DONEGAL ASSOCIATION OF PHILADELPHIA

Application for Annual Scholarship

Parent's Name(s)__________________________________________________

Address_________________________________________________________

Phone Number_________________


Child's Name                 School Attending                        Grade   Date of Birth

_________________      __________________________  _____   __________

_________________      __________________________  _____   __________

_________________      __________________________  _____   __________

_________________      __________________________  _____   __________

_________________      __________________________  _____   __________

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

1) The Donegal Association Scholarship Drawing is open to children of members in good standing.

2) Children shall be ages 6 to 25.

3) Two girls and two boys names will be drawn at the November meeting

4) All children in a family may enter but only one child per family may win.

5) Winners will receive their awards at the Donegal Ball.