Aiden McVicker Honorary

Grant Application

 

Application Instructions:

ü  Please type or print clearly.

ü  Attach typed essay, 250 words or less, about why you are applying for this grant and how it will effect your life.

ü  Attach any other pertinent information you deem helpful.

ü  Send completed application to: 

 

Jamey McVicker-President

 1225 Park Ave.

 Cameron, MO  64429

 

Personal Information

 

Name  _______________________________  Social Security #   ___________________

 

Address  ______________________________________  Telephone  ________________

 

Father’s Name  ______________________________  Occupation  _________________

 

Mother’s Name  _____________________________  Occupation  __________________

 

School and Address___________________________________________________

 

______________________________________  School Telephone  _________________

 

Please describe what grant request is for:_______________________________________

 

Please describe your family’s biographical information:

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

Financial Information

 

Previous year family gross income  _________________  Dependants  ______________

Community Information

 

Please list all community, church, etc. activities and honors/awards:

________________________________________________________________________

 

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

Essay Question

 

Attach essay of 250 words or less, explaining the purpose of this grant, why you are applying for it, and what it would do for your family.

 

 

 

I hereby certify that the above statements are true and correct to the best of my knowledge.

 

______________________________________       ____________________

                Signature of Applicant                                              Date