L.

BYRAM BATES MEMORIAL SCHOLARSHIP AWARD APPLICATION

(Must be typed to be considered) Name School School Address Street Home Address Street School Phone ( ) ) Advisers Name Cumulative GPA Years in FBLA (include current year) Give a brief description of your intended field of study and career goal: City Home Phone ( ZIP City ZIP

List post-secondary education institution(s) applied to or in the process of applying:

List business classes taken:

All of the information provided is accurate as of this date: however, the appropriate person(s) have my permission to verify as necessary. Applicants Signature Parent/Guardian Signature Date Date

Advisers Signature________________________________Date

YOU MAY COPY THIS FORM OR SUBMIT THE REQUIRED INFORMATION IN A TYPED FORMAT For Office Use Only Official Transcript Essay Rsum Recommendation letters (2)

CA FBLA Competitive Event Guidelines

2011 Edition (9/8/10)