DENNIS TOWNSHIP CHAMBER OF COMMERCE

SCHOLARSHIP AWARD PROGRAM

Application Name: _______________________________________________________________

Fathers Name: ________________________ Occupation : ______________________________

Mothers Name: ______________________ Occupation: ______________________________

Number of brothers, sisters, and other people supported by the head of household? __________

Any brothers or sisters presently in college? ________Yes ________ No How Many? _____________

Name of College or School you have been accepted to and will be attending:

_____________________________________________________________________________________

Approximate Cost for:

Room:______________ Tuition_____________ Misc Expense _____________ TOTAL _______________

Major:______________________________________________________________

Requirements: The following must be attached to this application:

1. Copy of students transcript.

2. An essay from the applicant.

a. Why do you want to go to college?

b. Why a scholarship is needed?

c. Any information you feel the committee should be aware of in making this decision.

Send applications to:

Dennis Township Chamber of Commerce

P.O. Box 85

Ocean View, NJ 08230

No Later Than: _________________