Please complete this
application neatly and thoroughly. Please TYPE or PRINT the information
on this
application.
Membership listing in AFH: Retail ____ Wholesale ____ Employee ____ Associate ____ Student ____
Personal and
address
information:
Address: _______________________________________________ Day/Work Phone: _________________________
City
& Zip
______________________________________________
Email:
______________________________________________
School,
Activities and Special Recognition:
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Employment
and work experience (list last four years):
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Reason
for applying for scholarship:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Briefly
state your career goals and plans and how you will use this scholarship
in
attaining those goals:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Why
I feel my membership in Allied Florists of
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
I DECLARE THAT I HAVE READ ALL THE
STATEMENTS ON THIS APPLICATION AND TO THE BEST OF MY
KNOWLEDGE AND BELIEF, MY
ANSWERS ARE CORRECT.
Signature:
__________________________________________
Date: _______________________________