Catholic Rural Life

Earl and Kathy Hoaglund Sacred Manoomin Scholarship Fund

Native American Scholarship Application

By checking this box, I confirm that I am of Native American descent and I am eligible for this scholarship.

Personal Info

First Name

Last Name

Date of Birth

Age

Gender

Male

Female

Address

Street Address Line 1

Street Address Line 2

City

ZIP / Postal Code

Country

Contact Info

Phone

Education Information

I graduated from high school (received my GED) on:

Name of High School:

I am enrolled in an accredited institution of higher learning:

Yes

Statement of Scholarship Need

Name of conference/workshop/program you are requesting funding for:

Amount of funding you are requesting:

Date of Event

In 3 or 4 sentences please explain how attending this educational activity will help you protect manoomin, nibi and the environment.

If you receive funding to attend this activity, you will be asked to write a brief 2-3 page narrative of your experience, your learning and how you might use this learning to protect the manoomin. Do you agree to take responsibility for completing this assignment and returning it to the fund?

Yes

Reference

First Name

Last Name

Phone

Relation to You

Thank you! Your submission has been received!

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Earl and Kathy Hoaglund Sacred Manoomin Fund Native American Scholarship Application