Royal E. Smith Scholarship Application
Mail to: Jacob Alston
2272 Alpha Dr
Decatur, Ga 30032
Complete application must be received by April 15, 2010.
Name of Applicant: _____________________________________________________
Street Address: ________________________________________________________
City: _____________________________ State: ______ Zip Code: _______________
Phone Number: ____________________________
High School Attended: __________________________________________________
College you plan to attend: _______________________________________________
I am a Senior in High School for the year 2009/2010.
I enclose the following with this application: (1) a copy of my Scholastic Aptitude Test score; (2) a copy of my High School transcript; (3) a brief personal biography; and (4) a short statement about the field in which I intend to major, why I am interested in this field, and how I believe I have prepared myself for my higher education in this field.
Applicant's Signature: ___________________________________________
NALC Member/Parent Name: _________________________________________________
NALC Member/Parent Signature: ______________________________________________
I certify that the above named person is a member in good standing of NALC.
Branch #:_________ .
Branch Officer Name & Title : ____________________________________
Branch Officer Signature: ________________________________________