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Town of Summerhill 2014 Scholarship Application Student's Name: Address: City: Zip: Phone: Date: Sex: Honor Roll Student? Yes No Summarize any community activities involved in: (if additional space is needed, continue on the backside of this application. Indicate also if paid or a volunteer.) References: (please provide two references that are not family members or friends for the Scholarship Committee Chairman to contact.) Phone Number: Phone Number: The College the Student plans to attend: (Provide copy of acceptance letter) Field of Study Majoring in: Note: The amount of the scholarship may vary; however, it will never be less than $250.00 (Two Hundred and Fifty Dollars). The winner(s) will be announced at the Fillmore Scholarship Award Dinner, scheduled Saturday June 14, 2014. (Finalists will be notified prior to that date and are expected to attend the event at the Townhall.) Return applications by May 1, 2014 to: Town of Summerhill 13606 Route 90 Locke, NY 13092 For further information, contact Patty McCloy, Town Historianat (315) 497-3559