Scholarship Application

Captain Robert Gray Memorial Fund

Garibaldi Museum, Garibaldi Oregon

 


First Name ____________Middle Initial __Last Name  _________________

Address ______________________________________________________ 

City  ___________________  State _____________  Zip Code __________

e-mail address _________________________________________________

Home Phone  ____________  High School  __________________________

 

Complete the application and print it at your work station.  A completed application must accompany the essay.

Application and essay deadline is April 15.  All applications and essays must be e-mailed to cherylevans@comcast.net by April 15.

If you would like more information see www.garibaldimuseum.com/scholarship.htm .