2008-2009 Clifford and Louise Troyer Scholarship Application

FOR STUDENTS ENROLLED OR PLANNING TO ENROLL AT PENN STATE ERIE, THE BEHREND COLLEGE

Consideration for this scholarship shall be given to full-time students who are enrolled or planning to enroll at Penn State Erie, The Behrend College, who have achieved superior academic records or show promise of outstanding academic success.  First preference shall be given to students who are employees or children of employees at Troyer Potato Products, Inc.  Second preference shall be given to students who are graduates of Fort LeBoeuf High School, Waterford, PA or residents of Union City or Waterford, PA.

DO NOT COMPLETE THIS APPLICATION UNLESS YOU HAVE A PARENT EMPLOYED BY TROYER POTATO PRODUCTS.

First Name:  Mid Init: 

Last Name:   

PSU ID: 

Email:

Home/Permanent Address 1 :

Home/Permanent Address 2:

City:   State:   Zip:

Name of Family Member Employed by Troyer Potato Products, Inc.: 

Relationship to Student:

RELEASE STATEMENT:

In accordance with the Family Rights and Privacy Act of 1974, I hereby authorize the Financial Aid Office at Penn State Behrend to release the information contained on this application, in addition to grade point average, to representatives of the organization sponsoring the scholarship and members of the scholarship committee for use in evaluating scholarship applicants.

I understand that scholarship awards may be adjusted or revoked due to unsatisfactory academic progress, change in enrollment status, ceased enrollment at Penn State Behrend, or otherwise failing to meet the guidelines of the awarded scholarship.

SUBMIT THIS APPLICATION BY FEBRUARY 1, 2008.

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Updated September 26, 2007
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