Home > Sam Perry Scholarship > Online Application

Sam Perry Scholarship Application

IMPORTANT – Once you begin the online application, you will be unable to save it and return to it at a later date. If you exit the application prior to submitting it, you will lose all the information that you have entered. To enable you to have all required information ready, and complete the application in one sitting, we recommend you review the printable version of the application package prior to proceeding so you can gather all the information you need before completing the online application. Click here to review the application package.


Home Street Address (Street, City, State, Zip Code)*


Mailing Address (If different from above)

Granville County resident?*


Occupation and Employer

Spouse (name, address, occupation, employer)

Father (name, address, occupation, employer)

Mother (name, address, occupation, employer)


Do you have any responsibilities that might interfere with your training? (If so, please describe.)*


1 2 3 4