| Applicants name:
last, first, initial_____________________________________________ |
| Address: street,
city, ZIP code_______________________________________________ |
| Telephone
number (___)___--_____ |
Date
of birth ___________ |
| Names
of Parents or Guardian_____________________________________________ |
| Name
of school currently attending___________________________________________ |
| FULL address and
telephone number of school______________________________________ |
Name of German Teacher__________________________________________________ |
| Name of German Cultural Club (if applicable)___________________________________________ |
| Plans to attend
(name of school)_____________________________________________ |
| |
|
| Attach 1.) essay
and 2.) extracurricular activity form (page
1 & page 2), both
without your name and name of school, and 3.) transcript. |
| Applicant's
statement: I have read the Scholarship Eligibility Requirements for the
award and understand them. I have provided the information that I wish the
judges to consider. |
| My signature:_________________________ |
|