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BARTENDER 
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The Bartender Foundation Scholarship Application
(Use additional sheets of paper if necessary)

Name Last_______________________ First_____________ M.I.______

Home address ___________________________________________

______________________________________________________

City___________________________ State______ Zip__________

Telephone Daytime_________________ Evening ___________________

E-mail ________________________________

Social Security No. ______________________

Date of Birth Month _____ Day _____ Year

PARENT/GUARDIAN INFORMATION:

Name:
Last_________________________ First____________ MI_____

Relation to student _______________________

Address __________________________________________

_________________________________________________

Telephone ____________________

HIGH SCHOOL DATA (or most recent schooling):

School Name _____________________________

City ________________________ State________

Year of graduation: ________

School activities, awards, honors 
__________________________________________________
__________________________________________________
__________________________________________________

EDUCATION PLANS:

Do you plan to attend: (check one)

• A four year college or university

• A Vocational Technical school

• A Two year community or junior college

• Other

Please list the schools you have applied to, or the school where you’ve been accepted and intend to study: (list name of school and location)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

What do you plan to major in? ______________________
What degree do you hope to get? ___ Bachelors __ Associate ___ Certificate

When do you expect to graduate? ___________________

WORK EXPERIENCE:

If you work or have worked as a bartender, complete the following for your most recent job:

Name of establishment ______________________

Location City__________________ State _______

Dates employed From _________ to ____________

Name of Owner ____________________________
Phone no. of owner _________________________

If your parent works or has worked as a bartender, complete the following for his or her most recent job:

Parent’s name _____________________________

Name of establishment ______________________

Location City___________________ State ______

Dates employed From _________ to ____________

Name of Owner ____________________________
Phone no. of owner _________________________

Other work experience you have had:

Employer _________________________________

Dates employed From _____________ to ________

Nature of work ______________________________

VOLUNTEER EXPERIENCE:

If you have been a volunteer or done other community service, please describe:

Agency worked with _____________________________

Dates ________________________________________

Nature of work _________________________________

SIGNATURES:

Applicant’s signature ____________________________ Date _______

Parent or guardian signature _______________________ Date _______

COMPLETION:

By May 27th, to be included in that year's entries.  
You must submit the following materials in one package:

1. This completed application.
2. Transcript of your school grades.
3. Goal statement - Not to exceed 150 words.
4. Statement from employer, e.g., bar or restaurant owner, saying that you or your parent are or have been employed as a bartender for at least four(4) years full-time or eight(8) years part-time.

MAIL THE MATERIALS TO:

The Bartender Foundation
P.O. Box 158
Liberty Corners, NJ 07938