APPLICATION
WILLIAM H. JUTRAS POST NO. 43
AMERICAN LEGION

WORLD WAR I VETERANS MEMORIAL SCHOLARSHIP

STUDENT'S NAME: _____________________________________________

ADDRESS: _____________________________________________________

CITY, STATE, ZIP: ______________________________________________

DATE OF BIRTH: _________________________

HIGH SCHOOL GRADUATED FORM: ______________________________

GRADE AVERAGE: ________________________

MEMBER'S NAME: ________________________

CARD NUMBER: __________________________

RELATIONSHIP TO MEMBER: ____________________________________

SCHOOL OR COLLEGE YOU WILL ATTEND: _______________________

IF IN DOUBT - APPLY
LET US MAKE THE DECISION

IF APPLYING, PLEASE COMPLETE THIS FORM AND RETURN TO:

SCHOLARSHIP COMMITTEE
WM. H. JUTRAS POST #43
56 BOUTWELL STREET
MANCHESTER, NH 03102

NOTE: In addition to the above application; the Scholarship Committee is requesting that each applicant, in their own words, submit a brief explanation of why you feel this scholarship will assist you and how you plan on putting your further education to use for your future.  This additional information may be used in determining the finalist in a close decision.  You will also need to submit a copy of your latest transcript.