Rimersburg Rod & Gun Club Scholarship II
(Residents living outside of the Union School District of Clarion County)
Application must be completed and mailed by May 1st
(please type or print)
NAME ________________________ _________ ____________________________
first m.i. last
ADDRESS ___________________________________________________________________
___________________________________________________________________
_______________________________________ _________________________
active club member's name your relation to member
Please place an X in front of each of the following activities in which you have participated and explain why and how long for each (on back if needed):
_____ 1. Archery _____ 2. Boating/Canoeing
_____ 3. Conservation projects
_____ 4. Environmental Projects
_____ 5. Fishing
_____ 6. Hunting
_____ 7. Organized Scouting
_____ 8. Shooting Sports
_____ 9. Trapping
_____ 10. Others (please explain)
To explain your participation in each field, on the back of this application, place the number of the field and than a brief statement. We do not want an essay, just a short statement.
College/School you will be attending
Name ______________________________________
Address ______________________________________
______________________________________
your major ____________________________________
Print this, then fill it out, then mail it to the club
