Ruth Corbin Memorial Scholarship

 

 

Application

 

 

Instructions:  Print this page, then please legibly PRINT or TYPE the requested information into the following blanks and sign.  Return this completed form by U.S Mail to:  Scholarship, Larry Schanlaub, P.O. Box 184, Morocco, IN 47963.  Suggested DEADLINE for consideration is April 30th each year for the following Fall college year.  (Forms may also be available from North Newton High School office)

 

 

 

 

Applicant’s Full Name:

 

 

Street Address:

 

 

City, State, Zip Code:

 

 

Parent/Guardian Full Name:

 

 

Name of Relative who Attended Morocco High School:

 

 

Year Relative Attended/Graduated:

 

 

College Accepted to Attend in Fall of

 Year  2 0 _ _:

 

 

 

 

 

Student Signature:

 

 

 

 

 

Parent/Guardian Signature:

 

 

 

Date: