Member Continuing Education Scholarship Application Name of Applicant* Member Since * Phone Number * Email Address * Street Address * City * State * Zip Code * Name of Class/Event * Requested Amount of Money * Date of Class/Event * Please describe in paragraph form the scope of the class/event. Also include what type of knowledge you hope to gain and how you will use such knowledge. Please include a photo. If I am selected as a recipient of this scholarship, I give my consent to disclose my name and photo for use in press releases and other communications promoting the Grange Scholarship Program. I also pledge to come to a General Grange Membership meeting and speak about the impact of the scholarship and knowledge received from the class/event. Applicant Signature * Clear Δ
