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Application for 2010 Academic Year
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Date:______________
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Name:______________________________________________________________
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Last
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First
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MI
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Address:_______________________________________________________________
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Street / PO Box
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City
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State
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Zip Code
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Telephone: ( )___________
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Date Of Birth:____________________________
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Email Address:________________________________________________
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Sponsoring NFMA Member:___________________________
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Region:_____________
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If current employee (provide job title and dates of employment):________________
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_____________________________________________________________________
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If immediate family (i.e. parent: name, job title and dates of
employment): ________
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______________________________________________________________________
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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:____________________________________________________________
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Name
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City
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State
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Class Rank : ____________
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Class Size:_________
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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
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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:
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Mark Blakewood
Executive Director, National Flea Market Association
2699 Country Club Blvd.
Orange Park, Fl. 32073
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For more information:
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Phone: (904) 639-5330
Phone (Toll Free): 1-866-417-2884
Fax: (904) 688-0254
e-mail: nfma@fleamarkets.org
www.fleamarkets.org
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Click here to Print the Application Form
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