MINNESOTA CHAPTER CPCU by 98w4iY

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									                              Minnesota CPCU Scholarship Foundation
                                 Robert Slaughter, CPCU Memorial Scholarship
                                                           2009 Application

Minnesota Chapter
 Please complete all sections of this application. A copy of your transcript or high school grade report
 must accompany this application. It must be return before May 1st, 2009.
            First Time Application  Renewal Application

                                           PERSONAL INFORMATION:

  Name:
                     Last                                First                   Middle Initial

  Current
  Address:
                     Street                                                          Apt. No.

                     City or Town                                State               Zip Code

  Permanent
  Address:
                     Street                                                          Apt. No.

                     City or Town                                State               Zip Code

  Phone Numbers:        Home:                                            Work:

  Email:

  Colleges applied to or accepted at:



  College years completed:______________              Year expect to graduate:______________________

  Major in College or area of emphasis of study:



  Extra-curricular/community activities:


 Name and phone number of high school counselor or college advisor:

  Name:                                      Title:

           Phone Number




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                            Minnesota CPCU Scholarship Foundation
                                Robert Slaughter, CPCU Memorial Scholarship
                                                       2009 Application

Minnesota Chapter

 ESSAY. An essay is a mandatory part of this application process. A typed essay including the following
 components must be attached to this application.

            A minimum of 500 words in length.
            Essay must elaborate on what your goals in life are.
            How a college education will assist you in reaching those goals.
            Describe a challenge you have faced and how you handled it.
            Why you think you deserve this award.

 Applicant’s Signature _________________________________________________
 Date _____________________________

 Pertinent information regarding application process:

  1. Incomplete applications will not be considered.
  2. The scholarship committee reserves the right to conduct personal interviews with the applicants.
  3. If applicant has a financial aid application on file at the Office of Student Financial Aid, the applicant
     may choose, at their discretion, to include a copy with this submission.
  4. Scholarship grants will be a minimum of $1,000 per award.
  5. Grants will be made payable to both scholarship winner and educational institution being attended.
  6. Applications should be sent to Minnesota Chapter CPCU Scholarship Foundation at:
              Mail:
         Minnesota Chapter CPCU Scholarship Foundation
         c/o RMR Risk Management Resources, Inc.
          7574 Market Place Drive
          Eden Prairie, MN 55344

   Email: blunning@travelers.com




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