BOB NUTT MEMORIAL SCHOLARSHIP
The sponsors for this scholarship have requested that preference be given to relatives of Bob Nutt.
Verification of Family Relationship
If you wish to be considered for the Bob Nutt Memorial Scholarship based on your family relationship to
the Bob Nutt family, ACH Dollars for Scholars requests the following information:
Name of Scholarship Applicant (please print) _______________________________________
Parent through which you have relationship with the Bob Nutt family ____________________________
Explanation of family relationship to Bob Nutt _______________________________________________
______________________________________________________________________________________
Applicant’s Signature ____________________________________________
Thank you for submitting the above information.
Please attach this form with your ACH Dollars for Scholars Scholarship Application.