Jane Hultman
Memorial
Scholarship
Due April 1st
A.
B.
C.
D.
$500.00 Scholarship
Applicant must be a graduating senior.
Applicant must be planning on attending a Montana institution of higher learning.
Application to be submitted by April1.
1. Name
2. Future plans:
3. Give specific examples as to how you have demonstrated good citizenship within
your community.
4. With the understanding that effective citizenship relies on involvement, list the
extra curricular activities in which you participate.
Applicants Grade Point Average:
6. Rank in Class
of
Signature_____________________________