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 2008-2009 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)
This form must be received by March 14, 2008.

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, 2008.

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, 2008.

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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