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Application for 2019 Richard M. Bellis Scholarship
Deadline is June 1, 2019. Please fill out the form completely. Incomplete applications will not be considered. Also, after submitting this form, please provide the following information by mail to Richard M. Bellis Scholarship, c/o Sandwich Youth Baseball and Softball, P.O. Box 1, Sandwich, MA 02563:
• Proof of college acceptance or current student enrollment form.
• Most recent official high school transcript.

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Applicant's Name
Date of Birth
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Mailing Address
Daytime Phone
Alternate Phone
Email Address
High School Attended
Graduation Date
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Grade Point Average (GPA; on a 4.0 scale)
What college or university will the applicant be attending as a freshman in the fall?
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