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2017 Buckeye Clay Bash Scholarship Application

DEADLINE DATE: November 30, 2016

Four scholarships for half the registration fee for the 2017 Buckeye Clay Bash are being offered this year – two for the Dayton Guild and two for the Columbus Guild.

Should one Guild not have two applicants, the unused scholarship(s) will be offered to a member(s) of the other Guild.

Application is on the honor system – we ask that you not request a scholarship unless the registration fee presents a genuine financial hardship.

Recipients will be selected by random draw the first week in December 2016 and will be notified that week.

For privacy reasons, all applicants will be notified individually as to their status immediately after the drawing, and all communications regarding applications and recipients will be confidential.

Applicant's Name: _____________________________________________
Address: _____________________________________________________
Email address: ________________________________________________
Phone number: _______________________________________________
Member of: ______CPCG _____DAPCG (Please choose only one)

This application is due on or before November 30, 2016 and should be mailed or e-mailed to:
Jan VanDonkelaar (email: clay4me55@gmail.com)
633 McBee Road
Bellbrook, Ohio 45305