SHARON VOLPERT SHEETS MEMORIAL SCHOLARSHIP

(RECREATION THERAPY MAJORS ONLY)

NAME___________________________________________SSN_________________________

NO. OF HOURS EARNED__________ CUM. G.P.A.________

PLEASE WRITE A BRIEF ESSAY REGARDING YOUR CAREER ASPIRATIONS IN THE

FIELD OF RECREATION THERAPY:

PLACE OF LEGAL RESIDENCE_______________________________________________

HIGH SCHOOL ATTENDED__________________________________________________

I understand that in addition to the above requirement, I will be enrolled in both semesters of the

2007-2008 academic year. Should I not be a student in both semesters, I will forfeit the scholarship for

one or both semesters.

_____________________________

Signature

DEADLINE FOR APPLICATION: DECEMBER 17, 2006