APPLY FOR SCHOLARSHIP

All Bexar County Area Independent School Districts

THE DAVID MOLAK KINDNESS SCHOLARSHIP

Applicant/Nominee Name *

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Applicant/Nominee Email *

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Applicant/Nominee Address

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City

State

Zip Code

Applicant/Nominee Phone

College/University/School applicant/nominee plans to attend *

Anticipated major in college *

Kindness Initiative or Acts of Kindness Written Description *

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To be completed only when school staff are nominating a student

School Staff Name (Nominator)

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School Staff Email (Nominator)

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School Staff Signature and Title (Nominator)