Helen Roath Memorial Continuing Education Scholarship Application
To be eligible an applicant must:

1. Have had their normal course of education interrupted for any reason
2. Plan to pursue a post secondary education at a vocational school, college, or university in Indiana
3. Preference will be given to residents of  Hancock County
4. An "in person" interview may be requested

Sign in to Google to save your progress. Learn more
Email *
Date *
MM
/
DD
/
YYYY
Applicants Full Name *
Age *
Home Address (include City, State, Zip) *
Email Address *
Phone Number *
Number and Ages of Dependents *
Occupation and Employer *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy