Edward B. Gnahn Memorial Scholarship Application/Renewal Application

EDWARD B. GNAHN MEMORIAL SCHOLARSHIP

Application
Name

First Name, Middle NameLast Name
Date of Birth

MonthDayYear
Phone Number
Email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many years have you resided in Des Moines County?
Example: 18
Father's Name and Occupation
Mother's Name and Occupation
OR Spouse's Name and Occupation (If married)
High School Attended and Graduation Year
Example: Burlington High School, 2025
College/ University you plan to attend
College/ University Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major Field of Study
Yearly Tuition
Program Length
Full or Part Time Student:

Full TimePart Time
Anticipated Grad Date

MonthDayYear
Date
Are any other members of your family receiving a Gnahn Scholarship?

YesNo
Have you previously applied for a Gnahn Scholarship?

YesNo
Please provide required documents with application.
Upload your documents here:

Cancelof
NO APPLICATION WILL BE CONSIDERED WITHOUT CURRENT TRANSCRIPT OF GRADES ATTACHED. DEADLINE FOR APPLICATIONS IS APRIL 1ST.
Signature of parent (if minor)

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Signature of Applicant:

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EDWARD B. GNAHN MEMORIAL SCHOLARSHIP

Renewal Aplication
Name

First Name, Middle NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number
Email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student ID #
Graduation Date

MonthDayYear
Date
College/University Attending Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major Field of Study
Current Career Goal
Yearly Tuition
Please mark if you would prefer to receive future correspondence about your scholarship via email.
***RENEWAL APPLICATION DUE APRIL 1st.***

APPLICATIONS RECEIVED AFTER THIS DATE WILL NOT BE APPROVED.

***SPRING GRADE REPORTS AND FALL CLASS SCHEDULE DUE July 1ST. ***

FUNDS WILL NOT BE AWARDED WITHOUT THESE DOCUMENTS. **PLEASEINCLUDE CURRENT AND CUMULATIVE GPA*
IF YOU DO NOT PLAN TO RENEW THIS SCHOLARSHIP, PLEASE CHECK HERE
Signature of applicant

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EDWARD B. GNAHN MEMORIAL SCHOLARSHIP