George Esper Reporting Scholarship
Photojournalism/Design Scholarship

Name: _______________________________________________

Name of college/university_______________________________

Which scholarship are you applying for?:

___ George Esper Reporting Scholarship
___ Photojournalism/Design Scholarship

Mailing address at school:
Street address or P.O. number: ___________________________

City:____________________ State: ______ Zip code: ________

Phone: ( ___) ____________ E-mail: _______________________

Mailing address at home:

Street address or P.O. number: ___________________________

City:____________________ State: ____ Zip code: _________

Phone: (___) _____________ E-mail: ______________________

College major: ______________ College minor: _______________

Name of academic adviser: ______________________________

Department: ________________

Phone: (___) _______________ E-mail: ___________________________

Current year of study: __Freshman __Sophomore __Junior __Senior

Remember to send: