Griswold Family Association
 
   
   
 

                                                                       

 
 
 
 

GRISWOLD FAMILY ASSOCIATION SCHOLARSHIP APPLICATION PAGE 1


GRISWOLD FAMILY ASSOCIATION SCHOLARSHIP

PART I Name of GFA member: must be applicant or applicant's parent

_______________________________________________________________________________

Griswold Line, if known (please circle one): Edward Michael Matthew Francis

APPLICANT INFORMATION: (Please print legibly)

Name _________________________________________

                Last                           First                             M.I.

Home Mailing Address __________________________________________________________

Home Phone ( )____________ Date of Birth _____E-mail address____________________

Father or Guardian Name ________________________________________________________

Mother or Guardian Name _______________________________________________________

U. S. Citizen? Yes _______ No __________

2. High School(s) Attended? ______________________________________________________ 

3. High School Graduation Date ____________________

4. Institution of higher learning to which applicant's scholarship award is requested (if known; we recognize that some have college applications pending on admission results):

Institution                                                     Location                                                      Major ________________________________________________________________________________

5. Will you commute from home?_____ Live on Campus? ___ Off-campus apartment?________

6. Parent's or Guardian's occupation:                                     

                    Occupation                    Employer

Father___________________ __________________________________________

Mother __________________ __________________________________________

(CONTINUED ON SCHOLARSHIP APPL  PAGE 2)