Rae Goss Management Training Scholarship
Application

APPLICANT'S NAME________________________________________________________

Address____________________________________________________________________

City ___________________________________State ________________Zip_____________

Telephone_______________________________

Local Litho Club Affiliation______________________________________________________

Please Answer the following questions to the best of your ability.

1. How long have you been a member of your Litho Club?______________________________

2. Date of Birth______________________________________________________________

3. Complete record of formal school______________________________________________

__________________________________________________________________________

__________________________________________________________________________

4. Other formal or informal training, such as seminars, lectures, etc.________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

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