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Pease Insurance Agency Inc

518 W Shaw Street PO Box 479

Howard City, MI 49329

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

Wrestling Scholarship Application

Criteria: 1) GPA 2.5 or higher 2) 1 Varsity Wrestling Letter 3) Attending a 4 year college
or university 4) Outstanding Citizenship 5) Male 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: __________________________________________

____________________________________________________________________________

Awards Received During High School: _______________________________________________

____________________________________________________________________________

Future Plans/Career: ____________________________________________________________

____________________________________________________________________________

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.

02/01/2008