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.

 

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