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* 1. Name

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* 2. Address

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* 3. School Name

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* 4. CUMULATIVE G.P.A. IN OPTICAL PROGRAM (must be verified with official transcripts):

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* 5. NUMBER OF OPTICAL CREDITS COMPLETED

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* 6. COURSES & ANTICIPATED GRADES THIS SEMESTER

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* 7. CREDITS REMAINING TO COMPLETE PROGRAM

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* 8. Select One of the Below Options

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* 9. EDUCATIONAL BACKGROUND: (include all transcripts you wish
considered)

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* 10. Please upload your transcripts

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 11. OPHTHALMIC EMPLOYMENT BACKGROUND: (optional)

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* 12. IS FINANCIAL NEED A FACTOR YOU WISH CONSIDERED?

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* 13. If yes, please explain.

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* 14. WHY DO YOU BELIEVE YOU SHOULD RECEIVE THIS SCHOLARSHIP?

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* 15. WHAT ARE YOUR PERSONAL GOALS FOR YOUR CAREER IN OPTICIANRY?

All recipients of the Norman A. Snedeker Scholarship award must continue in their academic studies to ensure that the full amount of the scholarship is applied to the student’s optical science education. Any recipients who do not continue in their course of study must return the award in full to the Scholarship fund.

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