2010 SCHOLARSHIP APPLICATION

Student’s Name ______________________________________________

Address _______________________________________________

City, ST, Zip _______________________________________________

High School _______________________________________________

Member’s Name _______________________________________________

Representative’s Name_______________________________________________

The Emerald Association Scholarships are awarded each year to graduating high school students who are planning to continue their education at a college, university or approved business school. The candidates must be sons, daughters, grandsons or granddaughters of members of The Emerald Association of Putnam County.

Guidelines for the $600 Emerald Scholarship:

Candidates who meet all the guidelines may participate in the scholarship lottery, but only 6 will be chosen.
The drawing will take place at the April general membership meeting.
Candidate's name must be submitted by a member in good standing, dues must be paid by March 31st.
Candidate's representative must be a member for the last 2 calendar years.
Member must have attended a minimum of 4 meetings in each of 2 calendar years; (Attendance Sign-In required.)
Candidate must be represented at the drawing by herself/himself or the representative listed above.
The proceeds of the scholarship will be paid upon successful completion of the 1st semester and submission of proof (College Transcript/report card) to the scholarship administrator.
Candidates are required to help at the annual Feis held each May and demonstrate a history of participation in events that promote "Irish Culture"* during Middle and High School. (Min 10 hrs)
Complete this form and submit to the Scholarship Administrator before the April meeting begins at 8pm.

*Gaelic football, hurling, Irish step dancing, musical instrument or other Irish traditional activity

Good Luck

John Callaghan, Scholarship Administrator

RECORD EVENT PARTICIPATION ON PAGE 2

RECORD OF EVENT PARTICIPATION: Please list dates with activities.