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GOSHEN COUNTY TWO-SHOT SCHOLARSHIP Sponsored by Two-Shot Goose Hunt With Proceeds from Goshen County Two-Shot Goose Hunt Annual Art Auction

INFORMATION SHEET $1,000 scholarship(s) will be available to any student who will be attending Eastern Wyoming College as a full-time student in the fall. Applicants must have a minimum grade point average of 2.50 and must not be the holder of any other major scholarship(s). Choice of recipient(s) will be made by the Goshen County Two-Shot Scholarship Committee. Scholarship award(s) will be offered for $1,000 each, $500 at the beginning of each semester. The number of scholarships awarded each year will depend on the proceeds available from the annual Two-Shot Goose Hunt Art Auction. Transcripts Graduating seniors should attach an eighth semester high school transcript. GED recipients should attach a copy of their GED test scores. College students who have attended or are attending college should attach a transcript(s) of all college work completed prior to June 20. Completed applications should be mailed to: Goshen County Two-Shot Goose Hunt Scholarship Committee P.O. Box 246 Torrington, WY 82240 An interview may be called for by the Scholarship Committee, if necessary, to make the final selection(s). To receive the second semester of their scholarship, recipient(s) must have obtained a 2.50 GPA for all hours enrolled in Fall semester with a minimum of 12 hours completed. It is the responsibility of the recipient to provide a copy of their Fall transcript to the Scholarship Committee in order to activate the Spring semester portion of their scholarship. The Fall semester transcript should be sent to the above address. Recipients will be required to attend the annual Two-Shot Goose Hunt Banquet to thank the membership for the scholarship. The banquet is held the second weekend of December. Scholarship(s) must be used in the Fall semester of the current academic year or it will become null and void.


GOSHEN COUNTY TWO-SHOT SCHOLARSHIP INSTRUCTIONS Complete all phases of this application as outlined on each page. There is no limit to the number of applications that may be submitted. The applications received will be reviewed by the Two-Shot Scholarship Committee. The committee will select the winners from the applications submitted. Read the rules from the scholarship information page before making application.

GENERAL INFORMATION Name: Last

First

Middle

Address: Street, Route, P.O. Box

City

State

Zip

Social Security Number:

Phone

Age:

High School Information: Name

Location

High School Diploma

GED

Have you attended any other institutions?

Neither Date received: No

Yes

Name of Institution

Dates of Attendance

Location

Degree Received

Major

Intended Major: Parent or Guardian Name: Parent or Guardian Address: Street, Route, P.O. Box

City

State

Zip

Phone

2


Goshen County Two-Shot Scholarship Print Name:

LIST HIGHEST AWARDS AND HONORS ONLY High School or College Activities and Awards:

Community and Church Activities:

List of Scholarships You Have Received For The Upcoming Year:

What Are You Expecting From Your College Education?

Short Autobiography or Copy of Your Student Resume: (Attach an additional sheet if necessary)

Please Explain Your Need For This Scholarship:

Signature of Applicant

Date

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