PATRICK TIMMONS MEMORIAL SCHOLARSHIP APPLICATION SCHOLARSHIP AMOUNT IS $1000 SIX SCHOLARSHIPS ARE AVAILABLE THIS APPLICATION MUST BE SUBMITTED BY MARCH 28, 2011. NAME: PHONE: COMPLETE ADDRESS: If you do not put a complete address on your application we may not be able to contact you if you win! HIGH SCHOOL ATTENDED: HIGH SCHOOL RANK:
out of
HONORS OR AWARDS: POSTSECONDARY SCHOOL OF CHOICE: PROPOSED MAJOR OR TRADE SCHOOL PROGRAM:
ON A SEPARATE PIECE OF PAPER, PLEASE TYPE OR WRITE THE FOLLOWING INFORMATION: SUMMARY OF HIGH SCHOOL AND COMMUNITY ACTIVITIES: Include the activity, years, and positions held. SUMMARY OF CDAA PARTICIPATION: Include activities/sports, type of involvement (player, coach, official, etc.) and any CDAA references. SUMMARY DISCUSSIONS: Tell us why you think you should be awarded the scholarship; what receiving the scholarship would mean to you; and any other pertinent information not included above. RETURN THIS APPLICATION NO LATER THAN MARCH 28, 2011 TO: CDAA ATTN: SCHOLARSHIP COMMITTEE P.O. BOX 112 CHAMPLIN MN 55316