Fillable Russell Application WALTER L

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Russell Application WALTER L

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WALTER L. RUSSELL SCHOLARSHIP APPLICATION
SOUTHEASTERN DEVELOPMENT FOUNDATION
Deadline: November 18, 2008
Date______________ Social Security# __________________
Phone#______________ e-mail______________________
Name_________________________________________________________
Last First Middle
Home or School Address ___________________________________
___________________________________
_______________________________
C it y State Zip Code
Parent/Guardian:_____________________________________________
Anticipated Graduation Date: ________________________________
Extracurricular Activities: (Attach Additional Sheets if needed)
_____________________________________
_____________________________________
_____________________________________
Concentration in Kinesiology _______________________________
Cumulative GPA:_________ ____ Major GPA________________
ON A SEPARATE PAGE:
1. Please explain your financial need for applying for this scholarship
2. Please outline your professional goals and any other information
that would support your application.
REFERENCES: Include name, phone & address (at least 2 must be from Kinesiology and
Health Studies faculty)
1.__________________________________________________________
____________________________________________________________
2.__________________________________________________________
____________________________________________________________
3.__________________________________________________________
____________________________________________________________
* IMPORTANT NOTE.
This form is to be submitted along with a letter of application (typed letters are
preferred) containing
:
1) professional goals and any other information that would support
your application;
2) presentation of financial need;
3) a copy of your current (up to date) transcript;
4) THREE letters of recommendation
Send or deliver to:
Dr. Keri S. Diez
Kinesiology and Health Studies
SLU 10845
Southeastern Louisiana University
Hammond, LA 70402
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Russell Application WALTER L

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Completed 23 February 2020

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