scholarship fund application form · applications accepted from april 1, 2014 to april 30, 2014 for...
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The Edward A. Dillon Memorial Scholarship Fund, Inc. SCHOLARSHIP APPLICATION FORM
Applications for each non-renewable $1,000 Edward A. Dillon Memorial Scholarship will be reviewed and awarded by the EADMSF Scholarship Committee.
Please complete your application, including all documentation, and send to: The Edward A. Dillon Memorial Scholarship Fund, Inc. P.O. Box 7282 Buffalo Grove, IL 60089 Fax: (847) 205-1039
Please Print or Type:
Last Name: First: Middle:
Permanent Address: Street City State Zip Code
Student Home Phone: Cell Phone:
Student Email Address: Birth Date:
High School: Date of HS Graduation:
Attending College/University:
Parent Name(s):
Parent(s) Address: Street City State Zip Code
Student’s Signature: Date:
Applications accepted from April 1, 2014 to April 30, 2014 for 2014-2015 school year.Recipients will be notified by July 31, 2014.
Applicant must be a full-time college student.
A letter of recommendation from a community member (i.e., teacher, coach, mentor) must be submitted with the application in a sealed envelope.
The applicant must write and include an essay stating career and personal goals (500 words or less).
Eligibility requirements:
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