Missouri Land Improvement Contractors Association
Memorial Scholarship Application - must be received by 11:59 p.m. March 1 or September 1.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Present Year in School
*
Intended Major
*
Parents or Guardian
*
Address of Parents or Guardian (if different from address above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Current Active Missouri LICA Contractor Member
*
Your parent/guardian/grandparent
Relation to Missouri LICA Contractor Member
*
Upload a 300-word essay describing your academic, vocational, and personal goals and why you feel you should receive this scholarship.
*
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Upload High school and/or college transcripts.
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Upload two letters of recommendation from members or your community, school, or other non-relative.
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Upload a personal photo, understanding it will be published in Missouri LICA newsletters, email newsletters, and/or social media if awarded.
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Check all items that have been uploaded as part of this application.
*
300-Word Essay
Transcripts
Two letters of Recommendation
Personal Photo
I certify that all information provided in this application (and any attached documents) is true, complete, and accurate to the best of my knowledge. I understand that any false, misleading, or incomplete information may result in the rejection of my application or termination of employment/services/agreement if discovered at a later date.
*
Agree
Disagree
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