SANDHILLS RALLY  SCHOLARSHIP

Eligibility Requirements:

q Must be a 2008 graduate of a school within 100 miles of Ainsworth, NE.

q Must be enrolled and planning to attend a two-year community college or a trade school in the 2008-2009 school year

q Must complete this form and return it by July 1st to:

Sandhills Rally

P.O. Box 762

Wood Lake, NE 69221

Name __________________________________________________ Phone # ___________________

Address ________________________________________________ Birthdate __________________

________________________________________________

Father’s Name ___________________________________ Father’s Occupation _________________________________

Mother’s Name ___________________________________ Mother’s Occupation ________________________________

Graduated from __________ Ainsworth High School in May of 2008 or

__________ Valentine High School in May of 2008

__________ High School Name________________________ in May of 2008

Cumulative high school grade point average _________________ Class Rank ________________

Name and location of college or trade school planning to attend _______________________________________________

_______________________________________________

Please provide information about your planned area of study and your reasons for choosing this area (feel free to add pages):

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If you have any questions about this scholarship or the Sandhills Rally, please call Rich Crowe at (402) 880-1115 or email crowetrucking@gmail.com