2020 Neal McNeil III Memorial Scholarship Application

Personal Information
Name*
First Name Middle Last Name
Address
Street Address Address Line 2 City State ZIP Code
Phone
Cell Phone
Email
Career Information
Name of College Currently Attending
Cumulative Grade Point Average
What is your declared major?
What is your intended career?
Extra-curricular activities, community service, work experience, awards & honors
Work Experience/Internships
Name of Business Dates (from/to) Average hours per month Positions / Responsibilities

Please list any internships or work experience during the past 3 years.
Extra-Curricular Activities

Please list any extra-curricular activities during the past 3 years.
Community Service Activities
Name of Organization Dates (from/to) Average hours per month Activities / Positions

Please list any involvement with nonprofit, community, civic and/or faith-based organizations during the past 3 years.
Honors & Awards

Please list any honors or awards you have received during the past 3 years.
Personal Statement
In the space below, please describe your educational experience and career goals. (Maximum 500 words.)
Student Signature
Date
Date Format: MM slash DD slash YYYY
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Name of Business	Dates (from/to)	Average hours per month	Positions / Responsibilities

Name of Organization	Dates (from/to)	Average hours per month	Activities / Positions

Personal Information