PROSECUTOR’S CHARITABLE TRUST OF BIRD CITY, KANSAS
APPLICATION FOR SCHOLARSHIP

NAME:						GRADUATION YEAR:
ADDRESS:						CITY:
STATE:				ZIP:		PHONE:
COLLEGE OR UNIVERSITY PLANNING TO ATTEND:
SUBJECT OF STUDY:

PLEASE EXPLAIN YOUR FINANCIAL NEEDS TO FURTHER YOUR EDUCATION:

BRIEFLY TELL US WHY WE SHOULD AWARD THESE FUNDS TO YOU:

BRIEFLY DESCRIBE YOUR HISTORY OF COMMUNITY INVOLVEMENT AND SERVICES:

SIGNATURE:							DATE:

PLEASE ATTACH:		1.	COPY OF TRANSCRIPT
				2.	TWO LETTERS OF RECOMMENDATION