2019-2020 Representative Roger Freeman Memorial Award Application

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Roger Freeman’s life embodied a life of unselfishness and kindness especially when it came to the
youth of our city and region. This award is for high school scholars in Federal Way. Federal Way's Diversity Commission would like to award a $250 award toward one of our students' future. Preference will be given to awarding each grade level. Application closes at 4:00pm PST on December 1, 2020. Please direct any questions to Jeri-Lynn Clark at Jeri-Lynn.Clark@cityoffederalway.com or (253) 835-2401.

First & Last Name: *

Address (street, city, state, zip) *

Mailing Address (if different):

Home Phone #:

Cell Phone #:

High School:

Grade Level: *

Freshman (9)

Sophomore (10)

Junior (11)

Senior (12)

Email: *

Have you received other awards/recognitions? *

Yes

If yes, please list:

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