Mary A. Kelly Graduate Scholarship

Please complete and submit the requested information no later than December 1, 2022, to be considered for this scholarship.

Chairperson: Tamera Pack

First Name

Middle Name

Last Name

Mailing Address

Mailing Address Line 2

City

State

ZIP Code

Phone Number

Email Address

Select the PSLA local Council of which you are a member

Indicate the college or university you will attend

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Please include any pictures or photographs that will enhance your submission.

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