Fenton Art Glass Collectors of America (FAGCA)
Educational Scholarships (Application Form)
PLEASE TYPE OF PRINT
Personal Information:
Your Name: _______________________________________________________
Mailing Address:___________________________________________________
City/State/Zip: _____________________________________________________
Day Telephone (including area code): ___________________________________
Evening Telephone (including area code): ________________________________
Social Security Number: ______________________________________________
Educational Background:
Please list all high schools and post secondary schools you have attended:
School Name & Address Years Course of Study Graduation Date
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Other Certificates or Degrees and Dates Received
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Educational Goals:
What are your educational and/or career goals? List examples of the types of courses you will take as well as degrees you will pursue to achieve your goals.
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Financial Needs:
What is your total anticipated financial need for this academic year? Please be specific.
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How critical is this scholarship to you continuing your education?
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Information regarding you and your activities:
Briefly describe your community, school and work activities that would let us know more about you.
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