CITGO Petroleum Corporation Scholarship Program by gtd6D9

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									      CITGO Petroleum Corporation Scholarship Program


Please send me an application for the CITGO program.



Student’s Name:      _____________________________________________________

Address:             _____________________________________________________

                     City___________________________ State_______ Zip________

Telephone Number: _____________________________________________________

Name of parent employed by CITGO:         ___________________________________

Work Location:       _____________________________________________________

 You may request an application by providing all of the above information including
  the name of the program and sending e-mail to mlokensgard@csfa.org
 Or you may request an application by faxing the above form to (507) 931-2789
 Or you may request an application by mailing the above form to:
              CITGO Petroleum Scholarship Program
              CSFA
              1505 Riverview Road
              St. Peter, MN 56082




Student’s Signature _________________________________________Date__________

								
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