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NYSSA Online Magazine - New York State Snowmobile Association
NYSSA Online Magazine - New York State Snowmobile Association
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NYSSA Online Magazine<br />
NORTHEAST CHAPTER I.S.C. SCHOLARSHIP APPLICATION<br />
Norris Brusoe Scholarship<br />
Joan & Digger Vriessen Scholarship<br />
MAIL TO: New York State Snowmobile Association, PO Box 612, Long Lake NY 12847<br />
DEADLINE: All materials must be received on or before March 1, 2010<br />
(Please Type or print clearly) Date_______________________<br />
Name of Applicant; __________________________________________SS#; ______________________<br />
Address; ________________________________________________________________________<br />
City _____________________________________State_________________________________<br />
Phone ___________________________________Email_________________________________<br />
Name of school attended; ________________________________________________________________<br />
Address; _____________________________________________________________________________<br />
Date of Graduation; ____________________________________________________________________<br />
Name of College, University or Vocational School; ___________________________________________<br />
Address; _____________________________________________________________________________<br />
Date of starting study above; _____________________________________________________________<br />
Major area of study; ____________________________________________________________________<br />
Cost per year; _________________________________________________________________________<br />
Are you employed; _______ Year round; ______ summer only; ______<br />
Employers Name: ______________________________________________________________________<br />
If not why? ___________________________________________________________________________<br />
STATEMENT OF FINANCIAL NEED FOR 1 YEAR OF EDUCATIONAL PROGRAM<br />
Student Resources; ________________________________<br />
Estimated Expenses; ___________________________<br />
Salary; _________________________________________<br />
Tuition and fees; ______________________________<br />
From Family; ____________________________________<br />
Books and supplies; ____________________________<br />
Loans, Grants –Amounts; __________________________<br />
Room and Board; ______________________________<br />
Contact NYSSA: PO Box 612, Long Lake, NY 12847-0612 * EMAIL - nyssaoffice@nysnowmobiler.com February, 2010 - Page 23<br />
TOLL FREE: (888) 624-3849 * FAX: (518) 624-2441 * www.nysnowmobiler.com
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