|
Scholar Award Application
Sponsored by National HydroHoist® Co., Inc. and the Marina Association
of Texas
| Name: |
__________________________ |
| Address: |
__________________________ |
|
__________________________ |
|
__________________________ |
| Phone: |
__________________________ |
| Parent(s)
Name: |
__________________________ |
| Parent(s)
Address: |
__________________________ |
|
__________________________ |
|
__________________________ |
| Parent(s)
Phone: |
__________________________ |
| College
or University: |
__________________________ |
| College
Address: |
__________________________ |
|
__________________________ |
|
__________________________ |
|
| Age: |
__________________________ |
| Last
Year School Completed: _____ |
| GPA: |
_____
(attach
transcript) |
|
|
| Marina
Affiliation: |
| Marina
Name: |
__________________________ |
| Marina
Address: |
__________________________ |
|
__________________________ |
|
__________________________ |
| Marina
Phone: |
__________________________ |
| Marina
Owner's Name: |
__________________________ |
|
|
| School
or Major: |
__________________________ |
| Enrollment
Attached? |
__________________________ |
| Application
Letter? |
__________________________ |
| Letters
of Reference? |
__________________________ |
| ~ |
| Date of
Application: |
__________________________ |
| Signature
of Applicant: |
__________________________ |
| Signature
of Parent: |
__________________________ |
|
| FOR OFFICE
USE ONLY |
| Date Received:
__________________________ |
| PT. _______AQ. _______ HP.
_______ |
Reviewed _______ Rec.
_______ |
|
National
HydroHoist® Company, Inc. ~ P.O. Box 1286 ~ Claremore, OK 74018
Phone: 918.341.6811 ~ Facsimile: 918.341.1178 |
 |
3625 Paesanos Parkway #101 ~
San Antonio, TX 78231
Phone : 210.637.0737 ~ Fax : 210.650.3013
|
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