GA COLLECTORS ASSOCIATION High School Seniors
Phil Bennett Memorial Scholarship Application
Name: _____________________________________________________________________________
Address: ___________________________________________________________________________
City: ___________________________ State: _____________________ Zip: ____________________
E-mail Address: ___________________________________ Phone: ___________________________
High School: __________________________________ City, State: ____________________________
Cumulative GPA: _________________________ ACT/SAT: _____________________________
Activities in High School: _______________________________________________________________
___________________________________________________________________________________
Referred by: ________________________________________________________________________
Employment/Volunteer Work: ___________________________________________________________
___________________________________________________________________________________
Interests: ___________________________________________________________________________
College/Trade School Information
Please list the colleges or trade schools to which you have applied and indicate your current status:
College/Trade School: ___________________________ ___ Applied ___ Accepted ___Will Attend
College/Trade School: ___________________________ ___ Applied ___ Accepted ___Will Attend
College/Trade School: ___________________________ ___ Applied ___ Accepted ___Will Attend
ONCE YOU HAVE COMPLETED THIS APPLICATION, BY CLICKING THE "SUBMIT" BUTTON, IT WILL BE SENT TO OUR OFFICE. HOWEVER, YOU MUST MAIL OR EMAIL YOUR ESSAY TO
medlin@gacollector.onmicrosoft.com or mail to: Georgia Collectors Association, P O Box 1006, Ringgold, GA 30736. This submitted application AND your essay must be received by April 1, 2016.
If you have Questions, please call: (423) 304-0520
ESSAY AS REQUIRED, FAILURE TO COMPLETE ESSAY AND SEND TO US WILL RESULT IN YOUR APPLICATIONI BEING REJECTED