2006-2007 VOMBO Scholarship Application (Presentation Track)

Application, Presentation and support materials must be received by February 1, 2007

 Non-US residents, please submit information that most closely relates to the requested specifics

1.  Applicant’s Name and Address 

Last Name  First Name  Middle Name 

Home Address

City, State, Zip Code

Email

Phone where we can reach you during the school year   

Parents Phone 

School Name and Location  

Grade/Year in School 

*Social Security

*Please note: We will not be able to award your winnings without a Social Security number. Your Social Security number will only be used to report your scholarship winnings to the IRS. We realize and respect your wish to keep this information private at this time.

2. Creative Problem Solving Involvement

Total years involved in creative problem solving (CPS)

Number of years participating at Regional Tournament

Number of years participating at State Tournament

Number of years participating at Global Finals

 Have you or any of your teams received a Creativity Award?  When and why?

Please list Challenge(s)/Year(s) in which you have participated :

List other Destination ImagiNation involvement, e.g. tournament volunteer, appraiser, team manager or co-team Manager, etc:  

 

3. Personal Information

What College/University do you attend, or intend to attend? List Preferences if more than one.

 

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Revised: 06/28/07 10:39 PM

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