AMPHITHEATER EDUCATION ASSOCIATION

2008 College Scholarship Fund Application
Reserved for the Children of Amphi EA Members
Personal Information:
 
Applicant Name: ____________________________________________________________________________
                                       Last                                                      First                                                       MI

Home Address: ______________________________________________________________________________
                             Street                                              City                                                  State                       Zip
 
Telephone Number: __________________________________

*Parent/Guardian Member Name: _______________________________________

*Parent/Guardian Member Place of Employment: ___________________________

Education:

School Currently Attending: ________________________________  Year  __________ 

GradePoint Average: ___________       Rank in High School Graduating Class:______
Extracurricular Activities and Years Involved (use a separate sheet of paper if necessary) ___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

Employment:

Employment/Position                           Contact/Phone Number (use separate sheet of paper if necessary) ___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

College Attending/Planning on Attending: __________________________________________________

Write a brief essay on “The Contribution I Will Make to the Future,” attach it to this form and return to the Association office by Friday, April 21, 2008. (Faxes will be accepted until 5 PM on the 21th.)

Send forms to:     
AMPHITHEATER EDUCATION ASSOCIATION
Attn.: Scholarship Committee
6873 N. Oracle 85704
Phone: (520) 888-1991       FAX: (520) 888-1066