
<p> 2016</p><p>Michael Hare Memorial Scholarship Application Form</p><p>Mail to: Sonya Hopkins, PO Box 751, Westminster, SC 29693 by Deadline: May 13, 2016. Email: [email protected] A recent photo and recent report card must be provided along with application. Questions can be addressed to Sonya Hopkins at (864) 710-1942 or Donna Alexander (864) 723-3452. Call Sonya Hopkins on Wednesday May 25, 2016 for Friday afternoon interview schedule time.</p><p>Name: ______DOB: ______</p><p>Address: ______SS#: ______(will be required if scholarship is awarded)</p><p>City: ______State: ______Zip Code: ______</p><p>Phone #: ______Years as a Jr. High Division Member: ______</p><p>Cell # for contact at State Finals:______</p><p>Rodeo Events: ______</p><p>______</p><p>______</p><p>Activities and awards you have won, memberships, school clubs, and civic activities: ______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>Career Goal: ______</p><p>______</p><p>______</p><p>Parent’s names: ______Father Mother</p><p>In YOUR HANDWRITING, please give a brief description of why this scholarship would make a difference to you. Use a separate sheet of paper and do this in 100 words. (Attach to application)</p><p>Be prepared to do a 10-15 minute interview at State Finals with the Michael Hare Scholarship Committee. </p><p>RELEASE: I hereby give my permission to use the information provided on this application for recognition purposes, if I am selected.</p><p>Parent Signature: ______Date: ______</p><p>Contestant Signature: ______Date: ______</p>
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