Prusch Farm Park Foundation
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​                                                                Prusch Farm Park Scholarship Application 
 
Name ___________________________________________________________________________________________
 
Permanent address ___________________________________ _________________________________________   
 
Mailing Address _________________________________________________________________________________
                                                                                        City                                             Zip code
 
Email _________________________________________________@___________________________________________

Telephone _________________________________________________________________________________________   

High School Graduated from, city and year ________________________________________________________.                          

Awards & honors: __________________________________________________________________________________
 
_____________________________________________________________________________________________________________

College or University currently attending ___________________________________________________________

City ________________________________________________________________. State________________________________

Major _____________________________________________________. Minor _______________________________________

Units completed ____________________. Expected Graduation Date __________________________________

Previous colleges and/or Universities _______________________________________________________________

Desired Career __________________________________________________________________________________________

                              Signed ______________________________________________________Date_____________________

Please mail signed application to:  Prusch Farm Park Foundation,
                                                                   ATTN:  Scholarship Program,
                                                                   Post Office Box 3710
                                                                   San Jose, California 95156                                                        
                                                                   or email to: Pruschfarmpark@gmail.com

 
                                                                        
                                                      
 
www.pruschFarmPark.org

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