Scholarship Award Request Form

Member Name: ___________________________________________________

Member Address: _________________________________________________

Member Phone Number: ________________________Member Since:______
MM/YY

Member Email address: ____________________________________________
(If available)

Where the Class will be taken: ______________________________________

Date/Dates of the Class: ___________________________________________

Name of the Class: ________________________________________________

Total Cost of the Class: ____________________________________________

Award Amount Requested (Up to $300): ______________________________

Member Signature: _______________________________________________

Mail to: Scholarship Request
Woodworker's Guild
P. O. Box 80750
Atlanta, GA 30366