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GARVICE KINCAID SCHOLARSHIP APPLICATION FAYETTE COUNTY SCHOOLS Date School 1. STUDENT INFORMATION Name First Middle Last Home Phone Address Street City Birthdate Zip Code Place of Birth 2. FAMILY DATA Father Mother or Guardian Name Person with whom child resides Both Parents Mother Relatives Foster Home Comments Living or Deceased Place Employed - Name Phone Job Title Annual Salary Both Parents Before Taxes 3. Other children in the family living at address given Sex Age School Attending OVER Kincaid Scholarship Application Page-2- 4. Other Scholarships Applied for and those Received 5. ASSETS Boat Rental Property Stock Business Interests 6. DEBTS Home Mortgage Medical Bills etc* 7. Grade Point Average at end of 11th Grade. 8. Counselor Comments We also request that a letter describing the students reasons for applying for the scholarship and their education plans be attached to each application* In the letter they may also include any extenuating circumstances not included in the application form*. FAMILY DATA Father Mother or Guardian Name Person with whom child resides Both Parents Mother Relatives Foster Home Comments Living or Deceased Place Employed - Name Phone Job Title Annual Salary Both Parents Before Taxes 3. Other children in the family living at address given Sex Age School Attending OVER Kincaid Scholarship Application Page-2- 4. Other children in the family living at address given Sex Age School Attending OVER Kincaid Scholarship Application Page-2- 4. Other Scholarships Applied for and those Received 5. ASSETS Boat Rental Property Stock Business Interests 6. Other Scholarships Applied for and those Received 5. ASSETS Boat Rental Property Stock Business Interests 6. DEBTS Home Mortgage Medical Bills etc* 7. Grade Point Average at end of 11th Grade. 8. Counselor Comments We also request that a letter describing the students reasons for applying for the scholarship and their education plans be attached to each application* In the letter they may also include any extenuating circumstances not included in the application form*. FAMILY DATA Father Mother or Guardian Name Person with whom child resides Both Parents Mother Relatives Foster Home Comments Living or Deceased Place Employed - Name Phone Job Title Annual Salary Both Parents Before Taxes 3. Other children in the family living at address given Sex Age School Attending OVER Kincaid Scholarship Application Page-2- 4. Other Scholarships Applied for and those Received 5. ASSETS Boat Rental Property Stock Business Interests 6. Other children in the family living at address given Sex Age School Attending OVER Kincaid Scholarship Application Page-2- 4. Other Scholarships Applied for and those Received 5. ASSETS Boat Rental Property Stock Business Interests 6. DEBTS Home Mortgage Medical Bills etc* 7. Grade Point Average at end of 11th Grade. 8. Counselor Comments We also request that a letter describing the students reasons for applying for the scholarship and their education plans be attached to each application* In the letter they may also include any extenuating circumstances not included in the application form*. .

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