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Prince George's Community College
Marlene Carpenter Philosophy Scholarship
Application Form
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Name__________________________________________________________
Last name
First name
Middle initial
Address________________________________________________________
Phone number ______________ Email address________________________
Social Security No. ________________________________ M____ F_____
Date of Birth ______________ Number of Dependents __________________
Employer Name ________________________________________________
_____________________________________________________________
Employer Address
Phone number
Full time ___ Part time ___ Annual Salary ____________________________
Major field of study ___________________Minor______________________
Number of College Credits completed ____________________
Cumulative Grade Point Average __________________ (attach transcript)
In less than 100 words, tell us why you believe you should receive this scholarship:
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____________________________________________________________
____________________________________________________________
____________________________________________________________
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____________________________________________________________
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Signature
This application must be received in the PGCC Philosophy Department
(Bladen Hall #310) no later than December 1, 2003.
Attach transcripts from all colleges attended with application.
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