MICHAEL CAMILLERI MEMORIAL SCHOLARSHIP
One of the Legacy Scholarship Funds, Inc. - WLW Students Only

The purpose of this scholarship shall be to provide scholarship assistance to a graduating senior from Walled Lake Western High School who has maintained a grade point average of 3.5 or higher and has earned an athletic varsity letter in a sport at Walled Lake Western. Applicants should also possess strong leadership skills, be a positive role model, and be involved in a significant community service.

Note: This form is to be accompanied by a transcript of grades from the high school.

Legacy Scholarship Funds, Inc. is a Michigan non-profit corporation, licensed by the State Attorney General to solicit funds (MICS 8077) and recognized by the IRS as a publicly supported foundation and tax exempt under section 501(c)(3) of the U.S. Internal Revenue Code.

Completed applications must be submitted electronically unless otherwise directed.

Student Name *
Parents/Guardians *
Address *
City *
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Phone *
Email Address *
What school do you attend?
Date Submitted *
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