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Coe-Brown	Northwood	Academy	Alumni	Association	
907	First	New	Hampshire	Turnpike	
Northwood,	New	Hampshire		03261	
	
2018	Scholarship	Application	
	
Submission	Deadline:			May	1,	2018		
	
Incomplete	applications	will	not	be	considered.	
		
Name:	__________________________________________________________________	
	
Address:	________________________________________________________________	
	
Email:	__________________________________________________________________	
	
Phone:	________________________________	
	
Class	of:	_______________________________	
	
	
Circle	upcoming	college	level:			Freshman			Sophomore			Junior			Senior			Graduate	Student	
	
College:	________________________________________________________________	
	
Course	of	Study:	_________________________________________________________	
	
	
*Signature:	______________________________________________________________	
	
*Date:	__________________	
	
*Your	application	must	be	signed	and	dated.			
	
~	Please	include	a	copy	of	your	letter	of	acceptance	from	the	college/university	you	will	be	
attending	or	for	current	students,	a	confirmation	that	you	will	be	returning	in	the	fall	2018.	
~	Please	DO	NOT	include	any	forms	such	as	FASFA,	letters	of	recommendation,	etc.	
	
[For	Alumni	Association	use	only	~	Application	#	______	]	
	
Thank	you	for	your	interest	in	the	CBNA	Alumni	Association	Scholarship.		The	Scholarship	
Committee	gives	careful	consideration	to	the	financial	needs	and	academic	achievements						
of	applicants.
2
	
	
Please	answer	the	following:	
	
1. Describe	your	most	beneficial	experience	and	how	it	has	impacted	your	
involvement	at	CBNA.	
	
2. How	has	your	education	and	work	experience	contributed	to	who	you	are	
today?	
	
3. Describe	your	senior	portfolio	project	(include	why	you	chose	it	and	its	impact).	
4. Please	list	any	Extra	Curricular	Activities	and/or	Clubs	that	you	were/are	involved	
in	at		CBNA	(include	roles	and	responsibilities).	
	
5. How	are	you	preparing	financially	for	your	college	education?		
(ie:	scholarships,	loans,	work-study	program)	
	
6.		Please	share	why	you	should	be	considered	for	this	scholarship.	
	
	
	
	
	
Please	scan	and	email	your	application	form,	responses	and	enrollment	documentation	to:	
	
Coe-Brown	Northwood	Academy	Alumni	Association	
coebrownalumni@gmail.com	
Please	direct	questions	to:	
Julie	Smith	Clarke	‘89	
President	
757-284-1990

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CBNA Alumni Scholarship Application 2018