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Name of Applicant: ___________________________________________
Home Address:       ___________________________________________
Phone No:              ___________________________________________
Cell Phone No:        ___________________________________________

Name and Relationship to NESEE Member: _______________________
Educational Background: _______________________________________
High School:                  _______________________________________
College or University:     _______________________________________
Graduation Date:            _______________________________________
Degree: Major/Minor       _______________________________________

List previous honors, distinctions, accomplishments & volunteer work
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Explain briefly your educational goals:
______________________________________________________________
______________________________________________________________
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Explain briefly your need for scholarship funds:
______________________________________________________________
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Please have your faculty advisor submit your transcript for the latest completed semester.
The above statements are correct to the best of my knowledge.

____________________________        __________________________
 Applicant's Signature                        Signature of NESEE Member

NOTE: All persons who have access to the information contained in this application will treat the information with absolute confidentiality. All applications must be submitted no later than July 30th. There are two principal factors that are taken into consideration in awarding these scholarships: one, which carries the most weight, concerns the promise of success in college on the part of the applicant, the second is grade standing. The applicant must be the member, spouse, child or grandchild of an NESEE member in good standing. These scholarships are awarded after the first semester of an accredited 2-4 year college degree.

Please send completed application to: NESEE, Box 596, Hudson MA 01749