2010 The Barb Nelson Memorial Scholarship Application
Application for 2010 Academic Year Date:____________________
Name:_____________________________________________________________
Last First
M.I.
Address:
___________________________________________________________
Street / PO Box City State
Zip Code
Telephone:
( )_____________________ Date
of Birth: _________________
Month Day Year
Email Address:_________________________
Sponsoring NFMA Member:______________________
Region:________________
If current employee (provide job title and dates of
employment)___________________
___________________________________________________________________
If immediate family (i.e. parent: name, job title and dates of
employment):____________
___________________________________________________________________
To which University/College would this scholarship
apply?_______________________
Mailing Address of College:
_____________________________________________
Education: High School: (please provide documentation)
Name of High
School:__________________________________________________
Name
City
State
Class Rank : ____________ Class
Size:______________ G.P.A.
______________
I hereby
acknowledge that the information submitted herewith is true and correct.
_____________________________________________________
Signature of Applicant Date
On separate sheet:
Please supply a minimum of a 250 word typed essay describing
the positive influence the flea market/swap meet has had on your life. Also,
please provide descriptions of any other extracurricular, community service
activities you have been involved in.
Please Return To: Mark
Blakewood
Executive Director, National Flea Market Association
2699 Country Club Blvd.
Orange Park, Fl. 32073
For more information:
Phone: (904)
639-5330
Phone (Toll Free): 1-866-417-2884
Fax:
(904) 688-0254
e-mail: nfma@fleamarkets.org
website:www.fleamarkets.org
|