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Rude and Daphne Osolnik Scholarship Application
| Application Deadlines |
Spring |
Summer |
Fall |
| Filled |
March 15 2004 |
July 15 2004 |
| Applying for |
Scholarship #1 |
Scholarship #2 |
| Name |
|
|
| Present Address |
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|
|
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| City/State/Zip |
|
|
| Social Security |
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| Home Phone |
|
| Work Phone |
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| Occupation |
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| Education |
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| |
High School |
| |
College/University |
Class Choice
| Choice 1 Date |
Instructor |
| Choice 2 Date_ |
Instructor |
| Choice 3 Date |
Instructor |
List name and phone of three persons well acquainted with you
and from whom you have requested a letter of recommendation.
Incomplete applications will not be considered.
| Please mail to: |
Osolnik Group, Inc.
114 Lester Street
Berea., KY 40403 |
| Fax to: |
630-604-7256 |
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