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NYSSA Online Magazine
Scholarship Application Page 2
Savings; _______________________________________ Transportation; ________________________________
Other scholarships-Amount; _______________________ other expense; _________________________________
Total Resources; ________________________________ Total est. expense; ______________________________
Other pertinent information; _____________________________________________________________________
Parents Names; _______________________________________________________________________________
Parents Address; ______________________________________________________________________________
____________________________________________________________________________________________
Parents Occupations; Mother; __________________________________________________________________
Father; ___________________________________________________________________
Number and ages of brothers and sisters; ___________________________________________________________
_____________________________________________________________________________________
Are they attending college; ______________________________________________________________________
Please give details; ____________________________________________________________________________
State or Provincial Snowmobile Association; _______________________________________________________
Please Attach:
1. An official High School or College transcript, which ever applies.
2. Current recommendations in writing by at least two (2) teaches, dated and signed.
3. Current recommendations in writing by one or two friends, employers or clergy, dated and signed.
4. Proof of acceptance at the listed college, University or vocational school.
5. Write an essay about snowmobiling in your state about one of these topics: (Economy, Trails, Environment,
What snowmobiling means to you) 500 words or less.
6. Include an over view of your extra curricular activity and any snowmobile associated volunteerism within the
last year.
Attention: ALL INFORMATION REQUESTED ABOVE (1 THROUGH 6) MUST BE
SUBMITTED IN THE SAME ENVELOPE AT THE SAME TIME OF APPLICATION OR
THE APPLICATION WILL BE REJECTED.
Deadline for completed applications: March 1, 2010 Late applications will not be considered.
The above statements are certified to be true and correct to the best of my knowledge.
Signed________________________________ Date_______________________
Mail Completed Applications to:
New York State Snowmobile Association
PO Box 612
Long Lake NY 12847
Contact NYSSA: PO Box 612, Long Lake, NY 12847-0612 * EMAIL - nyssaoffice@nysnowmobiler.com February, 2010 - Page 24
TOLL FREE: (888) 624-3849 * FAX: (518) 624-2441 * www.nysnowmobiler.com