Edward C. Snyder Memorial Scholarship Fund a fund of the ...

Edward C. Snyder Memorial Scholarship Fund a fund of the Scranton Area Foundation, Inc. for a student preparing for a career in the performing arts

Deadline for accepting nominations ? April 5, 2019_

(Please complete in blue or black ink ? Do not use pencil)

Name of Nominee

Street Address

City

State

Zip

Telephone Number:

Home

College/University: Performing Arts Program:

I

Please state in the space below why you believe the nominee meets the qualifications

for the Scholarship:

a. Demonstrated commitment to his/her art and a future career in the performing arts.

b. Evidence of community involvement and service to others.

II Add any other comments you may wish to make supporting the nomination (optional):

Name of Nominator College/University Telephone Number

Please email or mail this form to:

Cathy Fitzpatrick Scranton Area Foundation, Inc. 615 Jefferson Ave, Suite 102 Scranton, PA 18510 Phone: (570) 347-6203 ex 301

email: cathyf@

No Staples Please --- Please do NOT double side paper

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