HSPA LEGACY GRANT SCHOLARSHIP APPLICATION FORM
Complete this form, attach the required documents and mail to:
Legacy Scholarship
HSPA Foundation
41 E Washington St, Suite 301
Indianapolis IN 46204
Applications must be postmarked no later than March 16, 2018. Winners will be notified by May 1.
Applicant Name
Address
Best Telephone Number
Email
Parents:
(Father/Mother) Employed or Independent Contractor at
Current position/job title Years of Service
Prior position(s): Listed any past positions and places of newspaper employment:
Years of service
Years or service
Years or service
If both parents are working/have worked in the business, provide that information here:
(Father/Mother) Employed or Independent Contractor at
Current position/job title Years of Service
Prior position(s): Listed any past positions and places of newspaper employment:
Years of service
Years or service
Years or service
Where will you be continuing your education?
School Name City
Major area of study
Have you been accepted?
Total years of
service in
the industry:
Total years of
service in
the industry:
Page 10
February 2018
