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CULTURE CLASS A Women’s Club of Olathe, Kansas Established 1897 To: Olathe North High School Student From: Deb Doll Scholarship Committee, Culture Class 14504 S Mullen Olathe, Kansas 66062 913-669-4636 dkdoll@sbcglobal net Ref: Culture Class - A Women’s Club Of Olathe $500 scholarship for the school year 2017-2018. Please find attached a copy of the application form. Culture Class, A Woman’s Club of Olathe, will award this scholarship to a student from Olathe North High School for the school year 2017-2018. The completed forms, with all attachments, needs to be returned to me by February 21, 2018. The Culture Class will choose a recipient and will be notified by April 2, 2018. Please contact me if you have any questions. Culture Class Scholarship Application Name: Last First Middle Address: ZIP: Telephone: {include area code) Email: Date of birth : Name of Father or Guardian: Occupation: Name of Mother or Guardian; Occupation: Address of parent/guardian: Number of siblings: Ages: Number of siblings expected to be in college next fall: Name of high schools you have attended: Approximate number in graduating class: Your approximate class rank: List & describe the extracurricular school activities in which you have participated (in order of importance to you): 1. ee 3. 4 Describe your community activities and interests (ex. scouting, church, work, etc.): Indicate honors and awards that you have received: Describe your work experience: ‘Type of work Name & address of employer Dates What college or university do you plan to attend? What field of study? Are you aware of being awarded any other scholarships? If yes, describe and list the amount:

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