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Post-Secondary Scholarship Application
Applicant's First Name
*
Applicant's Last Name
*
Applicant's Address
*
Applicant's Email
*
Applicant's Phone
*
Applicant's Date of Birth
*
Month
Month
Day
Year
Do you have your ServSafe Food Protection Manager Certification?
*
Yes
No
Do have any additional national certifications or do you expect to earn an any additional national certifications this year?
*
Yes
No
If yes, please provide the name of the certifications.
Have you applied for or been awarded other scholarships at this time?
*
Yes
No
If you have you applied for or been awarded other scholarships, please list the scholarships.
How did you learn about this scholarship?
*
Professor/Counselor/Administrator
NHLRAEF Website
Employer
Parent
Advertisement
Other
College
*
College's Address
*
College's Phone
*
Your Cumulative GPA
*
Please list any academic honors.
Do you hold any offices or leadership positions (date, organization, position)?
Please list any extracurricular activities or awards.
College Financial Aid Office's Phone
*
College's Financial Aid's Email
*
Applicant's College Student ID
*
Expected Graduation Date
*
Month
Month
Day
Year
Major
*
Applicant will be a:
*
Freshman
Sophomore
Junior
Senior
Please list your work experience (location, job title/role, dates).
*
Please provide the first and last name, email address, and your relationship with Character Reference #1. Please ask them to send a letter of recommendation to Amie Pariseau at apariseau@nhlra.com.
*
Please provide the first and last name, email address, and your relationship with Character Reference #2. Please ask them to send a letter of recommendation to Amie Pariseau at apariseau@nhlra.com
*
Applicant's Signature
*
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Date
*
Month
Month
Day
Year
Submit
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