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Application 2015 .pdf



Original filename: Application 2015.pdf
Author: Amy Bemis

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Brian Bemis Education Scholarship
Application
Name______________________________

High School___________________________

Address______________________________________________________________________________
Phone Number________________________________________________________________________
Email Address_________________________________________________________________________

Academics:
GPA:________________

Rank:________________

High School Academic Emphasis:__________________________________________________________
Future College or Secondary Education Plans:________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Prospective College Major or Future Career:_________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

School Involvement:
High School Activities:___________________________________________________________________
_____________________________________________________________________________________
Description of Involvement in High School Activities___________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Leadership Experience in Activities________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Community Involvement:
Community Activities:___________________________________________________________________
_____________________________________________________________________________________
Description of Involvement in Activities___________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Leadership Experience in Activities________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Contribution:
After completion of Secondary Education or College, how do you see yourself contributing to your
community? (Volunteer, Career, ext.)_____________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Automotive Industry:
Where do you see your future with regards to the auto industry (technician, body man, sales, finance,
marketing)
________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________


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