Seymour
Land Conservation Trust Inc.
13 Chatfield Street,
Seymour, CT 06483
Mailing Address: P.O. Box 366
Seymour, CT 06483
Seymour
Land Trust Scholarship Application
I,
___________________________________________________________ (full name)
Home
Address: _______________________________________________________
Hereby
make application for the Seymour Land Trust Scholarship to help finance my
education.
Personal Information
I.
Name
of Father, Mother or guardian ______________________________
II.
Number
of children in family____ Place in
line of oldest_____
Any children in
college? _____
Where?___________________________
III.
Have
you been employed during the school year or during the summer?
_____________________________________________________________________
IV.
School
extra curricular
activities________________________________________
V.
Activities
outside school________________________________________________
Remarks
by applicant, if any, pertaining to this scholarship_____________________
Application
should be returned to the school guidance office or theSeymour
Land Trust by May 1st.
(OVER)