DEPARTMENT OF WISCONSIN
MARINE CORPS LEAGUE
2008 APPLICATION FOR SCHOLARSHIP
Must by typed or printed legibly; See Tim for new Application.

Please check one:   NEW      RENEWAL       Date: 

Name:  Last   First   Mi

Address:  Street
Address:  City   State   Zip
Telephone:  Area Code   Prefix   Suffix

Name of High School: 
Address: 

Name of College
Technical School 
University:
Your starting Fall Semester (Quarter):  1      2      3      4    (check one)

Applicant's Signature: 

Sponsor Eligibility:

This part is to be completed, verified and signed by the indicated Detachment or Unit Office.  In the event that the applicant is related to the indicated Officer, the Senior Vice Commandant or vice President will sign in their stead.

Relationship to Applicant, Check one:  Father        Mother

Sponsors Name:  Last   First   Mi
Membership #    PLM #   Dues Date

DETACHMENT OR AUXILIARY UNIT CERTIFICATION (Must be signed)
The paymaster listed below certifies the member / sponsor is in good standing.

Paymaster   Signature   Date

I, the Commandant / President (or Designee) of Detachment or Unit certify that the member listed above is qualified to sponsor for a Marine Corps League Department of Wisconsin Scholarship

Print Name of Commandant or Unit President or Designee:
Signature of Commandant or Unit President or Designee:
Date

Detachment or Auxiliary Unit Name:
Detachment or auxiliary Unit Address: