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Orange County California 4-H - Council Scholarship Fund 2007~2008 Confidential Scholarship Application |
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Summer Camp $50 - Winter Camp $25 - BLT Camp $25 - Other:___________________ |
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| Name of 4-H Member |
Area Code & Phone No. |
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City | Zip |
| Relationship to 4-H Member | ||
| Number in family living at home | ||
| Family income per month | ||
| Does family receive public assistance? | ||
| Why do you feel 4-H event is important to this 4-H member? | ||
| I understand scholarship funds are available based on financial need and
incomplete applications will be denied. I also certify that the above
information is true and correct. All applications will be kept
confidential. Signature______________________________________________ Date________________ Name of 4-H Unit___________________________________________________________ |
| Return to: | Rachel Taylor 4-H Program Rep OCCE 4-H Office 1045 Arlington Drive Costa Mesa, Ca 92626 |
Summer Camp scholarship applications accepted until
July 1, 2008
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