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THE
GARDEN CLUB OF NORTH CAROLINA, INC. SCHOLARSHIP APPLICATION (College Juniors, Seniors or Graduate Students) Deadline: March 1 |
| Date _____________________ Social Security Number ___________________ | |
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THE
GARDEN CLUB OF NORTH CAROLINA, INC. SCHOLARSHIP APPLICATION (College Juniors, Seniors or Graduate Students) Deadline: March 1 |
| Date _____________________ Social Security Number ___________________ | |
| Name of School
__________________________ Birthdate ________________ Course of Study _______________________ Cumulative GPA _____________ Circle: Junior Senior Graduate Student |
| Full
Name ___________________________________________________________________ Last First Middle Home Address _______________________________________________________________ Street City State Zip How long at this address? _______________________________________________________ How long in North Carolina? _____________________________________________________ If less than 5 years, give previous address and length of stay ____________________________________________________________________________ Street City State Length of stay College Address _____________________________________________________________ __________________________________________________________________________ Telephone Number ____________________________________________________________ Are you a U S Citizen? ______ If yes, of what state are you a legal resident? _________________ Married? _____ Number of Children? ______ Ages? __________________________________ Name of parent or spouse (Circle one) ______________________________________________ Address ____________________________________________________________________ List significant school achievements (e.g. National Honor Society, Who's Who, athletics, officer of student organization) High School _________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ College _____________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ List extracurricular activities and number of years of participation (school and community)_______ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ |
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| Self:
Occupation _________________________ City _______________________________ Spouse: Occupation ______________________ City _______________________________ |
Employer
__________________________ Annual Salary ______________________ Employer __________________________ Annual Salary ______________________ |
| Father: Name ______________________________________________________________________ Address ____________________________________________________________________ Occupation ____________________ Employer __________________ Annual Salary ________ |
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