APPLICATION FOR NALS of greater kalamazoo SCHOLARSHIP

NAME:          _______________________________________________________

ADDRESS:   _______________________________________________________

_______________________________________________________

TELEPHONE:(_____)________________________________________________

SCHOOL:     _______________________________________________________

SCHOOL ADDRESS:_________________________________________________

  _________________________________________________

PRINCIPAL’S NAME:          ____________________________________________

EXPECTED DATE OF GRADUATION:    _________________________________

GRADE POINT AVERAGE:__________   RANK OF APPLICANT IN CLASS: _____

PARENTS’/SPOUSE’S OCCUPATION:   _________________________________

DESCRIPTION OF IMMEDIATE FAMILY:  ________________________________

__________________________________________________________________

__________________________________________________________________

DATE: _______________               SIGNED: _______________________________

(Signature of Applicant)

Return completed application form to the following person, to be postmarked no later than April 7, 2008.

Mrs. Pamela S. Wilcox

Miller, Canfield, Paddock and Stone

444 West Michigan Avenue

Kalamazoo, MI  49007