ASQ
Larry Turbett
Memorial Scholarship Application
For the Year 2010
Please fill out the
application completely. If there is
insufficient space provided under any of the entries below, attach supplementary
sheet(s). Additionally, please attach a copy of your most recent transcript
as “Attachment A”.
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Name |
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Birth
Place |
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Street
Address |
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Age |
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City,
State, Zip |
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Telephone
No. |
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Part 2 Education History
A.
List all Schools Attended
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School
Name |
City |
State |
Year
start |
Year
end |
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B.
What extracurricular activities were you actively engaged in at school?
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Name
of Organization/Activity |
Honors
or Offices Held |
Years |
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C.
List other activities or hobbies you were interested in:
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Name
of Organization/Hobby/Activity |
Honors
or Offices Held |
Years
Participated |
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D.
What subjects were you most interested in high school?
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E.
What college do you plan to attend?
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3. Signature(s)
_________________________________ ______________________________
Signature of
Applicant Name
and Signature of Sponsor
_________________________________ ______________________________
Date Sponsor’s
Membership Number
Note(s):
1. The applicant
should attach a copy of his/her most recent transcript as “Attachment A”.
2. The sponsor should
enclose a copy of his/her membership card marked “Attachment B”.
3. Applications
postmarked after
4. The optional essay will be used as a
tiebreaker in evaluating applicants.
Mail application to:
Ed
May, ASQ Chapter 304