See Instructions First Name Last Name Email Address Phone Number Address Street City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Birthdate College, University or School of Higher Learning attending in September of Scholarship Year: Present School: City: State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Year in School: Major, Minor, Program: Student I.D. Number: Grade Point Average Personal Reference (an Indian Village Woman’s Garden Club member or Indian Village resident) Name Address Phone Upload First Reference Name Address Phone Upload Second Reference A complete application MUST include (consult guidelines for specific requirements for the following three requirements): A recent institution official transcript of grades An autobiographical sketch including goals and aspirations A brief letter of recommendation from an academic professional Both academic qualifications and personal circumstances will be considered. Applicants MUST submit all require information before May 15, in order to be eligible for the following term. Scholarship monies must be used during the academic year, for which they are awarded. For questions please contact: Taranta Gatson-White C: (313) 300-3598 H: (313) 571-1615 E-mail: tmtextile@comcast.net To submit paper copy: SCHOLARSHIP COMMITTEE Taranta Gatson-White 2115 Seminole Detroit, Michigan 48214