Eurich Academic Scholarship Application
Applicant Information
Name
Your answer
Present Street Address
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Permanent Street Address
Your answer
Telephone
Your answer
Email Address
Your answer
Social Security Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Marital Status
Number of Dependents
School History
Please tell us about your high school and college experience.
Name of High School
Your answer
Address of High School
Your answer
Year of High School Graduation
Your answer
Cumulative Grade Point Average
Your answer
ACT Score
Your answer
SAT Score
Your answer
Name of College, University or Trade School
Your answer
Number of years completed at College, University or Trade School
College Grade Point (if applicable)
Your answer
Please include activities, awards and honors received in high school and/or college.
Your answer
Please tell us about hobbies or recreational activities you enjoy.
Your answer
Michigan Movers Association Company Affiliation
Name of Michigan Movers Association Member Company affiliation
Your answer
Contact at affiliated Member Company (name, address and phone)
Your answer
Relationship to affiliated moving company.
Name and title of parent/guardian who is the employee/affiliate of moving company (if appliable).
Your answer
If you are the employee, please list your direct Supervisor (include phone contact information)
Your answer
College/University/Trade School Financial Aid Contact Information
If awarded the scholarship, please provide the school name and address where financial aid checks should be sent.
Your answer
College Financial Aid Phone Number
Your answer
College/University/Trade School Student Number
Your answer
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