Request Form

Paul M. Felice Memorial Scholarship
Application Request Form

The Michigan Grocers Foundation will award a number of Paul M. Felice Memorial Scholarships for the 2010-2011 academic year. The scholarships will be one-year, non-renewable awards of up to $1,000.

Use this form to email us your request for an application and descriptive brochure or call Mike Hamelin at 800.947.6237 (ext. 20)
NOTE: The applications WILL NOT be available until February 1, 2010 and must be received by April 1, 2010.

The person who will apply for the scholarship is presently: (check one)

a High School Senior
a College Student

Eligibility: (check one) Note: Must work or reside in the state of Michigan

My parent is a full-time employee of a Michigan Grocers Association member firm and has been employed for at least one year as of January 1, 2010.

I am a full-time student who is a part-time employee of a Michigan Grocers Association member, and I have been employed for at least six months as of January 1, 2010.

Please provide the following contact information:
* required field

* First Name
* Last Name
Middle Initial
*Mailing Address
Address (cont.)
* City
* State/Province
* Zip/Postal Code
Home Phone
*E-mail
*Name of Parent
*Name of MGA member company where you or your parent are employed
*Office/Store Location

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