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2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
12. Name of High School
14. Email Address
16. Father's Name
17. Mother's Name
19. School you are planning to attend
20. Course of Study
22. Cost of Tuition
23. Cost of Room and Board
25. Have you been accepted

    1. Yes
    2. No
    3. Waitlist
27. Please list all scholarships, awards, and grants you have received or anticipate receiving.
29. List all school and community activities you have been involved in. Please include Class Officer, Functions, Organizations, Clubs, Athletic and Community Volunteerism.
31. List any job(s) you have held while in school. Please include the employer(s), dates and job assignments.
33. What are your plans after you complete your college education?
35. Please describe what you have done or are currently doing to demonstrate your community or social involvement and why you feel it is important to the enhancement of the Town of Ashland.
37. You are required to submit 2 letter of recommendation. These can be emailed, mailed or dropped off at Town Hall. If mailing please send to Susan Robie c/o Scholarship Committee 101 Main Street Ashland MA 01721.

    1. Recommendation letters will be emailed
    2. Recommendation letters will be mailed
    3. Recommendation letter will be dropped off at Town Hall
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

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