DONEGAL ASSOCIATION OF PHILADELPHIA

Application for Kathleen Meehan Scholarship

Parent's Name(s)__________________________________________________

Address_________________________________________________________

Phone Number_________________


Child's Name                 School Attending                        Grade   Date of Birth

_________________      __________________________  _____   __________

_________________      __________________________  _____   __________

_________________      __________________________  _____   __________

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E-Mail luvmy2pups@aol.com      Or     Post promptly        DONEGAL ASSOC.
                                                                                        P.O. BOX 838
                                                                                        Havertown, PA  19083
Eligibility Rules;

1. The Kathleen Meehan Scholarship is open to children of members in good standing.
2. Children shall be ages 6 to 25.
3. Name will be drawn at the June meeting.
4. All children in a family may enter.