Cpl. Aaron L. Seal Memorial Scholarship Application

 

Student’s Full Name: _________________________________________________

 

Date of Birth: _______________________ Citizenship: ______________________

 

Email Address: __________________________ Phone: ______________________

 

Residential Address: __________________________________________________

___________________________________________________________________

 

Mailing Address: _____________________________________________________

___________________________________________________________________

 

High School Graduating From: __________________________________________

 

College/Trade School Enrolled In: ________________________________________

 

Campus/Address: ____________________________________________________

 

Course of Study: ____________________________ Full Time Student?   Yes   /   No

 

List any awards, activities or achievements that you may wish to make the selection committee aware of.