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INTERNATIONAL HARVESTER COLLECTORS_1_

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					                       INTERNATIONAL HARVESTER COLLECTORS
                                Indiana Chapter #7
                              2007 Scholarship Form

Name_____________________________________________________________________________

Address___________________________________________________________________________

Date and year of birth________________________________________________________________

Home telephone number ( ) _______________Social Security Number________________________

Name(s) of parent(s) or guardian(s)_____________________________________________________

College attending____________________Number of years_____Major_________________________

Trade or technical school___________Number of years______Course of Study__________________

What career do you plan to follow?______________________________________________________

SCHOLARSHIPS

A maximum of two (2) $500.00 scholarships will be awarded. One time award, one per applicant

ELIGIBILITY

Any high school senior, college or trade school student who has proof of acceptance in an accredited,
post high school educational program. (i.e.,college, trade school, short course), (male or female)

Applicant must be or have a parent, stepparent, grandparent, or step grandparent that is a paid up
member of International Harvester Collectors Chapter #7.
Members name and relationship________________________________________________________

HOW TO APPLY

Applicant must fill the scholarship form out and submit a HANDWRITTEN 100 word essay on “What
winning this scholarship would mean to me”.
Finished form, essay and proof of acceptance must be sent to Robert Zarse, 2039 W Smithson Rd,
Reynolds, IN 47980 by March 1, 2007. Please mark envelope IH CHAPTER #7

NOTIFICATION

Applicant will be notified at the appropriate time and a certificate will be issued that can be exchanged
for the funds from the treasurer of Chapter #7 after the first school semester or term has been
satisfactorily completed. Proof of this must be shown in the form of grade transcript or completion
certificate. Check will be made payable directly to the student.

STATEMENT BY APPLICANT

I personally have prepared this resume and essay.

Date_______________________________________*Signature_______________________________
*signature indicates implied consent that these materials may be reviewed by a selection committee.

                                                                                              Form 2007

				
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