Wednesday, March 14, 2018


SCHOLARSHIP APPLICATION

MANITOWOC COUNTY FISH AND GAME PROTECTIVE ASSOCIATION
Clubs Located At:
Cleveland
Kiel
Reedsville
Trout Unlimited
Clark Mills
Manitowoc Gun Club
Pigeon Lake
Shoto
Viking Bow & Gun
Francis Creek
Manitowoc
Manitowoc County Bass Club
Walleyes For Tomorrow
Kellnersville
Manitowoc County Coon Hunters
Whitelaw
Maribel
NW Wisconsin Sports Fisherman
Westshore
Larrabee
Manitowoc Deer Hunters Club of Wisconsin
Wild Turkey Federation
Manitowoc Rifle and Pistol
Manitowoc County Lakes Association
Pine River
Mishicot
Manitowoc County Trappers


Wisconsin Water Fowlers

Name:  ___________________________________________________________

Address: __________________________________________________________
                        Street                                                   City                  State

Home Phone:  ______________________________________________________

1.                   Name of University in which you are enrolled:  ________________________

2.                   Declared Major:  ________________________________________________

3.                   Status as of 2018 -2019 school year (circle one)      Junior     Senior
(Must have completed sophomore year by 6/30/18 to be eligible for scholarship)

Answer the following questions on a separate page and attach.

4.                   Are you (or your parent or grandparent) a member of a Club associated with Manitowoc County Fish and Game?  If so, which Club and for how long?
     
5.                   Please describe extracurricular activities you have been involved in especially as related to the outdoors.  Indicate if you had a leadership role.

6.                   Why should you be considered for this scholarship?

7.                   What role do you feel volunteer organizations like the Manitowoc County Fish & Game will play in the conservation and preservation of the outdoors for future generations?  

8.                   Please list any honors or award you have been the recipient of. 

Mail this completed application by June 15, 2018 to:
Dan Dufek
5713 North Lake Road
Mishicot, WI  54228   (920) 860-4933

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