| Application for 2008 Academic Year |
Date:______________ |
| Name:______________________________________________________________ |
| Last |
First |
MI |
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| Address:_______________________________________________________________ |
| Street / PO Box |
City |
State |
Zip Code |
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| Telephone: ( )___________ |
Date Of Birth:____________________________ |
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| Email Address:________________________________________________ |
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| Sponsoring NFMA Member:___________________________ |
Region:_____________ |
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| If current employee (provide job title and dates of employment):________________ |
| _____________________________________________________________________ |
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| If immediate family (i.e. parent: name, job title and dates of employment): ________ |
| ______________________________________________________________________ |
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| To which University/College would this scholarship apply? ______________________ |
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| Mailing Address of College:_______________________________________________ |
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| Education: High School: (please provide documentation) |
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| Name of High School:____________________________________________________________ |
| Name |
City |
State |
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| Class Rank : ____________ |
Class Size:_________ |
G.P.A. _________ |
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| I hereby acknowledge that the information submitted herewith is true and correct. |
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| ____________________________________________________________ |
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Signature of Applicant |
Date |
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On separate sheet:
Please supply a minimum of a 250 word typed essay describing the positive influence the flea market/swap meet has had on your life. Also, please provide descriptions of any other extracurricular, community service activities you have been involved in.
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| Please Return To: |
John W. Schoen
Executive Director, National Flea Market Association
3655 Torrance Boulevard 3rd Floor
Torrance, CA 90503
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| For more information: |
Phone: 424-247-1152 (Office Phone)
Fax: 424-247-1153 (Office Fax)
e-mail: nfma@fleamarkets.org
www.fleamarkets.org |
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| Click here to Print the Application Form |
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