San Diego Scottish Highland Games

Scholarship Form

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Name: __________________________________________________

Address: __________________________________________________

__________________________________________________

ZIP: ____________________

Telephone: ______________________________

Deadline for Receipt of Award: ______________________________

Amount Requested: $______________________________

Total Cost of Activity, if different from Amount Requested: $______________________________

1. Briefly explain your request for financial assistance. Please include prior experience and how this Award to you will support one of the Games' objectives (from "Scholarship Information page").

2. Briefly describe your involvement in the Scottish arts, Scottish activities, and the Scottish community prior to this application.

3. I have requested letters of recommendation on behalf of this application from the following two individuals. The letters will be sent directly to the Scholarship Committee, SDSHG, Inc. I realize current board members of the SDSHG, Inc. are not to be considered as references for this application.

__________________________________________________ Telephone ______________________

__________________________________________________ Telephone ______________________

4. Award money should be sent to:

Provider's Name __________________________________________________

Address __________________________________________________

__________________________________________________

Attention: __________________________________________________

Telephone: __________________________________________________

If my application for financial assistance is funded I agree to:

furnish proof of my San Diego County residency
furnish documentation of fulfillment of the activity funded, or return the full amount of the award
be responsible for the payment of any income tax associated with this award
furnish a report to the Board of Directors of the SDSHG describing my use of the award within 60 days of completing the activity funded

Signature of Applicant: __________________________________________________

Date: __________________________________________________

Mail completed application to:

San Diego Scottish Highland Games, Inc.
Attention: Scholarship Committee
9450 Mira Mesa Blvd. #211
San Diego, CA 92126-4850