Application for Eric W. Herzberg Memorial Scholarship – Maryland

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Name: 

Current Cumulative Grade Point Average (GPA): 

  1. List the non-paid volunteer activities you have been involved with during high school
    by year. BE SPECIFIC – indicate your role, why you participated, and time spent on this
    activity. (Use a separate sheet if necessary)
  2. List the team sports or school activities you have participated in during high school.
    These can include recreational leagues. List any awards you may have received.
  3. Please provide a statement of you and your family’s need for this help and your
    current plan for funding your education.

I. Essay
Develop an essay (at least three typewritten, double-spaced pages) that will demonstrate:

II. High School Transcript.

III. Parent and student signature required below.
I authorize the release of a copy of this form, and any attachments to the organization offering this scholarship.

 

SIGNATURE OF PARENT: ____________________________________Date________________

 

SIGNATURE OF PARENT: ____________________________________Date:________________

Application deadline: 5 April of each school year

All application material to be submitted electronically to:    This email address is being protected from spambots. You need JavaScript enabled to view it.

Thank you and good luck!

Download the Application