DEPT SCHOLARSHIP

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=90 BGCOLOR="#333366" TEXT="#080000" background="72eb85a3.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Department of New Jersey Marine Corps League</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="Department of New Jersey Marine Corps Le"><B>home</B></A></div> <div> <IMG BORDER="0" SRC="1x1.gif" HEIGHT="14" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="14"><B>   </B><IMG BORDER="0" SRC="1x1.gif" HEIGHT="14" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="14"><B>     </B><IMG BORDER="0" SRC="1x1.gif" HEIGHT="14" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="14"><B>  </B><IMG BORDER="0" SRC="1x1.gif" HEIGHT="14" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="14"></div> <div> </div> </td> </tr><tr> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>DEPT SCHOLARSHIP</I></div> <div>  <html> <head> <meta http-equiv="Content-Language" content="en-us"> <meta name="GENERATOR" content="Microsoft FrontPage 5.0"> <meta name="ProgId" content="FrontPage.Editor.Document"> <meta http-equiv="Content-Type" content="text/html; charset=windows-1252"> <title>MARINE CORPS LEAGUE DEPARTMENT OF NEW JERSEY AND MILITARY ORDER OF THE DEVIL DOGS PACK OF NEW JERSEY SCHOLARSHIP APPLICATION This</title> </head> <body> <form method="POST" action="--WEBBOT-SELF--" onSubmit="location.href='_derived/nortbots.htm';return false;" webbot-onSubmit> <input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><p align="center"> <font face="Arial"><b>MARINE CORPS LEAGUE<br> DEPARTMENT OF NEW JERSEY<br> AND<br> MILITARY ORDER OF THE DEVIL DOGS<br> PACK OF NEW JERSEY<br> SCHOLARSHIP APPLICATION<br> </b><font size="2">This scholarship is intended for Department of New Jersey Marine Leaguers</font></font></p> <p align="center"><b><font face="Arial">PLEASE INCLUDE A TRANSCRIPT OF GRADES WITH THIS APPLICATION</font></b></p> <blockquote> <blockquote> <p align="left"><b><font face="Arial" size="2">Applicant's Name   <input type="text" name="T1" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">Applicant's Address   <input type="text" name="T2" size="98"></font></b></p> <p align="left"><b><font face="Arial" size="2">Applicant's Telephone Number     <input type="text" name="T3" size="20"></font></b></p> <p align="left"><b><font face="Arial" size="2">High School Attended    <input type="text" name="T4" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">Number of brothers and sisters living at home        <input type="text" name="T5" size="7"></font></b></p> <p align="left"><b><font face="Arial" size="2">List any brothers and/or sisters attending post-secondary school or collage</font></b></p> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#111111" width="55%" id="AutoNumber1"> <tr> <td width="38%"> <p align="center"><b><font face="Arial" size="2">Name </font></b></td> <td width="54%"> <p align="center"><b><font face="Arial" size="2"> Collage attending  </font></b></td> <td width="8%"> <p align="center"><b><font face="Arial" size="2">Year</font></b></td> </tr> <tr> <td width="38%" bordercolor="#FFFFFF"><b><font face="Arial" size="2"> <input type="text" name="T6" size="37"></font></b></td> <td width="54%"><b><font face="Arial" size="2"> <input type="text" name="T31" size="53"></font></b></td> <td width="8%"><b><font face="Arial" size="2"> <input type="text" name="T8" size="6"></font></b></td> </tr> <tr> <td width="38%"><b><font face="Arial" size="2"> <input type="text" name="T30" size="37"></font></b></td> <td width="54%"><b><font face="Arial" size="2"> <input type="text" name="T32" size="53"></font></b></td> <td width="8%"><b><font face="Arial" size="2"> <input type="text" name="T33" size="6"></font></b></td> </tr> </table> <p align="left"><b><font face="Arial" size="2">Father's full name   <input type="text" name="T12" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">Father's occupation    <input type="text" name="T13" size="33"></font></b></p> <p align="left"><b><font face="Arial" size="2">Mother's full name   <input type="text" name="T14" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">Mother's occupation   <input type="text" name="T15" size="32"></font></b></p> <p align="left"><b><font face="Arial" size="2">College you plan to attend   <input type="text" name="T16" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">Tuition cost   <input type="text" name="T17" size="13"></font></b></p> <p align="left"><b><font face="Arial" size="2">Intended Major    <input type="text" name="T18" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">If you are presently employed please list</font></b></p> <p align="left"><b><font face="Arial" size="2">Employer Name   <input type="text" name="T19" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">Employer Address    <input type="text" name="T20" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">Describe Job  <input type="text" name="T21" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">List the important activities which you have participated in while in high school</font></b></p> <p align="left"><b><font face="Arial" size="2">9th Grade     <input type="text" name="T22" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">10th Grade   <input type="text" name="T23" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">11th Grade   <input type="text" name="T24" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">12th Grade  <input type="text" name="T25" size="69"></font></b></p> </blockquote> </blockquote> <p align="center"><b><font face="Arial">ATTACH AN ESSAY OF 250 WORDS OR LESS ON THE TOPIC OF PATRIOTISM OR CITIZENSHIP<br>  </font></b></p> <blockquote> <blockquote> <p align="left"><b><font face="Arial"><font size="2">Date  </font> </font><font face="Arial" size="2"><input type="text" name="T26" size="21">   Signature __________________________________________________________________</font></b></p> <p align="left"><b><font face="Arial" size="2">Sponsored by Marine Corps Leaguer   <input type="text" name="T27" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">Relationship to you   <input type="text" name="T28" size="21"></font></b></p> <p align="left"><b><font face="Arial" size="2">Marine Corps League Detachment   <input type="text" name="T29" size="69"></font></b></p> <p align="left"><b><font face="Arial" size="2">In the event the sponsor is deceased. proof of good standing in the League at the time of their demise is required.</font></b></p> <p align="center"><u><b><font face="Arial" size="2">CUT OFF DATE MAY 16 2008</font></b></u></p> </blockquote> </blockquote> <p><input type="reset" value="Reset" name="B2"></p> </form> </body> </html>  </div> <DIV ALIGN="LEFT"></DIV> <div> FILL OUT THE FORM ABOVE  AND THEN PRINT IT AND MAIL TO:</div> <div> BARBARA SWAIN  </div> <div> 32 ABERDEEN DRIVE</div> <div> SICKLERVILLE NJ 08081</div> </td> </tr></table></body>