DR. DANTE CASTRODALE MEMORIAL SCHOLARSHIP FOUNDATION APPLICATION

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					   DR. DANTE CASTRODALE MEMORIAL SCHOLARSHIP FOUNDATION
        APPLICATION MATH/SCIENCE EDUCATION MAJORS- 2009


BIOGRAPHICAL SKETCH

Full Name of Student ______________________________________________________
Full Name of Father _______________________________________________________
              Mother ______________________________________________________
Number of Brothers _________________      Sisters ____________________________
Parents’ Address _________________________________________________________
High School Name _______________________________________________________
          Address ________________________________________________________
Dates Attended ________________________ Social Security No.__________________
ACT score                                  SAT score

EXTRACURRICULAR ACTIVITIES


Name of Organization                       Office Held (If Any)                Dates
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________


EDUCATIONAL PLANS

Name of College _________________________________________________________
Address ________________________________________________________________
Expected Major __________________________________________________________
Previous Awards _________________________________________________________
_______________________________________________________________________
_______________________________________________________________________


Hobbies or Special Interests ________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Comment on a philosophy, interest, person, and/or activity that has contributed
most to your personal growth:

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

Please attach three letters of reference.


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TO BE COMPLETED BY THE HIGH SCHOOL:

Recipient’s Name _____________________________________________________
Grade Point Average ______________ Class Standing _______________________
Number in Class ____________ Graduation Date ___________________________

                         Please Indicate Time, Place and Location
                                            for
                         Presentation of Scholarship to Recipient

Date ______May 27, 2009__________________ Time __1:00pm______________
City ____Welch, WV_____________ Location: MVHS Bob N. Jack Auditorium
School Official to be Contacted Regarding Arrangements and Telephone Number:
         Jennifer Miller, Counselor (304) 436-6405 jnmiller@access.k12.wv.us


                                        ***********

          Please return to your school counselor by Monday, April 20, 2009.