Friends of Neal Smith National Wildlife Refuge (NSNWR) Scholarship Application Application Deadline is April 18, 2025 Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country What High School did you attend? * Only students graduating from these high schools near the NSNWR are eligible for the scholarship Bondurant-Farrar Colfax-Mingo Newton PCM (Prairie City Monroe) Pella Pella Christian Southeast Polk High School Graduation date * MM DD YYYY GPA Class Rank * Enter your class rank upon graduation. Enter the rank out of how many students in your graduating class. College or University you will be attending * High School Advisor's Name * List school activities in which you have participated * List extracurricular activities in which you have participated * Reference #1 Name * Do not use a family member First Name Last Name Reference # 1 Email Reference # 1 Phone (###) ### #### Reference # 1 Address Address 1 Address 2 City State/Province Zip/Postal Code Country What is your relationship to this reference #1? For example, employer, teacher, coach Reference #2 Name * Do not use a family member First Name Last Name Reference # 2 Email Reference # 2 Phone (###) ### #### Reference # 2 Address Address 1 Address 2 City State/Province Zip/Postal Code Country What is your relationship to this reference #2? #1? For example, employer, teacher, coach Thank you!
