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 INSTRUCTIONS To print this application:

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2015   CECIL DWAYNE BROWN ‘SPIRIT OF ZIG’ SCHOLARSHIP

APPLICATION FORM

Name________________________________________________________________

 

Date of Birth__________________________________________________________

Address______________________________________________________________

 

City/Zip_______________________________________________________________

 

Phone#______________________________________________________________

_

Students Grade Level in Fall of 2014____________________________ Current GPA

 

School________________________________________________________________

 

Male_________________ Female______________________

 

Parent(s) Guardian Information NAME ___________________________________


Address _____________________________________________________________

 


Phone#______________________    

 

Cell________________________

 

Home_______________________

 

Work _______________________

 

Email________________________                                                                           


Submit a written paragraph, typed, double-spaced and stapled to an application   form.

Winners will be notified in June 2015

   

Please mail, or email your application to: CDB/Zig Scholarship P. 0 Box 228 Faith, NC 28041

Email:cbrownl 977@carolina.rr.com

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