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Application for the Mother Vincent Hennessy Scholarship
First Name:
Last Name:
Address:
City:
State:
Zip:
Your Telephone:
(10 digits inc. area code)
Your Cell Phone:
(10 digits inc. area code)
Your Email:
E-mail To:
1. Identify reasons why you feel you are qualified for this scholarship.
2. Please list and briefly describe your service.
3. Explain how service endeavors have affected you personally and indicate how this scholarship would help to ensure the continuation of your gift of service.
