Town of Blooming Grove Scholarship Award  Application
If you are the student who is the candidate please use this form.  If you are not the student and want to
provide a recommendation please use the
Recommendation form.
Last Name:
First Name:
Town/Village and State:
P.O. Box:
Street Address:
Phone Number:
email Address: [not requried]
In 250 words or less, answer the following Question:
Identify a problem facing the residents of Blooming Grove & tell us what
you would do to solve it?
If  you have any questions or wish to provide more input please send an email to Laurisa Sampson
(laurisaisblessed@gmail.com)
Clear your submission
and restart.
Submit your application.
Blooming Grove Democratic Committee
Scholarship Award Application
To be Qualified for this
scholarship you must be a
High
School
Senior and a resident of
Blooming Grove.
"The price of freedom is eternal Vigilance"
HS Citizen's Award process:
  • Submission and acceptance
    of Application form.
  • Submission and acceptance
    of 2 recommendations
  • You will receive a
    reformatted  document with
    the information submitted for
    your final approval.
  • The Committee will vote on
    the candidate submission
    and notify you and the school
    of our decision.