Scouts of Eastern ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Application Application for Elzabeth G. Dorsett Memorial Scholarship 2<br />

Name: ________________________________________ Telephone: ( ) _____________________<br />

Address: ______________________________________________________________________________<br />

City/State/Zip _________________________________________________________________________<br />

Email Address: ________________________________________________________________________<br />

Plans for post-high school study or training: ______________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

School or program you plan to attend: ___________________________________________________<br />

Career plans (if known): ________________________________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

Years as a registered <strong>Girl</strong> Scout:<br />

Level (i.e. Brownie) # <strong>of</strong> Years Date Leader/Advisor (if known)<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

<strong>Girl</strong> Scout Gold Award<br />

Briefly describe your Gold Award project and the completion date (month/year).<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!