APPLICATION DATE:________________________

You may type your information below, print and mail your application OR print this application and complete in BLACK ink only. Remember that the completed application packet must be post marked before April 8, 2011.

The Sgt. Arthur L. Andrews Memorial Scholarship is a scholarship that is awarded to 2 students, in the amount of $500.00, to be awarded following confirmation of registration into school.

Personal Information

Last Name: First Name:
Address:
Phone (H) :
Contact Phone:

Parent/Guardian Information

Mother's Name: Father's Name:
Parent's Address:
Parent's Contact Phone(s) :

Church/Synagogue Information

Name of Church/Synagogue
Pastor:
Address:

To complete your application packet, the School Guidance Counselor Form must be submitted with your application. Print the form, give it to your guidance counselor and be sure to mail it with this application.

Click here to return to the WHS Scholarship page