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Scholarship Application | ||
BLACKSMITH GUILD OF THE POTOMAC | ||
| NAME_________________________________________________________________ | ||
| STREET ADDRESS______________________________________________________ | ||
| CITY,STATE,ZIP:_______________________________________________________ | ||
| PHONE (HOME ANDWORK)____________________________________________ | ||
| E-MAIL________________________________________ | ||
| Name of school or provider of instruction, and location of events: | ||
| ______________________________________________________________________ | ||
| Date of events __________________________________________________________ | ||
| Cost associated with event: | ||
| Tuition: | _________________________ | |
| Material fee: | _________________________ | |
| Room & board: | _________________________ | |
| Travel cost: | _________________________ | |
| Total Cost: | _________________________ | |
Minimum amount of assistance required below which you will not be able to undertake the event on your own .if you plan to undertake the event even if you do not receive a grant, please indicate “no minimum” or “0”___________________ | ||
| Attach a brief summery of your metal working experience. | ||
| Title and short description of course (attach additional sheet, if necessary, and brochure if available.) | ||
Fill out and mail to
FAY P. LeCOMPTE
1016A EAST MAIN ST
LURAY VA 22835-1622