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The Griswold Family Association of America, Inc.
STUDENT APPLICATION
GRISWOLD FAMILY ASSOCIATION SCHOLARSHIP
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 _______________________________SSN or student number______________
Last First M.I.
Home Mailing Address __________________________________________________________
Home Phone ( )____________ Date of Birth _____E-mail address______________
Father or Guardian Name ________________________________________________________
Mother or Guardian Name _______________________________________________________
1. 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 __________________ __________________________________________
Go to: Application page 2
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