Anderson Legacy Fund

First Name

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Last Name

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E-Mail Address

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Phone Number

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Street Address

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City:

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Zip Code

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Parent or Guardian First Name

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Parent or Guardian Last Name

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Parent or Guardian E-Mail Address

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Parent or Guardian Phone

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Name of High School Applicant Currently Attends

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Name of High School's Contact Person (eg.. a coucelor, teacher)

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High School Contacts Phone Number or E-Mail

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Name of High School Principal

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High School Principals E-Mail Address

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Have you selected a college you will attend next fall?

Yes

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Additional Information - This will not be used as criteria to select the scholarship’s recipient. It may, however, be included in introductions of, or press releases about, the recipient. List any academic honors or awards you have received in high school

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List any high school organizations to which you belong.

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List hobbies, outside interests, extra-curricular activities and school-related volunteer activities in which you have been or are involved. List non-school sponsored, community volunteer activities in which you have been or are involved.

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Additional Comments

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Please use the button below to upload your essay Essays must be saved and uploaded in PDF format.

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Verification(*)

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I certify that I have read this application and the attached Holiday Extravaganza Post-Secondary Education Scholarship’s Procedures. I further certify that the information I have provided in this application is true to the best of my knowledge.

The Fran & Russ Anderson Family Legacy Fund Making a Difference Scholarship

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The Fran & Russ Anderson
Family Legacy Fund
Making a Difference Scholarship