Pease Insurance Agency Inc 

PO Box 479 518 W Shaw St

Howard City MI 49329

Ph: 231-937-4141 Fax: 231-937-6288

Cheryl A Pease Scholarship Application

~Criteria: 1) GPA of 3.0 or higher 2) Minimum of 4 Varsity Letters (Sports, Band, Academic or Activities)

3) Attending a 4 year college or university 4) Female Senior at Tri-County High  School

Name: ________________________________________________________

Address: ______________________________________________________

Grade Point Average and a copy of your high school transcript: ______________

College/University Attending: _______________________________________

School Achievements & Sporting Activities: _____________________________

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Awards Received During High School: __________________________________

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Future Plans/Career: ______________________________________________

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This Application must be returned to the High School Counseling office or to Pease Insurance Agency,

Inc. by May 1st. You may use a separate piece of paper for additional information.

 02/01/08