Rebecca H. Truelsch Memorial Scholarship Application

     2.     Explain what your education plans are for the future and how will you use this to help others?          __________________________________________________________________________          __________________________________________________________________________                              __________________________________________________________________________                  __________________________________________________________________________        __________________________________________________________________________         __________________________________________________________________________          __________________________________________________________________________         __________________________________________________________________________         Signature    __________________________                                                                                                                                                                                                                                                                                                               Parent/Guardian    _______________________   (verifying information is correct)                                                                                                                                                                                                                                 Dr.'s signature   _____________________________ (if applicable)                                                                                                                                                                                                           Including a brief letter of recommendation from doctor, teacher or counselor is highly recommended.                                                                                                                                                                                                                *Any information on this form will remain strictly confidential and will not be shared with anyone other than the scholarship committee.