ARMENIAN STUDENTS’ ASSOCIATION OF AMERICA, INC
ARMENIAN STUDENTS’ ASSOCIATION OF AMERICA, INC.
GOLD MEDAL AWARD APPLICATION
The Gold Medal is recognized as the highest Scholastic Award within the ASA. Any member of ASA who is an undergraduate student and is at least a sophomore in an accredited college or university within the United States is eligible for consideration for this award.
All students applying for the Gold Medal Award should complete this application and return it to the Gold Medal Awards Committee on or before May 1st.
Mail to: Gold Medal Awards Committee
333 Atlantic Avenue
Warwick, RI 02888
Tel No. 401 461-6114 ( Fax No. 401 461-6112
Name __________________________________________________________________
Last First Middle
Present Address___________________________________________________________
Home Address ___________________________________________________________
Telephone # ________________________________ E-Mail Address ______________
Have you received an ASA scholarship? Y___ N___ Year received _______________
Name of College/University ________________________________________________
Course of Major __________________________________________________________
Candidate for Degree of ____________________________________________________
Special honors, awards, and other scholastic recognition in college including dates.
________________________________________________________________________________________________________________________________________________
Membership in Honor Societies: (Please list) ________________________________________________________________________________________________________________________________________________
Official transcript including those for the fall of the present academic year and the spring of the previous year, to be forwarded directly by the college to the Gold Medal Awards Committee.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I, ______________________________________President of the ____________ Branch
certify that ____________________________________________is a paid-up member in good standing for the current year.
Date:______________________
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