Please read the attached application and announcement in full before completing the application form. Application forms are available from the Middletown Township Public Library Reference Desk or by calling (732) 671-3700, ext.311. Please return completed application, with transcripts if possible, postmarked no later than June 30, 2008 to: Scholarship Committee Applicants accepted for further consideration may be asked to appear before the Library Board of Trustees for a personal interview. |
THE MIDDLETOWN LIBRARY
MEMORIAL SCHOLARSHIP FUND
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CONOVER-WIHTOL SCHOLARSHIP I wish to apply for the Conover-Wihtol Scholarship. I have read the announcement and am qualified to apply in terms of residency and education. _____________________________________________ The following must accompany this application or, in case of the transcript, be forwarded for the application to be considered:
Name
_________________________________________________________________________ Address (current) ________________________________________________________________ __________________________________________________ Phone ______________________ Address (permanent) _____________________________________________________________ __________________________________________________ Phone ______________________
Intended use of scholarship if granted: School, date, courses _____________________________ ________________________________________________________________________________ ________________________________________________________________________________
Education _______________________________________________________________ Year ______ College or University (Name and Location) _______________________________________ __________________________________________________________________________ Year _______ Degree ________ Major ___________________ Minor __________________ Professional Library Education (School and Location) _______________________________ ___________________________________________________________________________ Year _______ Courses ________________________________________________________
Work Experience (List most
recent first; use additional 8 1/2 x 11" paper if necessary) ___________________________________________________________________________ Position _______________________________________ Dates _______________________ Other (Name and Address) ____________________________________________________ ___________________________________________________________________________ Position _______________________________________ Dates _______________________
References (Professional or
business and educational, NOT Personal) Name _________________________________________ Title _________________________ Address ____________________________________________________________________ ____________________________________________________________________________ Teacher or Faculty Member Name _________________________________________ Title _________________________ Address ____________________________________________________________________ ____________________________________________________________________________ |
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