Application for Damien’s Recovery $1,000.00 Scholarship 2003

Please complete this application using a blue or black pen or a typewriter. Application is due April 1, 2003. Please mail to: Damien’s Recovery, P.O. Box 281, Glenelg, Maryland 21737.

Name:

Address:                        

City:                 State:            Zip:

Date of Birth:

Date of Graduation:

High School:           

Intended Area(s) of Study:

Colleges/Universities Applying to:

GPA:             SAT:

Please complete the following questions on a separate piece of paper:

1. Why are you applying for this scholarship?
2. What do you hope to accomplish in your undergraduate study?
3. What are your career plans?
4. Do you see addiction as a problem in today’s society
5. Tell us a true story about addiction.
6. Please include any other relevant information about yourself, extracurricular activities, academic achievements, special talents, etc.

All information provided concerning myself is true.

Signed:                                         Date: