LZ Old Corps 999 Detachment Scholarship Application

For School Year __________

Name: ______________________________________________________________________

(last) (first) (middle)

Address: ____________________________________________________________________

(street)

____________________________________________________________________

(city) (state) (zip code)

Current Camden High School Status: Senior______

College Major: ______________________________________________________________

Accepted to college for following year: YES_________ NO _______________

(proof required- attach acceptance letter from college)

Name of College: ___________________________________________________________

Marine Corps League Detachment Sponsor: ______________________________

Detachment Members Relationship to Applicant: ________________________

Date: __________________

Applicant Signature:______________________________________________________

Detachment Member Signature: _________________________________________

Mail Completed Application Detachment Approval:

By April-15th to: Approved:__________________

Office: _____________________

Camden HS Guidance Office

55 Oswego St
Camden, NY 13316