| Send all materials to: |
| Angela P. Wechter, Chair Scholarship Committee |
| 8936 Leonard Street |
| Philadelphia, PA. 19152 |
| 215-677-0155 |
| PENNSYLVANIA FEDERATION OF REPUBLICAN WOMEN |
| ANNE ANSTINE SCHOLARSHIP APPLICATION |
| Who can apply? |
| 1. Members or children and grandchildren of a PFRW Member |
| 2. Sponsor must be a member of PFRW for at least three (3) years |
| 3. High school seniors with a cumulative average of 85 in major subjects may apply |
| APPLICANT'S NAME: ______________________________________________________________ |
| ADDRESS: ______________________________________________________________________ |
| BIRTHDATE: ____________________________________________________________________ |
| PFRW MEMBER (SPONSOR)________________________________________________________ |
| CURRENT HIGH SCHOOL: _________________________________________________________ |
| ADDRESS OF HIGH SCHOOL: ______________________________________________________ |
| PRINCIPAL'S NAME: ______________________________________________________________ |
| ACTIVITIES: ____________________________________________________________________ (List on additional sheet) |
| AWARDS & HONORS: _____________________________________________________________ (List on additional sheet) |
| COLLEGE CHOICE: _______________________________________________________________ |
| ADDRESS OF COLLEGE: __________________________________________________________ |
| APPLICATIONS "MUST" BE SUBMITTED BY March 30, 2011 |
| APPLICANTS WILL BE NOTIFIED BEFORE May 2, 2011 |
| CITY ______________________________________________STATE __________ZIP___________ |
| HOME PHONE __________________________ CELL PHONE _____________________________ |
| EMAIL ________________________________________________________________________ |
| PFRW COUNCIL AFFILATE ___________________________________________________________ |
| YEARS OF MEMBERSHIP WITH PFRW__________________________________________________ |
| RELATIONSHIP TO STUDENT ____________________________________________________ |