AMERICAN LEGION POST 397

of Creve Coeur, Missouri, 63141

IN Saint Louis County

CLYDE E. MOSELY SCHOLARSHIP APPLICATION
   
Current Date:
Your Full Name:
Address (City, State, Zip):
Your Email Address:
Phone Number (with area code & Ext.):
How affiliated with Legion Family:
College Major or Area of Interest:
Highest level of Education completed:
High school, City, State:
Are you currently enrolled in college or type of institution?:
If so, what year of academics?:
If not, what school do you plan to attend?:
   



On a separate sheet provide an essay of 150-500 words on our Constitution or our Flag and what it means to you

APPLICANT:
If I am selected as a scholarship winner and in consideration thereof, I understand, agree and hereby grant permission to Creve Coeur Memorial Post 397 (hereinafter Post) to use my likeness and name in announcing and promoting this scholarship.  I understand that the Post is solely responsible for the selection of the winners and its decision is final.  I grant permission to the school of higher education I attend to release information concerning my enrollment status to the Post in administrating my scholarship award.
APPLICANT SIGNATURE:

PARENT IF CHILD IS UNDER THE AGE OF 18:
If my child is selected as a scholarship winner and in consideration thereof, I understand, agree and hereby grant permission to Creve Coeur Memorial Post 397 (hereinafter Post) to use their likeness and name in announcing and promoting this scholarship. I understand that the Post is solely responsible for the selection of the winners and its decision is final. I grant permission to the school of higher education they attend to release information concerning enrollment status to the Post in administrating this scholarship award.
PARENT SIGNATURE:

POST ADJUTANT, AUXILIARY SECRETARY OR SAL ADJUTANT:
Member is a member in good standing of the following family entity on the date of this application.

SIGNATURE ADJUTANT OR SECRETARY: