Application from Damien’s Recovery Inc
$750.00 Scholarship to Tom Browns Tracker School 2001
Please complete this application using a blue or black pen or a typewriter. Application is due by December 31st, 2001.
Please mail to: Damien’s Recovery, P.O. Box 281, Glenelg, Maryland 21737.
Name: ______________________________________
Address: ______________________________________________________________
City:_____________________ State:_______________ Zip:___________
Phone:________________________________
Date of Birth: _________________
High School: __________________ College: __________________
Tracker School Class Applying for:__________________________________________
Please complete the following questions on a separate piece of paper:
Why are you applying for this scholarship?
What do you hope to accomplish?
What are your career plans?
Do you see addiction as a problem in today’s society?
Tell us a true story about addiction.
Please include any other relevant information about yourself, extracurricular activities, academic achievements, special talents, etc.
All information provided concerning myself is true.
Signed: ________________________________________ Date:_____________________