Warren C. Crandall Memorial Scholarship — Application

Please complete all fields as applicable. Signatures can be drawn in the boxes provided.

(Hidden field) Graduation Year is set automatically and will roll over after Labor Day each year.

Applicant Information Full Name Address

City

State

Zip Code

Email Phone

Parent/Guardian Information Full Name Address

City

State

Zip Code

Email Phone

Name of Current School

Name of Guidance Counselor

Guidance Counselor Email

Guidance Counselor Phone number

What is your intended major field of Study?

Academic, religious or community activities including any volunteer work that you have participated in.

By signing below, you agree to all terms of the Warren C. Crandall Memorial Scholarship and to respond to further requests for information concerning this award. You consent to your name, image and likeness to be used by the Greece Historical Society for publicity purposes, and for your essay to be published in the Society newsletter and/or website.

Applicant Signature

Not signed

Printed Name

Date

Parent/Guardian Signature

Not signed

Printed Name

Date

Tip: Use your mouse or finger to sign. “Save to PDF” generates a clean printable application PDF.