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Jim Flanagan Memorial Scholarship

Please complete the scholarship application below, and click 'submit' when finished. A copy of your application will be sent back to the email address you provide below.

Additional information about the Jim Flanagan Memorial scholarship is available here.

Scholarship Application
All Fields Required

Last Name  
First Name  
Full Address (Street, City & Zip)  
Email (again) - To ensure we have a correct email address, please re-enter here  
Employer (if any)  
School attending next year  
School address  
List other scholarships you have applied for, and the status of each     (e.g. Awarded, Denied, Waiting)  
Extra Curricular & Community Service Activities  
Mother's Name  
Mother's Address  
Mother's Employer  
Father's Name  
Father's Address  
Father's Employer  
Parent's Marital Status
    (Married, Divorced, Separated,
    Single, Widowed)
Size of Household  
Please tell us why you should be considered for the Jim Flanagan Memorial Scholarship  

Send mail to webmaster@northstaricesports.com with questions or comments about this web site.