The Dennis Yarmouth Regional Secretary and Assistants Association will award a scholarship of at least $200.00 to a dues paying member’s child who is graduating from any High School in 2008.  This scholarship is open to all children of dues paying members who are graduating from any high school. 

If your child is graduating in June 2008, please have him/her complete the three page application below and mail it to:

                                                Karen Beauchemin, President

                                                17 Flume Court

                                                West Yarmouth, MA   02673 

In order to be eligible applications must be received by March 20, 2008.  Please feel free to copy and paste into your computer to complete.  You may also type or print clearly with black ink.

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DENNIS YARMOUTH REGIONAL SECRETARY AND ASSISTANTS SCHOLARSHIP

 

Name: __________________________________________________ Deadline:  March 20, 2008 

Mailing Address: ________________________________________________  Birth Date:  ___________

 

Residential Address:  ______________________________________   Birthplace:  ___________

 

List below the ABBREVIATED names of all scholarships for which you are apply:

 

 

 

 

 

What is your intended major in college? ___________________________________________

 

What do you want to do after college?  _____________________________________________

 

Please list all colleges applied to:

College                                                                       Tuition

 

 

 

 

 

 

 

 

 

DYRSAA Member Name:   __________________________________________________

 

Building Member works in:  ___________________________  Position _______________

 

 

Fathers Name: ____________________________________________________________

 

   Father’s Occupations: _____________________________________________________

 

Mothers Name:  ___________________________________________________________

 

    Mother's Occupations ____________________________________________________

 

Total number of persons dependent on parents (including parents and self)__________

 

Is this a single parent household?  YES __________                    NO ___________

 

Number presently in college:  __________

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COMPLETE ALL THREE PAGES AND MAIL AS DIRECTED BY MARCH 20, 2008

 

List all school and community activities, honors, prizes, and awards, including offices held, in grades 9, 10, 11, and 12.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HIGH SCHOOL WORK EXPERIENCE

 

Grade                                      Employer                                                        Position

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In the space below, state why you would be a good candidate to receive a scholarship.  Why should our group that has worked to raise scholarship funds choose you?  Are there any family/personal circumstances that our group should know about?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I affirm that the above information is correct.

 

 

 

 

Parent (Member) Signature ______________________    Student Signature: __________________

 

Date:  _____________________________________